Section 8 PE Tables – Results from the 2021 National Survey on Drug Use and Health: Detailed Tables, SAMHSA, CBHSQ

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Table 8.1B – Average Number of Days Used Specific Substances in Past Year: Among Past Year Users of Specific Substances Aged 12 or Older; By Age Group, Averages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
Marijuana	145.5	88.9	148.6	144.0	150.1	114.0	150.2
Cocaine	50.8	*	50.8	26.5	58.8	42.0	51.3
Crack	109.0	*	109.1	*	112.4	*	109.7
Heroin	161.5	*	161.5	125.4	163.8	*	160.1
Hallucinogens	15.4	18.6	15.3	11.3	17.3	14.9	15.5
Inhalants	34.9	37.1	34.0	22.6	39.4	34.2	35.3
Methamphetamine	164.1	63.5	165.5	130.7	168.0	91.7	166.6
Alcohol	90.8	23.0	92.7	65.8	96.8	33.6	94.7
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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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Table 8.2B – Average Number of Days Used Specific Substances in Past Month: Among Past Month Users of Specific Substances Aged 12 or Older; By Age Group, Averages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
Marijuana	16.2	11.4	16.4	15.7	16.6	13.4	16.5
Cocaine	7.5	*	7.4	4.1	8.3	8.5	7.4
Crack	13.3	*	13.3	*	13.7	*	13.3
Heroin	18.1	*	18.1	19.2	18.0	*	18.0
Hallucinogens	2.9	5.4	2.8	2.4	3.0	3.7	2.8
Inhalants	4.8	5.2	4.7	3.0	5.1	4.8	4.8
Methamphetamine	18.5	*	18.5	13.4	18.8	18.2	18.5
Misuse of Prescription Pain Relievers	7.0	3.7	7.2	6.8	7.2	5.5	7.1
Misuse of Prescription Stimulants	5.5	7.2	5.4	3.9	6.0	5.3	5.6
Misuse of Prescription Tranquilizers	6.2	4.5	6.2	5.2	6.3	3.1	6.3
Misuse of Prescription Sedatives	8.0	5.2	8.3	5.2	8.8	5.0	8.4
Cigarettes	22.7	8.0	22.9	14.2	23.7	10.7	23.1
Smokeless Tobacco	19.4	8.1	19.6	15.4	20.3	10.7	19.8
Cigars	9.0	7.1	9.0	8.0	9.2	6.9	9.2
Alcohol	8.6	3.4	8.7	6.2	9.0	4.3	8.8
Binge Alcohol Use²	4.7	2.9	4.7	3.7	4.9	3.4	4.8
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. ² Estimates of binge alcohol use include use by those who were heavy alcohol users. 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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Table 8.3A – Daily or Almost Daily Use of Specific Substances in Past Year: Among People Aged 12 or Older and among Past Year Users of Specific Substances Aged 12 or Older; By Age Group, Numbers in Thousands, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
DAILY/ALMOST DAILY USE IN PAST YEAR AMONG TOTAL POPULATION
Marijuana	13,247	264	12,983	2,824	10,159	1,080	12,167
Cocaine	246	4	242	24	218	15	231
Crack	136	*	136	10	126	*	136
Heroin	256	*	256	13	244	11	245
Hallucinogens	44	8	36	10	25	11	33
Inhalants	17	12	*	5	*	12	*
Methamphetamine	615	4	612	25	586	6	609
Alcohol	12,584	13	12,570	580	11,990	77	12,506
DAILY/ALMOST DAILY USE IN PAST YEAR AMONG PAST YEAR USERS
Marijuana	13,247	264	12,983	2,824	10,159	1,080	12,167
Cocaine	246	*	242	24	218	*	231
Crack	*	*	*	*	*	*	*
Heroin	*	*	*	*	*	*	*
Hallucinogens	44	*	36	10	25	11	33
Inhalants	17	*	5	*	1	*	5
Methamphetamine	615	*	612	*	586	*	609
Alcohol	12,584	13	12,570	580	11,990	77	12,506
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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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Table 8.3B – Daily or Almost Daily Use of Specific Substances in Past Year: Among People Aged 12 or Older and among Past Year Users of Specific Substances Aged 12 or Older; By Age Group, Percentages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
DAILY/ALMOST DAILY USE IN PAST YEAR AMONG TOTAL POPULATION
Marijuana	4.7	1.0	5.1	8.4	4.6	2.8	5.1
Cocaine	0.1	0.0	0.1	0.1	0.1	0.0	0.1
Crack	0.0	*	0.1	0.0	0.1	*	0.1
Heroin	0.1	*	0.1	0.0	0.1	0.0	0.1
Hallucinogens	0.0	0.0	0.0	0.0	0.0	0.0	0.0
Inhalants	0.0	0.0	*	0.0	*	0.0	*
Methamphetamine	0.2	0.0	0.2	0.1	0.3	0.0	0.3
Alcohol	4.5	0.1	5.0	1.7	5.4	0.2	5.2
DAILY/ALMOST DAILY USE IN PAST YEAR AMONG PAST YEAR USERS
Marijuana	25.3	9.7	26.1	23.9	26.8	15.9	26.6
Cocaine	5.2	*	5.1	2.1	6.1	*	5.1
Crack	*	*	*	*	*	*	*
Heroin	*	*	*	*	*	*	*
Hallucinogens	0.6	*	0.5	0.4	0.5	1.0	0.5
Inhalants	0.8	*	0.3	*	0.1	*	0.4
Methamphetamine	24.1	*	24.3	*	25.0	*	24.7
Alcohol	7.2	0.3	7.4	2.6	8.1	0.7	7.7
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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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Table 8.4A – Daily or Almost Daily Use of Specific Substances in Past Month: Among People Aged 12 or Older and among Past Month Users of Specific Substances Aged 12 or Older; By Age Group, Numbers in Thousands, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
DAILY/ALMOST DAILY USE IN PAST MONTH AMONG TOTAL POPULATION
Marijuana	17,464	436	17,027	3,695	13,333	1,504	15,960
Cocaine	344	5	340	27	312	20	324
Crack	169	*	169	*	169	*	169
Heroin	361	*	361	14	347	11	350
Hallucinogens	52	8	44	10	33	11	41
Inhalants	43	12	32	*	31	12	32
Methamphetamine	889	9	880	33	847	12	877
Misuse of Prescription Pain Relievers	296	*	295	22	274	11	285
Misuse of Prescription Stimulants	73	9	64	7	56	9	64
Misuse of Prescription Tranquilizers	74	*	74	8	67	*	74
Misuse of Prescription Sedatives	49	*	48	*	48	*	48
Cigarettes (Daily Use)²	27,017	55	26,961	1,059	25,902	253	26,764
Smokeless Tobacco	4,330	32	4,299	432	3,867	103	4,227
Cigars	2,183	25	2,158	300	1,858	84	2,098
Alcohol	22,782	38	22,744	1,174	21,570	181	22,602
Binge Alcohol Use³	3,778	33	3,744	238	3,506	83	3,695
DAILY/ALMOST DAILY USE IN PAST MONTH AMONG PAST MONTH USERS
Marijuana	17,464	436	17,027	3,695	13,333	1,504	15,960
Cocaine	344	*	340	*	312	*	324
Crack	*	*	*	*	*	*	*
Heroin	*	*	*	*	*	*	*
Hallucinogens	52	*	44	*	33	*	41
Inhalants	43	12	*	*	*	12	*
Methamphetamine	889	*	880	*	*	*	877
Misuse of Prescription Pain Relievers	296	*	295	*	274	*	285
Misuse of Prescription Stimulants	73	*	64	7	56	*	64
Misuse of Prescription Tranquilizers	*	*	*	*	*	*	*
Misuse of Prescription Sedatives	*	*	*	*	*	*	*
Cigarettes (Daily Use)²	27,017	*	26,961	1,059	25,902	253	26,764
Smokeless Tobacco	4,330	*	4,299	432	3,867	103	4,227
Cigars	2,183	*	2,158	300	1,858	84	2,098
Alcohol	22,782	38	22,744	1,174	21,570	181	22,602
Binge Alcohol Use³	3,778	*	3,744	238	3,506	83	3,695
SMOKED 1+ PACKS OF CIGARETTES PER DAY AMONG DAILY CIGARETTE USERS⁴	11,296	*	11,290	256	11,033	33	11,263
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. ² Estimates of cigarettes (daily only) include only respondents who smoked cigarettes on each of the past 30 days. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. ⁴ Respondents with missing data for number of cigarettes smoked per day 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.

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Table 8.4B – Daily or Almost Daily Use of Specific Substances in Past Month: Among People Aged 12 or Older and among Past Month Users of Specific Substances Aged 12 or Older; By Age Group, Percentages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
DAILY/ALMOST DAILY USE IN PAST MONTH AMONG TOTAL POPULATION
Marijuana	6.2	1.7	6.7	11.0	6.1	3.8	6.6
Cocaine	0.1	0.0	0.1	0.1	0.1	0.1	0.1
Crack	0.1	*	0.1	*	0.1	*	0.1
Heroin	0.1	*	0.1	0.0	0.2	0.0	0.1
Hallucinogens	0.0	0.0	0.0	0.0	0.0	0.0	0.0
Inhalants	0.0	0.0	0.0	*	0.0	0.0	0.0
Methamphetamine	0.3	0.0	0.3	0.1	0.4	0.0	0.4
Misuse of Prescription Pain Relievers	0.1	*	0.1	0.1	0.1	0.0	0.1
Misuse of Prescription Stimulants	0.0	0.0	0.0	0.0	0.0	0.0	0.0
Misuse of Prescription Tranquilizers	0.0	*	0.0	0.0	0.0	*	0.0
Misuse of Prescription Sedatives	0.0	*	0.0	*	0.0	*	0.0
Cigarettes (Daily Use)²	9.7	0.2	10.6	3.2	11.8	0.6	11.1
Smokeless Tobacco	1.5	0.1	1.7	1.3	1.8	0.3	1.8
Cigars	0.8	0.1	0.9	0.9	0.8	0.2	0.9
Alcohol	8.1	0.1	9.0	3.5	9.8	0.5	9.4
Binge Alcohol Use³	1.3	0.1	1.5	0.7	1.6	0.2	1.5
DAILY/ALMOST DAILY USE IN PAST MONTH AMONG PAST MONTH USERS
Marijuana	48.0	29.1	48.8	45.8	49.8	36.5	49.5
Cocaine	18.8	*	18.6	*	21.5	*	18.3
Crack	*	*	*	*	*	*	*
Heroin	*	*	*	*	*	*	*
Hallucinogens	2.3	*	2.0	*	2.1	*	2.0
Inhalants	5.2	5.7	*	*	*	4.8	*
Methamphetamine	55.0	*	54.9	*	*	*	55.0
Misuse of Prescription Pain Relievers	12.3	*	12.9	*	13.2	*	12.8
Misuse of Prescription Stimulants	6.6	*	6.2	2.5	7.7	*	6.7
Misuse of Prescription Tranquilizers	*	*	*	*	*	*	*
Misuse of Prescription Sedatives	*	*	*	*	*	*	*
Cigarettes (Daily Use)²	61.9	*	62.4	27.6	65.8	19.0	63.3
Smokeless Tobacco	59.0	*	59.8	44.4	62.2	28.0	60.6
Cigars	21.2	*	21.3	16.9	22.3	12.1	21.9
Alcohol	17.1	2.1	17.3	7.0	18.8	3.1	17.8
Binge Alcohol Use³	6.3	*	6.3	2.4	7.1	2.6	6.5
SMOKED 1+ PACKS OF CIGARETTES PER DAY AMONG DAILY CIGARETTE USERS⁴	41.9	*	41.9	24.2	42.7	13.1	42.1
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. ² Estimates of cigarettes (daily only) include only respondents who smoked cigarettes on each of the past 30 days. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. ⁴ Respondents with missing data for number of cigarettes smoked per day 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.

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Table 8.5A – Drugs Used with Alcohol or within 2 Hours of Alcohol Use on Most Recent Use of Alcohol in Past Month: Among Past Month Alcohol Users Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Drug	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
Marijuana	12,872	312	12,560	3,023	9,537	1,092	11,781
Cocaine (Including Crack)	485	*	485	64	421	6	478
Heroin	108	*	108	6	102	*	108
Hallucinogens	160	6	154	21	133	10	150
Inhalants	65	5	60	11	49	5	60
Methamphetamine	492	*	492	24	468	*	492
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates are based on nonimputed responses to multiple questions; therefore, respondents with unknown responses to the questions about other drugs used with alcohol were excluded. Respondents could indicate multiple other drugs used with alcohol; thus, these response categories are not mutually exclusive. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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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Table 8.5B – Drugs Used with Alcohol or within 2 Hours of Alcohol Use on Most Recent Use of Alcohol in Past Month: Among Past Month Alcohol Users Aged 12 or Older; by Age Group, Percentages, 2021
Drug	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
Marijuana	9.8	18.4	9.6	18.3	8.4	19.2	9.3
Cocaine (Including Crack)	0.4	*	0.4	0.4	0.4	0.1	0.4
Heroin	0.1	*	0.1	0.0	0.1	*	0.1
Hallucinogens	0.1	0.3	0.1	0.1	0.1	0.2	0.1
Inhalants	0.0	0.3	0.0	0.1	0.0	0.1	0.0
Methamphetamine	0.4	*	0.4	0.1	0.4	*	0.4
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Estimates are based on nonimputed responses to multiple questions; therefore, respondents with unknown responses to the questions about other drugs used with alcohol were excluded. Respondents could indicate multiple other drugs used with alcohol; thus, these response categories are not mutually exclusive. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol. 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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Table 8.6A – Cigarette Use and Nicotine (Cigarette) Dependence in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Numbers in Thousands and Percentages, 2021
Age Category	Cigarette Use in Past Month	Nicotine Dependence in Past Month	Percentage with Nicotine Dependence among Past Month Cigarette Smokers
Age Category	2021	2021	2021
TOTAL	43,615	28,239	64.7
12-20¹	1,331	556	41.8
21 or Older¹	42,284	27,683	65.5
12-17	392	151	*
12-13	28	21	*
14-15	80	22	*
16-17	284	109	*
18 or Older	43,222	28,087	65.0
18-25	3,839	1,727	45.0
18-20	938	404	43.1
21-25	2,901	1,323	45.6
26 or Older	39,383	26,360	66.9
26-49	20,838	13,159	63.1
26-29	3,123	1,806	57.8
30-34	4,677	2,758	59.0
35-39	4,814	3,178	66.0
40-44	4,307	2,739	63.6
45-49	3,916	2,679	68.4
50 or Older	18,545	13,201	71.2
50-54	4,278	3,046	71.2
55-59	4,115	2,910	70.7
60-64	4,420	3,383	76.5
65 or Older	5,732	3,861	67.4
* = 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. ¹ The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco. 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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Table 8.6B – Cigarette Use and Nicotine (Cigarette) Dependence in Past Month: Among People Aged 12 or Older; by Detailed Age Category, Percentages, 2021
Age Category	Cigarette Use in Past Month	Nicotine Dependence in Past Month	Percentage with Nicotine Dependence among Past Month Cigarette Smokers
Age Category	2021	2021	2021
TOTAL	15.6	10.1	64.7
12-20¹	3.4	1.4	41.8
21 or Older¹	17.6	11.5	65.5
12-17	1.5	0.6	*
12-13	0.3	0.2	*
14-15	0.9	0.3	*
16-17	3.3	1.3	*
18 or Older	17.0	11.1	65.0
18-25	11.5	5.2	45.0
18-20	7.2	3.1	43.1
21-25	14.2	6.5	45.6
26 or Older	17.9	12.0	66.9
26-49	20.4	12.9	63.1
26-29	17.9	10.4	57.8
30-34	20.6	12.1	59.0
35-39	21.5	14.2	66.0
40-44	21.1	13.4	63.6
45-49	20.2	13.8	68.4
50 or Older	15.7	11.2	71.2
50-54	22.1	15.7	71.2
55-59	19.3	13.7	70.7
60-64	19.6	15.0	76.5
65 or Older	10.5	7.0	67.4
* = 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. ¹ The 12-20 and 21 or Older rows are included because they are the underage and legal age groups for tobacco. 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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Table 8.7A – Nicotine (Cigarette) Dependence in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
TOTAL	28,239	151	28,087	1,727	26,360	556	27,683
GENDER
Male	15,225	100	15,125	979	14,145	334	14,891
Female	13,013	51	12,963	748	12,215	221	12,792
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25,701	111	25,590	1,485	24,105	459	25,241
White	20,304	100	20,203	1,107	19,097	372	19,932
Black or African American	3,537	7	3,530	172	3,358	44	3,492
AIAN	308	1	307	*	269	9	299
NHOPI	124	*	*	*	*	*	*
Asian	731	*	731	51	680	*	720
Two or More Races	697	3	694	100	594	23	674
Hispanic or Latino	2,538	41	2,497	242	2,255	96	2,442
FAMILY INCOME
Less Than $20,000	9,379	16	9,363	606	8,758	187	9,193
$20,000 - $49,999	10,084	61	10,023	662	9,361	174	9,909
$50,000 - $74,999	3,946	34	3,912	189	3,723	67	3,879
$75,000 or More	4,829	40	4,789	270	4,519	127	4,702
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco. 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.

220711

Table 8.7B – Nicotine (Cigarette) Dependence in Past Month: Among People Aged 12 or Older; by Age Group and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
TOTAL	10.1	0.6	11.1	5.2	12.0	1.4	11.5
GENDER
Male	11.1	0.8	12.2	5.9	13.3	1.7	12.8
Female	9.1	0.4	9.9	4.5	10.8	1.2	10.3
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11.2	0.6	12.1	5.8	13.0	1.6	12.6
White	11.9	0.8	12.8	6.2	13.6	1.9	13.2
Black or African American	10.3	0.2	11.5	3.8	12.8	0.8	12.1
AIAN	17.2	0.4	18.9	*	20.7	3.2	19.7
NHOPI	12.1	*	*	*	*	*	*
Asian	4.4	*	4.9	2.6	5.2	*	5.0
Two or More Races	12.9	0.3	15.5	11.0	16.6	1.7	16.6
Hispanic or Latino	5.1	0.6	5.8	3.1	6.4	0.9	6.2
FAMILY INCOME
Less Than $20,000	20.3	0.4	22.0	7.1	25.8	2.6	23.6
$20,000 - $49,999	12.9	0.9	14.0	6.7	15.2	1.7	14.5
$50,000 - $74,999	9.0	1.0	9.7	4.1	10.4	1.3	10.1
$75,000 or More	4.3	0.3	4.8	2.6	5.1	0.8	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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco. 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.

220711

Table 8.8A – Nicotine (Cigarette) Dependence in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
TOTAL	28,239	151	28,087	1,727	26,360	556	27,683
GEOGRAPHIC REGION
Northeast	4,525	16	4,509	233	4,276	82	4,443
Midwest	6,919	22	6,897	479	6,418	138	6,781
South	11,801	49	11,753	723	11,029	197	11,605
West	4,993	65	4,928	291	4,637	138	4,854
COUNTY TYPE
Large Metro	11,765	52	11,713	697	11,016	223	11,541
Small Metro	9,431	55	9,376	546	8,829	158	9,273
Nonmetro	7,043	44	6,999	484	6,515	175	6,868
Urbanized	2,216	7	2,210	195	2,015	64	2,153
Less Urbanized	3,935	37	3,899	240	3,658	100	3,835
Completely Rural	891	1	890	48	842	11	880
POVERTY²
Less Than 100%	8,340	32	8,309	597	7,712	203	8,137
100-199%	7,738	55	7,683	557	7,125	154	7,584
200% or More	12,160	64	12,096	573	11,523	199	11,962
HEALTH INSURANCE³
Private	10,393	38	10,354	636	9,718	194	10,198
Medicaid/CHIP	10,005	113	9,893	657	9,236	285	9,721
Other⁴	7,922	5	7,916	93	7,824	25	7,897
No Coverage	4,831	0	4,831	425	4,406	76	4,756
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ 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, 2021.

220711

Table 8.8B – Nicotine (Cigarette) Dependence in Past Month: Among People Aged 12 or Older; by Age Group and Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
TOTAL	10.1	0.6	11.1	5.2	12.0	1.4	11.5
GEOGRAPHIC REGION
Northeast	9.2	0.4	10.1	4.1	10.9	1.3	10.5
Midwest	11.9	0.4	13.1	6.7	14.1	1.7	13.6
South	11.1	0.5	12.2	5.7	13.2	1.3	12.7
West	7.5	1.0	8.2	3.7	8.9	1.5	8.5
COUNTY TYPE
Large Metro	7.7	0.4	8.5	3.9	9.1	1.0	8.8
Small Metro	11.0	0.7	12.1	5.0	13.3	1.3	12.6
Nonmetro	17.0	1.2	18.6	10.7	19.6	3.1	19.1
Urbanized	14.0	0.5	15.4	10.0	16.2	2.9	15.9
Less Urbanized	18.5	1.9	20.2	11.3	21.3	3.6	20.8
Completely Rural	20.0	0.3	21.9	10.7	23.3	2.0	22.6
POVERTY²
Less Than 100%	19.4	0.6	22.1	7.0	26.5	2.2	24.1
100-199%	13.9	1.0	15.3	7.0	16.8	1.8	16.0
200% or More	6.7	0.4	7.3	3.4	7.7	0.9	7.5
HEALTH INSURANCE³
Private	6.2	0.3	6.7	3.3	7.2	0.9	6.9
Medicaid/CHIP	17.5	1.1	21.3	7.8	24.3	1.9	23.0
Other⁴	10.3	0.4	10.5	3.7	10.8	1.0	10.6
No Coverage	18.0	0.0	19.0	8.5	21.5	2.5	20.0
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴ 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, 2021.

220711

Table 8.9A – Source Where Prescription Pain Relievers Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Pain Relievers Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Source for Most Recent Misuse among Past Year Misusers of Pain Relievers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	3,422	155	3,267	266	3,001
Prescription from One Doctor	3,110	123	2,987	239	2,748
Prescriptions from More Than One Doctor	253	13	241	20	220
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	59	*	39	6	33
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	3,553	201	3,353	447	2,906
From Friend or Relative for Free	2,683	134	2,549	329	2,220
Bought from Friend or Relative	580	32	548	69	480
Took from Friend or Relative without Asking	290	34	256	49	207
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	629	38	592	158	434
SOME OTHER WAY¹	316	19	297	66	231
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.9B – Source Where Prescription Pain Relievers Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Pain Relievers Aged 12 or Older; by Age Group, Percentages, 2021
Source for Most Recent Misuse among Past Year Misusers of Pain Relievers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	43.2	37.5	43.5	28.4	45.7
Prescription from One Doctor	39.3	29.8	39.8	25.5	41.8
Prescriptions from More Than One Doctor	3.2	3.1	3.2	2.2	3.4
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	0.7	*	0.5	0.7	0.5
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	44.9	48.7	44.7	47.7	44.2
From Friend or Relative for Free	33.9	32.6	33.9	35.1	33.8
Bought from Friend or Relative	7.3	7.7	7.3	7.3	7.3
Took from Friend or Relative without Asking	3.7	8.3	3.4	5.3	3.1
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	7.9	9.1	7.9	16.9	6.6
SOME OTHER WAY¹	4.0	4.6	4.0	7.0	3.5
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.10A – Source Where Friend or Relative Obtained Prescription Pain Relievers: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Pain Relievers from a Friend or Relative for Free in Past Year; by Age Group, Numbers in Thousands, 2021
Source Where Friend or Relative Obtained Pain Relievers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	2,155	*	2,070	*	1,812
Prescription from One Doctor	2,032	*	1,984	*	1,746
Prescriptions from More Than One Doctor	80	*	63	15	48
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	43	*	22	*	19
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	305	*	288	*	254
From Friend or Relative for Free	165	*	161	*	144
Bought from Friend or Relative	140	*	127	16	110
Took from Friend or Relative without Asking	0	*	0	*	0
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	88	*	87	*	58
SOME OTHER WAY¹	31	*	24	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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.10B – Source Where Friend or Relative Obtained Prescription Pain Relievers: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Pain Relievers from a Friend or Relative for Free in Past Year; by Age Group, Percentages, 2021
Source Where Friend or Relative Obtained Pain Relievers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	83.6	*	83.9	*	84.4
Prescription from One Doctor	78.8	*	80.4	*	81.3
Prescriptions from More Than One Doctor	3.1	*	2.5	4.7	2.2
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	1.7	*	0.9	*	0.9
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	11.8	*	11.7	*	11.8
From Friend or Relative for Free	6.4	*	6.5	*	6.7
Bought from Friend or Relative	5.4	*	5.1	5.1	5.1
Took from Friend or Relative without Asking	0.0	*	0.0	*	0.0
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	3.4	*	3.5	*	2.7
SOME OTHER WAY¹	1.2	*	1.0	0.5	*
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.11A – Source Where Prescription Stimulants Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Stimulants Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Source for Most Recent Misuse among Past Year Misusers of Stimulants	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	721	*	611	170	441
Prescription from One Doctor	624	*	540	151	389
Prescriptions from More Than One Doctor	85	*	59	18	42
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	11	*	11	1	10
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	2,611	*	2,466	969	1,497
From Friend or Relative for Free	1,790	*	1,670	645	1,025
Bought from Friend or Relative	750	17	732	301	431
Took from Friend or Relative without Asking	72	9	63	22	*
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	93	7	86	39	47
SOME OTHER WAY¹	150	5	145	33	112
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.11B – Source Where Prescription Stimulants Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Stimulants Aged 12 or Older; by Age Group, Percentages, 2021
Source for Most Recent Misuse among Past Year Misusers of Stimulants	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	20.2	*	18.5	14.0	21.0
Prescription from One Doctor	17.5	*	16.3	12.5	18.6
Prescriptions from More Than One Doctor	2.4	*	1.8	1.5	2.0
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	0.3	*	0.3	0.1	0.5
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	73.0	*	74.5	80.0	71.4
From Friend or Relative for Free	50.1	*	50.5	53.3	48.9
Bought from Friend or Relative	21.0	6.5	22.1	24.9	20.6
Took from Friend or Relative without Asking	2.0	3.2	1.9	1.9	*
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	2.6	2.6	2.6	3.3	2.2
SOME OTHER WAY¹	4.2	1.9	4.4	2.7	5.3
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.12A – Source Where Friend or Relative Obtained Prescription Stimulants: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Stimulants from a Friend or Relative for Free in Past Year; by Age Group, Numbers in Thousands, 2021
Source Where Friend or Relative Obtained Stimulants	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	1,412	*	1,313	499	814
Prescription from One Doctor	1,374	*	1,298	486	812
Prescriptions from More Than One Doctor	20	*	15	12	3
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	*	*	*	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	188	*	184	87	97
From Friend or Relative for Free	95	*	91	48	43
Bought from Friend or Relative	91	*	91	39	*
Took from Friend or Relative without Asking	2	*	2	*	2
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	50	*	43	26	17
SOME OTHER WAY¹	1	*	0	*	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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.12B – Source Where Friend or Relative Obtained Prescription Stimulants: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Stimulants from a Friend or Relative for Free in Past Year; by Age Group, Percentages, 2021
Source Where Friend or Relative Obtained Stimulants	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	85.5	*	85.2	81.6	87.6
Prescription from One Doctor	83.2	*	84.3	79.6	87.3
Prescriptions from More Than One Doctor	1.2	*	1.0	2.0	0.3
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	*	*	*	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	11.4	*	11.9	14.2	10.5
From Friend or Relative for Free	5.8	*	5.9	7.8	4.6
Bought from Friend or Relative	5.5	*	5.9	6.3	*
Took from Friend or Relative without Asking	0.1	*	0.1	*	0.2
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	3.0	*	2.8	4.2	1.8
SOME OTHER WAY¹	0.1	*	0.0	*	0.1
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.13A – Source Where Prescription Tranquilizers Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Tranquilizers Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Source for Most Recent Misuse among Past Year Misusers of Tranquilizers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	934	*	925	129	796
Prescription from One Doctor	842	*	833	119	714
Prescriptions from More Than One Doctor	87	*	87	9	78
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	5	*	5	1	3
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	2,535	*	2,434	497	1,937
From Friend or Relative for Free	1,862	*	1,812	336	1,476
Bought from Friend or Relative	500	*	456	119	337
Took from Friend or Relative without Asking	174	*	166	42	124
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	493	*	441	155	287
SOME OTHER WAY¹	189	*	180	14	166
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.13B – Source Where Prescription Tranquilizers Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Tranquilizers Aged 12 or Older; by Age Group, Percentages, 2021
Source for Most Recent Misuse among Past Year Misusers of Tranquilizers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	22.5	*	23.2	16.2	25.0
Prescription from One Doctor	20.3	*	20.9	14.9	22.4
Prescriptions from More Than One Doctor	2.1	*	2.2	1.1	2.5
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	0.1	*	0.1	0.2	0.1
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	61.1	*	61.2	62.6	60.8
From Friend or Relative for Free	44.8	*	45.5	42.3	46.3
Bought from Friend or Relative	12.0	*	11.5	15.0	10.6
Took from Friend or Relative without Asking	4.2	*	4.2	5.2	3.9
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	11.9	*	11.1	19.5	9.0
SOME OTHER WAY¹	4.6	*	4.5	1.8	5.2
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.14A – Source Where Friend or Relative Obtained Prescription Tranquilizers: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Tranquilizers from a Friend or Relative for Free in Past Year; by Age Group, Numbers in Thousands, 2021
Source Where Friend or Relative Obtained Tranquilizers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	1,522	*	1,497	*	*
Prescription from One Doctor	1,487	*	1,470	*	*
Prescriptions from More Than One Doctor	35	*	26	*	*
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	*	*	*	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	158	*	138	35	103
From Friend or Relative for Free	83	*	75	20	56
Bought from Friend or Relative	65	*	60	13	*
Took from Friend or Relative without Asking	11	*	3	*	*
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	*	*	*	*	*
SOME OTHER WAY¹	14	*	14	*	12
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.14B – Source Where Friend or Relative Obtained Prescription Tranquilizers: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Tranquilizers from a Friend or Relative for Free in Past Year; by Age Group, Percentages, 2021
Source Where Friend or Relative Obtained Tranquilizers	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	84.2	*	85.1	*	*
Prescription from One Doctor	82.3	*	83.6	*	*
Prescriptions from More Than One Doctor	1.9	*	1.5	*	*
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	*	*	*	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	8.8	*	7.9	11.1	7.2
From Friend or Relative for Free	4.6	*	4.3	6.2	3.9
Bought from Friend or Relative	3.6	*	3.4	4.0	*
Took from Friend or Relative without Asking	0.6	*	0.2	*	*
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	*	*	*	*	*
SOME OTHER WAY¹	0.8	*	0.8	*	0.8
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.15A – Source Where Prescription Sedatives Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Sedatives Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Source for Most Recent Misuse among Past Year Misusers of Sedatives	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	334	*	313	*	*
Prescription from One Doctor	308	*	288	*	*
Prescriptions from More Than One Doctor	16	*	16	*	13
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	11	*	10	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	477	*	471	*	*
From Friend or Relative for Free	436	*	431	*	*
Bought from Friend or Relative	*	*	*	*	*
Took from Friend or Relative without Asking	18	*	17	*	3
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	13	*	9	*	0
SOME OTHER WAY¹	*	*	*	*	*
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.15B – Source Where Prescription Sedatives Were Obtained for Most Recent Misuse: Among Past Year Misusers of Prescription Sedatives Aged 12 or Older; by Age Group, Percentages, 2021
Source for Most Recent Misuse among Past Year Misusers of Sedatives	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	38.6	*	37.6	*	*
Prescription from One Doctor	35.5	*	34.5	*	*
Prescriptions from More Than One Doctor	1.8	*	1.9	*	1.9
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	1.3	*	1.2	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	55.1	*	56.4	*	*
From Friend or Relative for Free	50.4	*	51.6	*	*
Bought from Friend or Relative	*	*	*	*	*
Took from Friend or Relative without Asking	2.1	*	2.1	*	0.5
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	1.5	*	1.0	*	0.1
SOME OTHER WAY¹	*	*	*	*	*
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.16A – Source Where Friend or Relative Obtained Prescription Sedatives: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Sedatives from a Friend or Relative for Free in Past Year; by Age Group, Numbers in Thousands, 2021
Source Where Friend or Relative Obtained Sedatives	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	*	*	*	*	*
Prescription from One Doctor	*	*	*	*	*
Prescriptions from More Than One Doctor	1	*	1	*	*
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	*	*	*	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	*	*	*	*	*
From Friend or Relative for Free	9	*	9	*	*
Bought from Friend or Relative	*	*	*	*	*
Took from Friend or Relative without Asking	2	*	*	*	*
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	*	*	*	*	*
SOME OTHER WAY¹	*	*	*	*	*
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.16B – Source Where Friend or Relative Obtained Prescription Sedatives: Among Past Year Misusers Aged 12 or Older Who Obtained Most Recently Misused Prescription Sedatives from a Friend or Relative for Free in Past Year; by Age Group, Percentages, 2021
Source Where Friend or Relative Obtained Sedatives	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)
GOT THROUGH PRESCRIPTION(S) OR STOLE FROM A HEALTH CARE PROVIDER	*	*	*	*	*
Prescription from One Doctor	*	*	*	*	*
Prescriptions from More Than One Doctor	0.1	*	0.1	*	*
Stole from Doctor’s Office, Clinic, Hospital, or Pharmacy	*	*	*	*	*
GIVEN BY, BOUGHT FROM, OR TOOK FROM A FRIEND OR RELATIVE	*	*	*	*	*
From Friend or Relative for Free	2.0	*	2.0	*	*
Bought from Friend or Relative	*	*	*	*	*
Took from Friend or Relative without Asking	0.5	*	*	*	*
BOUGHT FROM DRUG DEALER OR OTHER STRANGER	*	*	*	*	*
SOME OTHER WAY¹	*	*	*	*	*
* = 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 were asked to choose only one source. Respondents with unknown data on Source for Most Recent Misuse and respondents with unknown or invalid responses to the corresponding write-in questions were excluded from the analysis. ¹ Some Other Way includes write-in responses not already listed in this table or responses with insufficient information that could allow them to be placed in another category. 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.

220711

Table 8.17A – Main Reasons for Last Episode of Misuse of Prescription Psychotherapeutics: Among Past Year Misusers Aged 12 or Older of Each Type of Prescription Psychotherapeutic; Numbers in Thousands, 2021
Main Reason for Last Episode of Misuse	Past Year Pain Reliever Misuse (2021)	Past Year Stimulant Misuse (2021)	Past Year Tranquilizer Misuse (2021)	Past Year Sedative Misuse (2021)
Relieve Physical Pain	5,182	--	--	--
Relax or Relieve Tension	592	--	1,585	122
Help with Sleep	390	--	887	600
Help with Feelings or Emotion	211	--	862	94
Experiment or See What It’s Like	230	253	83	7
Feel Good or Get High	860	449	442	37
Increase or Decrease Effect of Other Drug	99	54	137	0
Because I Am Hooked or Have to Have It	378	16	36	1
Help Lose Weight	--	207	--	--
Help Concentrate	--	1,287	--	--
Help Be Alert or Stay Awake	--	894	--	--
Help Study	--	405	--	--
Some Other Reason	111	91	167	15
* = 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: Only a subset of reasons for misuse apply for each prescription psychotherapeutic. Inapplicable reasons are marked as "--" (i.e., not available). Respondents who wrote in an inapplicable reason as their "other reason" (e.g., pain relief as the reason for tranquilizer misuse) were retained in the "Some Other Reason" category. NOTE: Respondents with unknown information for their reason for misuse were excluded from the analysis, including respondents who reported some other reason but had unknown data in their write-in responses. 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.

220711

Table 8.17B – Main Reasons for Last Episode of Misuse of Prescription Psychotherapeutics: Among Past Year Misusers Aged 12 or Older of Each Type of Prescription Psychotherapeutic; Percentages, 2021
Main Reason for Last Episode of Misuse	Past Year Pain Reliever Misuse (2021)	Past Year Stimulant Misuse (2021)	Past Year Tranquilizer Misuse (2021)	Past Year Sedative Misuse (2021)
Relieve Physical Pain	64.3	--	--	--
Relax or Relieve Tension	7.3	--	37.8	13.9
Help with Sleep	4.8	--	21.1	68.5
Help with Feelings or Emotion	2.6	--	20.5	10.7
Experiment or See What It’s Like	2.8	6.9	2.0	0.8
Feel Good or Get High	10.7	12.3	10.5	4.3
Increase or Decrease Effect of Other Drug	1.2	1.5	3.3	0.0
Because I Am Hooked or Have to Have It	4.7	0.4	0.9	0.1
Help Lose Weight	--	5.7	--	--
Help Concentrate	--	35.2	--	--
Help Be Alert or Stay Awake	--	24.4	--	--
Help Study	--	11.1	--	--
Some Other Reason	1.4	2.5	4.0	1.7
* = 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: Only a subset of reasons for misuse apply for each prescription psychotherapeutic. Inapplicable reasons are marked as "--" (i.e., not available). Respondents who wrote in an inapplicable reason as their "other reason" (e.g., pain relief as the reason for tranquilizer misuse) were retained in the "Some Other Reason" category. NOTE: Respondents with unknown information for their reason for misuse were excluded from the analysis, including respondents who reported some other reason but had unknown data in their write-in responses. 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.

220711

Table 8.18A – Main Reasons for Last Episode of Misuse of Prescription Psychotherapeutics: Among Past Year Misusers Aged 18 or Older of Each Type of Prescription Psychotherapeutic; Numbers in Thousands, 2021
Main Reason for Last Episode of Misuse	Past Year Pain Reliever Misuse (2021)	Past Year Stimulant Misuse (2021)	Past Year Tranquilizer Misuse (2021)	Past Year Sedative Misuse (2021)
Relieve Physical Pain	4,936	--	--	--
Relax or Relieve Tension	550	--	1,536	*
Help with Sleep	353	--	869	583
Help with Feelings or Emotion	158	--	804	84
Experiment or See What It’s Like	207	203	62	5
Feel Good or Get High	826	422	407	36
Increase or Decrease Effect of Other Drug	99	54	133	0
Because I Am Hooked or Have to Have It	378	15	36	1
Help Lose Weight	--	177	--	--
Help Concentrate	--	1,186	--	--
Help Be Alert or Stay Awake	--	879	--	--
Help Study	--	365	--	--
Some Other Reason	100	82	165	15
* = 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: Only a subset of reasons for misuse apply for each prescription psychotherapeutic. Inapplicable reasons are marked as "--" (i.e., not available). Respondents who wrote in an inapplicable reason as their "other reason" (e.g., pain relief as the reason for tranquilizer misuse) were retained in the "Some Other Reason" category. NOTE: Respondents with unknown information for their reason for misuse were excluded from the analysis, including respondents who reported some other reason but had unknown data in their write-in responses. 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.

220711

Table 8.18B – Main Reasons for Last Episode of Misuse of Prescription Psychotherapeutics: Among Past Year Misusers Aged 18 or Older of Each Type of Prescription Psychotherapeutic; Percentages, 2021
Main Reason for Last Episode of Misuse	Past Year Pain Reliever Misuse (2021)	Past Year Stimulant Misuse (2021)	Past Year Tranquilizer Misuse (2021)	Past Year Sedative Misuse (2021)
Relieve Physical Pain	64.9	--	--	--
Relax or Relieve Tension	7.2	--	38.3	*
Help with Sleep	4.6	--	21.7	69.3
Help with Feelings or Emotion	2.1	--	20.0	10.0
Experiment or See What It’s Like	2.7	6.0	1.5	0.6
Feel Good or Get High	10.9	12.5	10.1	4.3
Increase or Decrease Effect of Other Drug	1.3	1.6	3.3	0.0
Because I Am Hooked or Have to Have It	5.0	0.5	0.9	0.1
Help Lose Weight	--	5.2	--	--
Help Concentrate	--	35.0	--	--
Help Be Alert or Stay Awake	--	26.0	--	--
Help Study	--	10.8	--	--
Some Other Reason	1.3	2.4	4.1	1.8
* = 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: Only a subset of reasons for misuse apply for each prescription psychotherapeutic. Inapplicable reasons are marked as "--" (i.e., not available). Respondents who wrote in an inapplicable reason as their "other reason" (e.g., pain relief as the reason for tranquilizer misuse) were retained in the "Some Other Reason" category. NOTE: Respondents with unknown information for their reason for misuse were excluded from the analysis, including respondents who reported some other reason but had unknown data in their write-in responses. 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.

220711

Table 8.19A – Social Context and Location of Most Recent Alcohol Use in Past Month: Among Past Month Alcohol Users Aged 12 to 20; by Age Group and Gender, Numbers in Thousands, 2021
Social Context and Location of Most Recent Alcohol Use	Aged 12-20 (2021)	Aged 12-14 (2021)	Aged 15-17 (2021)	Aged 18-20 (2021)	Male (2021)	Female (2021)
SOCIAL CONTEXT OF MOST RECENT UNDERAGE ALCOHOL USE¹
Drank Alone	648	*	220	361	335	313
Drank with One Other Person	1,053	62	239	751	453	600
Drank with More than One Person	3,963	196	915	2,852	1,876	2,087
LOCATION OF MOST RECENT UNDERAGE ALCOHOL USE^1,2
Car or Other Vehicle	183	*	45	124	72	111
Home	2,642	*	585	1,883	1,308	1,334
Someone Else’s Home	2,327	*	619	1,613	1,063	1,264
Park, Beach, or Parking Lot	255	*	55	185	127	128
Restaurant, Bar, or Club	358	2	31	324	168	190
Concert or Sports Game	67	*	2	60	45	22
School	35	*	14	15	13	22
Some Other Place³	298	*	94	180	108	191
Party, Wedding, or Celebration	104	0	33	71	23	81
Outside (Location not Specified)	35	1	27	7	30	5
Hotel, Motel, or Resort	25	*	5	21	10	15
Camping, Hunting, or Fishing	19	4	5	9	5	14
Cabin, Cottage, Vacation Home, etc.	5	*	3	*	5	*
Dorm Room	12	*	*	12	*	*
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents with unknown responses were excluded from the respective analyses. ² Respondents could indicate multiple locations for the most recent time they used alcohol; thus, these response categories are not mutually exclusive. ³ Respondents could specify other locations for "Some Other Place." The "other" locations listed are frequently among the most common write-in responses. Invalid write-in responses were excluded from this 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.

220711

Table 8.19B – Social Context and Location of Most Recent Alcohol Use in Past Month: Among Past Month Alcohol Users Aged 12 to 20; by Age Group and Gender, Percentages, 2021
Social Context and Location of Most Recent Alcohol Use	Aged 12-20 (2021)	Aged 12-14 (2021)	Aged 15-17 (2021)	Aged 18-20 (2021)	Male (2021)	Female (2021)
SOCIAL CONTEXT OF MOST RECENT UNDERAGE ALCOHOL USE¹
Drank Alone	11.4	*	16.0	9.1	12.6	10.4
Drank with One Other Person	18.6	19.1	17.4	18.9	17.0	20.0
Drank with More than One Person	70.0	60.3	66.6	71.9	70.4	69.6
LOCATION OF MOST RECENT UNDERAGE ALCOHOL USE^1,2
Car or Other Vehicle	3.3	*	3.4	3.1	2.7	3.7
Home	47.1	*	43.4	47.6	49.6	44.8
Someone Else’s Home	41.4	*	46.0	40.7	40.3	42.4
Park, Beach, or Parking Lot	4.5	*	4.1	4.7	4.8	4.3
Restaurant, Bar, or Club	6.4	0.7	2.3	8.2	6.4	6.4
Concert or Sports Game	1.2	*	0.1	1.5	1.7	0.7
School	0.6	*	1.0	0.4	0.5	0.7
Some Other Place³	5.4	*	7.1	4.6	4.1	6.5
Party, Wedding, or Celebration	1.9	0.0	2.5	1.8	0.9	2.8
Outside (Location not Specified)	0.6	0.2	2.1	0.2	1.1	0.2
Hotel, Motel, or Resort	0.5	*	0.3	0.5	0.4	0.5
Camping, Hunting, or Fishing	0.3	1.4	0.4	0.2	0.2	0.5
Cabin, Cottage, Vacation Home, etc.	0.1	*	0.2	*	0.2	*
Dorm Room	0.2	*	*	0.3	*	*
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents with unknown responses were excluded from the respective analyses. ² Respondents could indicate multiple locations for the most recent time they used alcohol; thus, these response categories are not mutually exclusive. ³ Respondents could specify other locations for "Some Other Place." The "other" locations listed are frequently among the most common write-in responses. Invalid write-in responses were excluded from this 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.

220711

Table 8.20A – Source Where Alcohol Was Obtained for Most Recent Use in Past Month: Among Past Month Alcohol Users Aged 12 to 20; by Age Group and Gender, Numbers in Thousands, 2021
Source of Most Recent Alcohol Use in the Past Month	Aged 12-20 (2021)	Aged 12-14 (2021)	Aged 15-17 (2021)	Aged 18-20 (2021)	Male (2021)	Female (2021)
UNDERAGE DRINKER PAID¹	1,415	1	210	1,204	782	633
Purchased It Himself or Herself	531	*	68	463	320	212
From Store, Restaurant, Bar, Club, or Event	456	*	40	416	265	191
Liquor, Convenience, or Grocery Store	362	*	39	322	223	139
Restaurant, Bar, or Club	86	*	0	86	34	52
Concert, Sports, or Other Event	6	*	1	5	6	*
From Another Person	75	*	28	47	54	21
From Person under Age 21	23	*	9	15	20	3
From Person Aged 21 or Older	52	*	19	32	34	18
Purchased by Someone Else	874	1	136	736	455	418
Parent or Guardian	46	*	3	43	27	19
Another Family Member Aged 21 or Older	149	*	*	110	70	79
Someone Not Related Aged 21 or Older	571	*	66	505	308	263
Someone under Age 21	89	1	23	65	39	50
UNDERAGE DRINKER DID NOT PAY¹	4,240	323	1,158	2,759	1,876	2,364
Got It from Parent or Guardian	780	*	190	528	361	419
Got It from Another Family Member Aged 21 or Older	725	*	168	504	290	435
Got It from Someone Not Related Aged 21 or Older	1,127	15	180	932	482	645
Got It from Someone under Age 21	557	*	229	294	263	295
Took It from Own Home	342	*	139	144	159	183
Took It from Someone Else’s Home	104	*	37	45	35	69
Got It Some Other Way	284	*	104	140	158	126
From Friend or Acquaintance, Unspecified Age and Method²	58	4	18	36	28	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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents with unknown responses were excluded from the respective analyses. ² Respondents could specify other sources for "Some Other Way." The source listed is the most common write-in response. Invalid write-in responses were excluded from this 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.

220711

Table 8.20B – Source Where Alcohol Was Obtained for Most Recent Use in Past Month: Among Past Month Alcohol Users Aged 12 to 20; by Age Group and Gender, Percentages, 2021
Source of Most Recent Alcohol Use in the Past Month	Aged 12-20 (2021)	Aged 12-14 (2021)	Aged 15-17 (2021)	Aged 18-20 (2021)	Male (2021)	Female (2021)
UNDERAGE DRINKER PAID¹	25.0	0.3	15.3	30.4	29.4	21.1
Purchased It Himself or Herself	9.4	*	5.0	11.7	12.1	7.1
From Store, Restaurant, Bar, Club, or Event	8.1	*	3.0	10.5	10.0	6.4
Liquor, Convenience, or Grocery Store	6.4	*	2.9	8.1	8.4	4.6
Restaurant, Bar, or Club	1.5	*	0.0	2.2	1.3	1.7
Concert, Sports, or Other Event	0.1	*	0.0	0.1	0.2	*
From Another Person	1.3	*	2.1	1.2	2.0	0.7
From Person under Age 21	0.4	*	0.6	0.4	0.8	0.1
From Person Aged 21 or Older	0.9	*	1.4	0.8	1.3	0.6
Purchased by Someone Else	15.5	0.3	10.0	18.6	17.2	14.0
Parent or Guardian	0.8	*	0.2	1.1	1.0	0.6
Another Family Member Aged 21 or Older	2.6	*	*	2.8	2.6	2.6
Someone Not Related Aged 21 or Older	10.1	*	4.9	12.8	11.7	8.8
Someone under Age 21	1.6	0.3	1.7	1.7	1.5	1.7
UNDERAGE DRINKER DID NOT PAY¹	75.0	99.7	84.7	69.6	70.6	78.9
Got It from Parent or Guardian	14.6	*	15.1	13.9	14.3	14.9
Got It from Another Family Member Aged 21 or Older	13.6	*	13.4	13.3	11.5	15.5
Got It from Someone Not Related Aged 21 or Older	21.1	5.4	14.3	24.6	19.1	23.0
Got It from Someone under Age 21	10.4	*	18.2	7.8	10.4	10.5
Took It from Own Home	6.4	*	11.0	3.8	6.3	6.5
Took It from Someone Else’s Home	1.9	*	2.9	1.2	1.4	2.5
Got It Some Other Way	5.3	*	8.3	3.7	6.2	4.5
From Friend or Acquaintance, Unspecified Age and Method²	1.1	1.2	1.4	1.0	1.1	1.1
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents with unknown responses were excluded from the respective analyses. ² Respondents could specify other sources for "Some Other Way." The source listed is the most common write-in response. Invalid write-in responses were excluded from this 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.

220711

Table 8.21A – Illicit Drug Use, Tobacco Product Use, Nicotine Vaping, Alcohol Use, and Other Substance Use in Lifetime: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	231,535	8,469	223,066	26,342	196,724	16,984	214,551
Illicit Drugs or Alcohol	225,447	8,136	217,310	25,820	191,491	16,333	209,114
Tobacco Products or Alcohol	227,501	6,587	220,914	25,514	195,401	14,566	212,935
ILLICIT DRUGS	138,790	5,549	133,241	17,919	115,321	11,254	127,536
TOBACCO PRODUCTS OR NICOTINE VAPING	163,513	4,293	159,220	16,537	142,682	9,441	154,072
Tobacco Products	159,037	2,435	156,602	14,658	141,944	6,580	152,457
Nicotine Vaping	35,859	3,142	32,717	9,408	23,310	6,426	29,433
ALCOHOL	219,153	5,963	213,190	24,678	188,512	13,432	205,721
OTHER SUBSTANCES
GHB	1,586	15	1,571	50	1,521	18	1,568
Nonprescription Cough or Cold Medicine	10,393	485	9,908	1,172	8,736	860	9,534
Kratom	4,367	87	4,280	671	3,609	236	4,130
Synthetic Marijuana (Fake Weed, K2, Spice)	6,465	152	6,313	776	5,537	343	6,122
Synthetic Stimulants ("Bath Salts," Flakka)	659	21	638	81	557	37	622
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. 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.

220711

Table 8.21B – Illicit Drug Use, Tobacco Product Use, Nicotine Vaping, Alcohol Use, and Other Substance Use in Lifetime: Among People Aged 12 or Older; by Age Group, Percentages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	82.7	32.5	87.9	78.7	89.3	43.4	89.1
Illicit Drugs or Alcohol	80.6	31.3	85.6	77.2	86.9	41.8	86.9
Tobacco Products or Alcohol	81.3	25.3	87.0	76.3	88.7	37.3	88.4
ILLICIT DRUGS	49.6	21.3	52.5	53.6	52.3	28.8	53.0
TOBACCO PRODUCTS OR NICOTINE VAPING	58.4	16.5	62.7	49.4	64.7	24.1	64.0
Tobacco Products	56.8	9.4	61.7	43.8	64.4	16.8	63.3
Nicotine Vaping	12.8	12.1	12.9	28.1	10.6	16.4	12.2
ALCOHOL	78.3	22.9	84.0	73.8	85.5	34.4	85.4
OTHER SUBSTANCES
GHB	0.6	0.1	0.6	0.1	0.7	0.0	0.7
Nonprescription Cough or Cold Medicine	3.7	1.9	3.9	3.5	4.0	2.2	4.0
Kratom	1.6	0.3	1.7	2.0	1.6	0.6	1.7
Synthetic Marijuana (Fake Weed, K2, Spice)	2.3	0.6	2.5	2.3	2.5	0.9	2.5
Synthetic Stimulants ("Bath Salts," Flakka)	0.2	0.1	0.3	0.2	0.3	0.1	0.3
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. 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.

220711

Table 8.22A – Illicit Drug Use, Tobacco Product Use, Nicotine Vaping, Alcohol Use, and Other Substance Use in Past Year: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol²	195,698	6,267	189,431	24,304	165,126	13,761	181,937
Illicit Drugs or Alcohol	184,386	6,085	178,301	23,785	154,516	13,306	171,080
Tobacco Products or Alcohol²	189,763	5,011	184,752	23,337	161,415	11,964	177,798
ILLICIT DRUGS	61,203	3,662	57,542	12,710	44,831	7,998	53,205
TOBACCO PRODUCTS OR NICOTINE VAPING²	74,017	2,913	71,104	11,266	59,839	6,689	67,328
Tobacco Products²	66,839	1,418	65,421	8,670	56,751	3,993	62,845
Nicotine Vaping	18,916	2,206	16,710	6,617	10,093	4,734	14,182
ALCOHOL	174,339	4,624	169,715	22,438	147,277	11,135	163,204
OTHER SUBSTANCES
GHB	311	5	306	14	292	6	305
Nonprescription Cough or Cold Medicine	1,626	173	1,453	243	1,210	263	1,363
Kratom	1,696	45	1,652	284	1,368	128	1,568
Synthetic Marijuana (Fake Weed, K2, Spice)	483	112	371	159	212	185	298
Synthetic Stimulants ("Bath Salts," Flakka)	107	20	87	47	40	36	71
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. ² Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use (as well as the estimate for tobacco product use or nicotine vaping) in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. 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.

220711

Table 8.22B – Illicit Drug Use, Tobacco Product Use, Nicotine Vaping, Alcohol Use, and Other Substance Use in Past Year: Among People Aged 12 or Older; by Age Group, Percentages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol²	69.9	24.1	74.6	72.6	74.9	35.2	75.6
Illicit Drugs or Alcohol	65.9	23.4	70.2	71.1	70.1	34.0	71.1
Tobacco Products or Alcohol²	67.8	19.3	72.8	69.7	73.2	30.6	73.9
ILLICIT DRUGS	21.9	14.1	22.7	38.0	20.3	20.5	22.1
TOBACCO PRODUCTS OR NICOTINE VAPING²	26.4	11.2	28.0	33.7	27.2	17.1	28.0
Tobacco Products²	23.9	5.5	25.8	25.9	25.8	10.2	26.1
Nicotine Vaping	6.8	8.5	6.6	19.8	4.6	12.1	5.9
ALCOHOL	62.3	17.8	66.9	67.1	66.8	28.5	67.8
OTHER SUBSTANCES
GHB	0.1	0.0	0.1	0.0	0.1	0.0	0.1
Nonprescription Cough or Cold Medicine	0.6	0.7	0.6	0.7	0.5	0.7	0.6
Kratom	0.6	0.2	0.7	0.8	0.6	0.3	0.7
Synthetic Marijuana (Fake Weed, K2, Spice)	0.2	0.4	0.1	0.5	0.1	0.5	0.1
Synthetic Stimulants ("Bath Salts," Flakka)	0.0	0.1	0.0	0.1	0.0	0.1	0.0
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. ² Information about past year use of pipe tobacco was not collected. The estimate for tobacco product use (as well as the estimate for tobacco product use or nicotine vaping) in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. 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.

220711

Table 8.23A – Illicit Drug Use, Tobacco Product Use, Nicotine Vaping, Alcohol Use, and Other Substance Use in Past Month: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	161,754	3,059	158,695	19,585	139,109	8,380	153,374
Illicit Drugs or Alcohol	144,964	2,930	142,034	18,911	123,123	8,019	136,945
Tobacco Products or Alcohol	155,257	2,124	153,133	18,169	134,964	6,743	148,514
ILLICIT DRUGS	39,995	1,844	38,152	8,472	29,680	4,553	35,442
TOBACCO PRODUCTS OR NICOTINE VAPING	61,624	1,731	59,892	8,276	51,617	4,305	57,318
Tobacco Products	54,697	683	54,014	5,614	48,399	2,109	52,588
Nicotine Vaping	13,213	1,364	11,849	4,730	7,119	3,150	10,063
ALCOHOL	133,058	1,820	131,239	16,774	114,464	5,917	127,141
OTHER SUBSTANCES
GHB	169	*	169	12	157	*	168
Nonprescription Cough or Cold Medicine	564	34	530	66	464	56	508
Kratom	772	13	759	120	640	38	734
Synthetic Marijuana (Fake Weed, K2, Spice)	151	27	124	68	55	54	97
Synthetic Stimulants ("Bath Salts," Flakka)	82	17	64	35	29	32	50
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. 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.

220711

Table 8.23B – Illicit Drug Use, Tobacco Product Use, Nicotine Vaping, Alcohol Use, and Other Substance Use in Past Month: Among People Aged 12 or Older; by Age Group, Percentages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	57.8	11.8	62.5	58.5	63.1	21.4	63.7
Illicit Drugs or Alcohol	51.8	11.3	56.0	56.5	55.9	20.5	56.9
Tobacco Products or Alcohol	55.5	8.2	60.3	54.3	61.2	17.2	61.7
ILLICIT DRUGS	14.3	7.1	15.0	25.3	13.5	11.6	14.7
TOBACCO PRODUCTS OR NICOTINE VAPING	22.0	6.7	23.6	24.7	23.4	11.0	23.8
Tobacco Products	19.5	2.6	21.3	16.8	22.0	5.4	21.8
Nicotine Vaping	4.7	5.2	4.7	14.1	3.2	8.1	4.2
ALCOHOL	47.5	7.0	51.7	50.1	51.9	15.1	52.8
OTHER SUBSTANCES
GHB	0.1	*	0.1	0.0	0.1	*	0.1
Nonprescription Cough or Cold Medicine	0.2	0.1	0.2	0.2	0.2	0.1	0.2
Kratom	0.3	0.0	0.3	0.4	0.3	0.1	0.3
Synthetic Marijuana (Fake Weed, K2, Spice)	0.1	0.1	0.0	0.2	0.0	0.1	0.0
Synthetic Stimulants ("Bath Salts," Flakka)	0.0	0.1	0.0	0.1	0.0	0.1	0.0
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for alcohol and tobacco. 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.

220711

Table 8.24A – Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
LIFETIME
Any Vaping	47,873	4,061	43,812	11,735	32,077	8,060	39,813
Nicotine	35,859	3,142	32,717	9,408	23,310	6,426	29,433
Marijuana	25,839	1,747	24,093	7,007	17,085	4,146	21,693
Flavoring (No Other Substance)	16,683	1,836	14,846	5,130	9,717	3,618	13,065
PAST YEAR
Any Vaping	27,626	2,857	24,769	8,250	16,519	5,875	21,751
Nicotine	18,916	2,206	16,710	6,617	10,093	4,734	14,182
Marijuana	14,091	1,218	12,874	4,258	8,615	2,847	11,244
Flavoring (No Other Substance)	6,470	1,001	5,469	2,138	3,331	1,868	4,602
PAST MONTH
Any Vaping	18,574	1,692	16,881	5,773	11,108	3,781	14,793
Nicotine	13,213	1,364	11,849	4,730	7,119	3,150	10,063
Marijuana	7,441	600	6,841	2,177	4,664	1,449	5,993
Flavoring (No Other Substance)	3,574	462	3,112	1,116	1,996	903	2,671
* = 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 The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco. 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.

220711

Table 8.24B – Vaping in Lifetime, Past Year, and Past Month: Among People Aged 12 or Older; by Age Group, Percentages, 2021
Substance	Aged 12+ (2021)	Aged 12-17 (2021)	Aged 18+ (2021)	Aged 18-25 (2021)	Aged 26+ (2021)	Aged 12-20¹ (2021)	Aged 21+¹ (2021)
LIFETIME
Any Vaping	17.1	15.6	17.3	35.1	14.6	20.6	16.5
Nicotine	12.8	12.1	12.9	28.1	10.6	16.4	12.2
Marijuana	9.2	6.7	9.5	20.9	7.8	10.6	9.0
Flavoring (No Other Substance)	6.0	7.1	5.8	15.3	4.4	9.3	5.4
PAST YEAR
Any Vaping	9.9	11.0	9.8	24.7	7.5	15.0	9.0
Nicotine	6.8	8.5	6.6	19.8	4.6	12.1	5.9
Marijuana	5.0	4.7	5.1	12.7	3.9	7.3	4.7
Flavoring (No Other Substance)	2.3	3.8	2.2	6.4	1.5	4.8	1.9
PAST MONTH
Any Vaping	6.6	6.5	6.7	17.3	5.0	9.7	6.1
Nicotine	4.7	5.2	4.7	14.1	3.2	8.1	4.2
Marijuana	2.7	2.3	2.7	6.5	2.1	3.7	2.5
Flavoring (No Other Substance)	1.3	1.8	1.2	3.3	0.9	2.3	1.1
* = 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. ¹ The Aged 12-20 and Aged 21+ columns are included because they are the underage and legal age groups for tobacco. 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.

220711

Table 8.25A – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Numbers in Thousands, 2021
Substance	Females Aged 15-44¹	PREGNANCY STATUS
	Females Aged 15-44¹	Pregnant	Not Pregnant
	2021	2021	2021
ILLICIT DRUGS	12,188	155	11,701
Marijuana	11,129	143	10,702
Cocaine	534	3	527
Crack	90	*	89
Heroin	191	6	172
Hallucinogens	805	4	781
LSD	135	3	130
PCP	*	3	*
Ecstasy	263	4	251
Inhalants	117	0	115
Methamphetamine	396	17	363
Misuse of Prescription Psychotherapeutics	1,346	31	1,269
Pain Relievers	680	20	633
Stimulants	412	23	385
Tranquilizers or Sedatives	427	25	380
Tranquilizers	344	10	312
Sedatives	96	*	79
Benzodiazepines	--	--	--
Opioids	810	22	750
Central Nervous System Stimulants	1,236	36	1,180
Illicit Drugs Other Than Marijuana²	2,676	45	2,544
TOBACCO PRODUCTS	10,841	216	10,264
Cigarettes	9,593	201	9,075
Daily Cigarettes	5,417	131	5,082
Smokeless Tobacco	612	22	548
Cigars	1,701	19	1,613
Pipe Tobacco	212	14	196
ALCOHOL	32,671	196	31,800
Binge Alcohol Use³	17,107	86	16,563
Heavy Alcohol Use	3,809	24	3,609
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	38,548	392	37,283
Illicit Drugs or Alcohol	35,854	278	34,799
Tobacco Products or Alcohol	36,598	351	35,424
* = 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 The Females Aged 15-44 column includes respondents with unknown pregnancy status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.25B – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Percentages, 2021
Substance	Females Aged 15-44¹	PREGNANCY STATUS
	Females Aged 15-44¹	Pregnant	Not Pregnant
	2021	2021	2021
ILLICIT DRUGS	18.8	7.7	18.9
Marijuana	17.1	7.2	17.3
Cocaine	0.8	0.2	0.9
Crack	0.1	*	0.1
Heroin	0.3	0.3	0.3
Hallucinogens	1.2	0.2	1.3
LSD	0.2	0.2	0.2
PCP	*	0.2	*
Ecstasy	0.4	0.2	0.4
Inhalants	0.2	0.0	0.2
Methamphetamine	0.6	0.9	0.6
Misuse of Prescription Psychotherapeutics	2.1	1.5	2.1
Pain Relievers	1.0	1.0	1.0
Stimulants	0.6	1.1	0.6
Tranquilizers or Sedatives	0.7	1.2	0.6
Tranquilizers	0.5	0.5	0.5
Sedatives	0.1	*	0.1
Benzodiazepines	--	--	--
Opioids	1.2	1.1	1.2
Central Nervous System Stimulants	1.9	1.8	1.9
Illicit Drugs Other Than Marijuana²	4.1	2.3	4.1
TOBACCO PRODUCTS	16.7	10.8	16.6
Cigarettes	14.8	10.1	14.7
Daily Cigarettes	8.3	6.6	8.2
Smokeless Tobacco	0.9	1.1	0.9
Cigars	2.6	1.0	2.6
Pipe Tobacco	0.3	0.7	0.3
ALCOHOL	50.3	9.8	51.5
Binge Alcohol Use³	26.3	4.3	26.8
Heavy Alcohol Use	5.9	1.2	5.8
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	59.3	19.6	60.4
Illicit Drugs or Alcohol	55.2	13.9	56.3
Tobacco Products or Alcohol	56.3	17.6	57.3
* = 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. ¹ The Females Aged 15-44 column includes respondents with unknown pregnancy status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.26A – Illicit Drug Use, Marijuana Use, and Opioid Misuse in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Demographic, Socioeconomic, and Pregnancy Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic/Pregnancy Characteristic	PAST MONTH ILLICIT DRUG USE			PAST MONTH MARIJUANA USE			PAST MONTH OPIOID MISUSE
	Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status
	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant
	2021	2021	2021	2021	2021	2021	2021	2021	2021
TOTAL	12,188	155	11,701	11,129	143	10,702	810	22	750
AGE GROUP
15-17	799	*	784	696	*	685	50	*	49
18-25	3,968	48	3,832	3,715	48	3,582	116	4	110
26-44	7,421	102	7,084	6,718	94	6,436	645	*	590
POVERTY LEVEL²
Less Than 100%	2,704	32	2,599	2,405	32	2,309	243	2	240
100-199%	2,863	*	2,740	2,597	*	2,509	237	2	208
200% or More	6,617	82	6,356	6,121	78	5,879	330	*	302
HEALTH INSURANCE³
Private	6,253	*	6,017	5,812	*	5,601	279	1	258
Medicaid/CHIP	4,202	86	4,014	3,749	81	3,588	420	*	387
Other⁴	946	*	916	850	*	822	72	*	69
No Coverage	1,343	*	1,296	1,223	*	1,183	87	*	83
TRIMESTER⁵
First	da	38	da	da	38	da	da	*	da
Second	da	*	da	da	*	da	da	*	da
Third	da	42	da	da	35	da	da	2	da
* = 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 The Females Aged 15-44 column includes respondents with unknown pregnancy status. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁵ Pregnant females aged 15 to 44 not reporting trimester 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, 2021.

220711

Table 8.26B – Illicit Drug Use, Marijuana Use, and Opioid Misuse in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Demographic, Socioeconomic, and Pregnancy Characteristics, Percentages, 2021
Demographic/Socioeconomic/Pregnancy Characteristic	PAST MONTH ILLICIT DRUG USE			PAST MONTH MARIJUANA USE			PAST MONTH OPIOID MISUSE
	Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status
	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant
	2021	2021	2021	2021	2021	2021	2021	2021	2021
TOTAL	18.8	7.7	18.9	17.1	7.2	17.3	1.2	1.1	1.2
AGE GROUP
15-17	12.5	*	12.4	10.9	*	10.8	0.8	*	0.8
18-25	23.7	10.4	24.0	22.2	10.4	22.4	0.7	0.9	0.7
26-44	17.7	6.7	17.9	16.1	6.2	16.3	1.5	*	1.5
POVERTY LEVEL²
Less Than 100%	20.0	6.9	20.4	17.8	6.9	18.1	1.8	0.5	1.9
100-199%	19.8	*	19.8	17.9	*	18.1	1.6	0.4	1.5
200% or More	17.9	7.0	18.1	16.6	6.6	16.7	0.9	*	0.9
HEALTH INSURANCE³
Private	16.7	*	16.8	15.5	*	15.6	0.7	0.1	0.7
Medicaid/CHIP	23.1	11.0	23.5	20.6	10.4	21.0	2.3	*	2.3
Other⁴	20.0	*	20.4	18.0	*	18.3	1.5	*	1.5
No Coverage	17.8	*	18.0	16.2	*	16.4	1.2	*	1.2
TRIMESTER⁵
First	da	10.0	da	da	9.9	da	da	*	da
Second	da	*	da	da	*	da	da	*	da
Third	da	5.3	da	da	4.5	da	da	0.3	da
* = 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 The Females Aged 15-44 column includes respondents with unknown pregnancy status. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁵ Pregnant females aged 15 to 44 not reporting trimester 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, 2021.

220711

Table 8.27A – Tobacco, Cigarette, and Daily Cigarette Use in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Demographic, Socioeconomic, and Pregnancy Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic/ Pregnancy Characteristic	PAST MONTH TOBACCO PRODUCT USE			PAST MONTH CIGARETTE USE			PAST MONTH DAILY CIGARETTE USE
	Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status
	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant
	2021	2021	2021	2021	2021	2021	2021	2021	2021
TOTAL	10,841	216	10,264	9,593	201	9,075	5,417	131	5,082
AGE GROUP
15-17	267	*	266	141	*	139	1	*	1
18-25	2,138	64	2,007	1,655	57	1,546	497	18	463
26-44	8,436	151	7,991	7,797	143	7,390	4,918	113	4,618
POVERTY LEVEL²
Less Than 100%	3,281	*	3,086	2,933	*	2,768	1,756	*	1,662
100-199%	2,973	*	2,831	2,694	*	2,574	1,514	*	1,447
200% or More	4,588	75	4,348	3,965	74	3,732	2,147	49	1,974
HEALTH INSURANCE³
Private	4,091	26	3,929	3,457	20	3,319	1,587	1	1,500
Medicaid/CHIP	4,641	179	4,317	4,231	171	3,926	2,697	124	2,488
Other⁴	865	*	826	776	*	741	509	*	481
No Coverage	1,819	*	1,748	1,649	*	1,590	946	*	917
TRIMESTER⁵
First	da	60	da	da	46	da	da	13	da
Second	da	72	da	da	71	da	da	62	da
Third	da	83	da	da	83	da	da	56	da
* = 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 The Females Aged 15-44 column includes respondents with unknown pregnancy status. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁵ Pregnant females aged 15 to 44 not reporting trimester 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, 2021.

220711

Table 8.27B – Tobacco, Cigarette, and Daily Cigarette Use in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Demographic, Socioeconomic, and Pregnancy Characteristics, Percentages, 2021
Demographic/Socioeconomic/ Pregnancy Characteristic	PAST MONTH TOBACCO PRODUCT USE			PAST MONTH CIGARETTE USE			PAST MONTH DAILY CIGARETTE USE
	Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status		Females Aged 15-44¹	Pregnancy Status
	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant	Females Aged 15-44¹	Pregnant	Not Pregnant
	2021	2021	2021	2021	2021	2021	2021	2021	2021
TOTAL	16.7	10.8	16.6	14.8	10.1	14.7	8.3	6.6	8.2
AGE GROUP
15-17	4.2	*	4.2	2.2	*	2.2	0.0	*	0.0
18-25	12.8	13.8	12.6	9.9	12.3	9.7	3.0	4.0	2.9
26-44	20.2	10.0	20.2	18.6	9.5	18.7	11.8	7.4	11.7
POVERTY LEVEL²
Less Than 100%	24.3	*	24.2	21.7	*	21.7	13.0	*	13.0
100-199%	20.5	*	20.5	18.6	*	18.6	10.5	*	10.5
200% or More	12.4	6.4	12.4	10.7	6.3	10.6	5.8	4.2	5.6
HEALTH INSURANCE³
Private	10.9	2.5	10.9	9.2	1.8	9.2	4.2	0.0	4.2
Medicaid/CHIP	25.5	22.9	25.3	23.2	21.9	23.0	14.8	15.8	14.6
Other⁴	18.3	*	18.4	16.4	*	16.5	10.8	*	10.7
No Coverage	24.1	*	24.2	21.9	*	22.0	12.6	*	12.7
TRIMESTER⁵
First	da	15.6	da	da	12.1	da	da	3.4	da
Second	da	8.8	da	da	8.7	da	da	7.7	da
Third	da	10.6	da	da	10.6	da	da	7.2	da
* = 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 The Females Aged 15-44 column includes respondents with unknown pregnancy status. ² Respondents aged 18 to 22 who were living in a college dormitory were excluded. ³ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁴Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁵ Pregnant females aged 15 to 44 not reporting trimester 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, 2021.

220711

Table 8.28A – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Demographic, Socioeconomic, and Pregnancy Characteristics, Numbers in Thousands, 2021
Demographic/Socioeconomic/ Pregnancy Characteristic	PAST MONTH ALCOHOL USE			PAST MONTH BINGE ALCOHOL USE¹			PAST MONTH HEAVY ALCOHOL USE
	Females Aged 15-44²	Pregnancy Status		Females Aged 15-44²	Pregnancy Status		Females Aged 15-44²	Pregnancy Status
	Females Aged 15-44²	Pregnant	Not Pregnant	Females Aged 15-44²	Pregnant	Not Pregnant	Females Aged 15-44²	Pregnant	Not Pregnant
	2021	2021	2021	2021	2021	2021	2021	2021	2021
TOTAL	32,671	196	31,800	17,107	86	16,563	3,809	24	3,609
AGE GROUP
15-17	841	*	825	472	*	457	43	*	42
18-25	8,670	47	8,450	5,098	29	4,963	1,090	7	1,066
26-44	23,160	144	22,525	11,537	53	11,143	2,676	*	2,501
POVERTY LEVEL³
Less Than 100%	5,108	*	4,942	3,317	*	3,192	731	5	672
100-199%	6,353	*	6,169	3,636	*	3,525	675	*	639
200% or More	21,197	132	20,679	10,145	49	9,838	2,404	*	2,298
HEALTH INSURANCE⁴
Private	21,462	112	21,026	10,146	27	9,922	2,279	1	2,200
Medicaid/CHIP	6,847	78	6,590	4,273	55	4,071	932	*	824
Other⁵	2,152	*	2,090	1,144	*	1,114	332	*	322
No Coverage	3,363	*	3,222	2,184	*	2,089	431	*	427
TRIMESTER⁶
First	da	93	da	da	43	da	da	*	da
Second	da	*	da	da	*	da	da	*	da
Third	da	12	da	da	3	da	da	3	da
* = 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 Estimates of binge alcohol use include use by those who were heavy alcohol users. ² The Females Aged 15-44 column includes respondents with unknown pregnancy status. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁶ Pregnant females aged 15 to 44 not reporting trimester 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, 2021.

220711

Table 8.28B – Alcohol, Binge Alcohol, and Heavy Alcohol Use in Past Month: Among Females Aged 15 to 44; by Pregnancy Status, Demographic, Socioeconomic, and Pregnancy Characteristics, Percentages, 2021
Demographic/Socioeconomic/ Pregnancy Characteristic	PAST MONTH ALCOHOL USE			PAST MONTH BINGE ALCOHOL USE¹			PAST MONTH HEAVY ALCOHOL USE
	Females Aged 15-44²	Pregnancy Status		Females Aged 15-44²	Pregnancy Status		Females Aged 15-44²	Pregnancy Status
	Females Aged 15-44²	Pregnant	Not Pregnant	Females Aged 15-44²	Pregnant	Not Pregnant	Females Aged 15-44²	Pregnant	Not Pregnant
	2021	2021	2021	2021	2021	2021	2021	2021	2021
TOTAL	50.3	9.8	51.5	26.3	4.3	26.8	5.9	1.2	5.8
AGE GROUP
15-17	13.1	*	13.0	7.4	*	7.2	0.7	*	0.7
18-25	51.8	10.3	52.9	30.5	6.4	31.1	6.5	1.6	6.7
26-44	55.4	9.5	57.1	27.6	3.5	28.2	6.4	*	6.3
POVERTY LEVEL³
Less Than 100%	37.8	*	38.8	24.6	*	25.1	5.4	1.2	5.3
100-199%	43.9	*	44.6	25.1	*	25.5	4.7	*	4.6
200% or More	57.4	11.2	58.8	27.5	4.2	28.0	6.5	*	6.5
HEALTH INSURANCE⁴
Private	57.2	10.5	58.6	27.0	2.5	27.6	6.1	0.1	6.1
Medicaid/CHIP	37.6	9.9	38.6	23.5	7.0	23.9	5.1	*	4.8
Other⁵	45.5	*	46.5	24.2	*	24.8	7.0	*	7.2
No Coverage	44.6	*	44.7	29.0	*	29.0	5.7	*	5.9
TRIMESTER⁶
First	da	24.4	da	da	11.1	da	da	*	da
Second	da	*	da	da	*	da	da	*	da
Third	da	1.5	da	da	0.4	da	da	0.3	da
* = 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 Estimates of binge alcohol use include use by those who were heavy alcohol users. ² The Females Aged 15-44 column includes respondents with unknown pregnancy status. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance. ⁶ Pregnant females aged 15 to 44 not reporting trimester 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, 2021.

220711

Table 8.29A – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among People Aged 18 to 22; by College Enrollment Status and Gender, Numbers in Thousands, 2021
Substance	Full-Time College Students		Other People Aged 18-22¹
	Male	Female	Male	Female
	2021	2021	2021	2021
ILLICIT DRUGS	740	877	1,864	1,523
Marijuana	724	842	1,828	1,414
Cocaine	33	38	53	50
Crack	*	*	*	2
Heroin	*	*	1	16
Hallucinogens	34	60	136	83
LSD	8	13	52	30
PCP	*	*	4	*
Ecstasy	14	24	27	24
Inhalants	13	1	28	31
Methamphetamine	*	1	3	18
Misuse of Prescription Psychotherapeutics	73	58	100	108
Pain Relievers	3	11	40	62
Stimulants	69	39	34	34
Tranquilizers or Sedatives	5	11	49	30
Tranquilizers	5	5	49	21
Sedatives	0	6	1	10
Benzodiazepines	--	--	--	--
Opioids	3	11	41	65
Central Nervous System Stimulants	89	69	86	99
Illicit Drugs Other Than Marijuana²	129	130	270	255
TOBACCO PRODUCTS	430	317	1,487	843
Cigarettes	233	228	947	637
Daily Cigarettes	14	21	249	173
Smokeless Tobacco	117	36	243	110
Cigars	161	86	592	265
Pipe Tobacco	39	5	120	36
ALCOHOL	1,725	2,153	2,803	2,589
Binge Alcohol Use³	976	1,212	1,588	1,545
Heavy Alcohol Use	292	246	346	314
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	1,913	2,339	3,631	3,167
Illicit Drugs or Alcohol	1,881	2,307	3,454	3,030
Tobacco Products or Alcohol	1,802	2,191	3,261	2,836
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.29B – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among People Aged 18 to 22; by College Enrollment Status and Gender, Percentages, 2021
Substance	Full-Time College Students		Other People Aged 18-22¹
	Male	Female	Male	Female
	2021	2021	2021	2021
ILLICIT DRUGS	20.8	20.6	25.7	24.3
Marijuana	20.4	19.7	25.2	22.6
Cocaine	0.9	0.9	0.7	0.8
Crack	*	*	*	0.0
Heroin	*	*	0.0	0.3
Hallucinogens	1.0	1.4	1.9	1.3
LSD	0.2	0.3	0.7	0.5
PCP	*	*	0.1	*
Ecstasy	0.4	0.6	0.4	0.4
Inhalants	0.4	0.0	0.4	0.5
Methamphetamine	*	0.0	0.0	0.3
Misuse of Prescription Psychotherapeutics	2.1	1.4	1.4	1.7
Pain Relievers	0.1	0.2	0.5	1.0
Stimulants	1.9	0.9	0.5	0.5
Tranquilizers or Sedatives	0.1	0.3	0.7	0.5
Tranquilizers	0.1	0.1	0.7	0.3
Sedatives	0.0	0.2	0.0	0.2
Benzodiazepines	--	--	--	--
Opioids	0.1	0.2	0.6	1.0
Central Nervous System Stimulants	2.5	1.6	1.2	1.6
Illicit Drugs Other Than Marijuana²	3.6	3.0	3.7	4.1
TOBACCO PRODUCTS	12.1	7.4	20.5	13.5
Cigarettes	6.6	5.4	13.1	10.2
Daily Cigarettes	0.4	0.5	3.4	2.8
Smokeless Tobacco	3.3	0.9	3.3	1.8
Cigars	4.5	2.0	8.2	4.2
Pipe Tobacco	1.1	0.1	1.7	0.6
ALCOHOL	48.6	50.5	38.7	41.3
Binge Alcohol Use³	27.5	28.4	21.9	24.7
Heavy Alcohol Use	8.2	5.8	4.8	5.0
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	53.9	54.8	50.1	50.6
Illicit Drugs or Alcohol	53.0	54.1	47.7	48.4
Tobacco Products or Alcohol	50.7	51.4	45.0	45.3
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.30A – Drug Use Disorder in Past Year: Among People Aged 18 to 22; by College Enrollment Status and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	COLLEGE ENROLLMENT STATUS
	Full-Time College Students	Other People Aged 18-22¹
	2021	2021
TOTAL	944	2,527
AGE
18	103	430
19	217	456
20	256	451
21	202	579
22	166	610
GENDER
Male	457	1,414
Female	487	1,113
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	783	1,983
White	570	1,393
Black or African American	147	333
AIAN	*	*
NHOPI	*	*
Asian	48	53
Two or More Races	*	121
Hispanic or Latino	161	545
EMPLOYMENT STATUS
Full-Time	180	967
Part-Time	343	639
Unemployed	*	399
Other²	326	522
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Drug use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² 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, 2021.

220711

Table 8.30B – Drug Use Disorder in Past Year: Among People Aged 18 to 22; by College Enrollment Status and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	COLLEGE ENROLLMENT STATUS
	Full-Time College Students	Other People Aged 18-22¹
	2021	2021
TOTAL	12.1	18.7
AGE
18	7.6	14.1
19	13.0	18.8
20	12.5	18.5
21	12.7	22.2
22	14.5	20.5
GENDER
Male	12.9	19.5
Female	11.4	17.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12.5	20.0
White	13.0	20.9
Black or African American	14.6	16.6
AIAN	*	*
NHOPI	*	*
Asian	7.0	9.9
Two or More Races	*	24.5
Hispanic or Latino	10.5	15.1
EMPLOYMENT STATUS
Full-Time	13.1	20.0
Part-Time	11.1	21.1
Unemployed	*	23.1
Other²	11.2	13.4
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Drug use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² 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, 2021.

220711

Table 8.31A – Alcohol Use Disorder in Past Year: Among People Aged 18 to 22; by College Enrollment Status and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	COLLEGE ENROLLMENT STATUS
	Full-Time College Students	Other People Aged 18-22¹
	2021	2021
TOTAL	1,016	1,707
AGE
18	87	222
19	160	254
20	214	231
21	303	408
22	251	592
GENDER
Male	438	844
Female	578	863
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	876	1,314
White	667	962
Black or African American	115	195
AIAN	*	*
NHOPI	*	*
Asian	70	43
Two or More Races	13	63
Hispanic or Latino	140	393
EMPLOYMENT STATUS
Full-Time	277	757
Part-Time	369	362
Unemployed	*	272
Other²	315	316
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Alcohol use disorder (AUD) estimates are based on DSM-5 criteria. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² 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, 2021.

220711

Table 8.31B – Alcohol Use Disorder in Past Year: Among People Aged 18 to 22; by College Enrollment Status and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	COLLEGE ENROLLMENT STATUS
	Full-Time College Students	Other People Aged 18-22¹
	2021	2021
TOTAL	13.0	12.6
AGE
18	6.4	7.3
19	9.6	10.4
20	10.5	9.5
21	19.0	15.7
22	21.9	19.9
GENDER
Male	12.3	11.6
Female	13.6	13.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	13.9	13.3
White	15.2	14.5
Black or African American	11.5	9.7
AIAN	*	*
NHOPI	*	*
Asian	10.1	8.0
Two or More Races	8.2	12.8
Hispanic or Latino	9.1	10.9
EMPLOYMENT STATUS
Full-Time	20.1	15.7
Part-Time	11.9	11.9
Unemployed	*	15.7
Other²	10.8	8.1
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Alcohol use disorder (AUD) estimates are based on DSM-5 criteria. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² 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, 2021.

220711

Table 8.32A – Substance Use Disorder in Past Year: Among People Aged 18 to 22; by College Enrollment Status and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	COLLEGE ENROLLMENT STATUS
	Full-Time College Students	Other People Aged 18-22¹
	2021	2021
TOTAL	1,557	3,433
AGE
18	155	527
19	286	547
20	364	567
21	429	815
22	323	978
GENDER
Male	703	1,875
Female	854	1,558
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	1,309	2,652
White	974	1,867
Black or African American	209	435
AIAN	*	*
NHOPI	*	*
Asian	91	85
Two or More Races	*	164
Hispanic or Latino	248	780
EMPLOYMENT STATUS
Full-Time	367	1,421
Part-Time	595	793
Unemployed	*	520
Other²	496	698
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² 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, 2021.

220711

Table 8.32B – Substance Use Disorder in Past Year: Among People Aged 18 to 22; by College Enrollment Status and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	COLLEGE ENROLLMENT STATUS
	Full-Time College Students	Other People Aged 18-22¹
	2021	2021
TOTAL	19.9	25.4
AGE
18	11.4	17.3
19	17.1	22.5
20	17.8	23.3
21	26.9	31.2
22	28.1	32.8
GENDER
Male	19.8	25.9
Female	20.0	24.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	20.9	26.8
White	22.2	28.1
Black or African American	20.8	21.7
AIAN	*	*
NHOPI	*	*
Asian	13.0	15.8
Two or More Races	*	33.2
Hispanic or Latino	16.1	21.7
EMPLOYMENT STATUS
Full-Time	26.8	29.4
Part-Time	19.3	26.1
Unemployed	*	30.1
Other²	17.0	17.9
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. NOTE: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ Other People include respondents not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available. ² 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, 2021.

220711

Table 8.33A – Drove Under Influence of Alcohol or Selected Illicit Drugs in Past Year: Among People Aged 16 or Older; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Alcohol (2021)	Marijuana (2021)	Selected Illicit Drugs¹ (2021)	Selected Illicit Drugs Other than Marijuana² (2021)	Alcohol or Selected Illicit Drugs¹ (2021)
TOTAL	13,485	10,671	11,661	2,184	21,254
AGE GROUP
16-25	2,222	3,350	3,448	400	4,545
16-20	553	1,336	1,367	104	1,570
21-25	1,669	2,014	2,081	296	2,975
26 or Older	11,263	7,320	8,212	1,784	16,709
GENDER
Male	8,444	6,629	7,187	1,248	13,055
Female	5,041	4,041	4,474	936	8,199
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	11,741	9,203	10,045	1,801	18,558
White	9,824	7,036	7,746	1,449	15,058
Black or African American	1,283	1,410	1,464	178	2,260
AIAN	36	92	96	26	114
NHOPI	1	19	25	11	26
Asian	245	221	250	58	443
Two or More Races	354	424	465	79	658
Hispanic or Latino	1,744	1,468	1,615	383	2,696
* = 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 were asked about driving a vehicle while under the influence of specific substances. Respondents with unknown driving under the influence information were excluded. ¹ Selected Illicit Drugs include the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. ² Selected Illicit Drugs Other than Marijuana include the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. 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.

220711

Table 8.33B – Drove Under Influence of Alcohol or Selected Illicit Drugs in Past Year: Among People Aged 16 or Older; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Alcohol (2021)	Marijuana (2021)	Selected Illicit Drugs¹ (2021)	Selected Illicit Drugs Other than Marijuana² (2021)	Alcohol or Selected Illicit Drugs¹ (2021)
TOTAL	5.2	4.1	4.5	0.8	8.3
AGE GROUP
16-25	5.4	8.1	8.4	1.0	11.2
16-20	2.6	6.3	6.5	0.5	7.5
21-25	8.3	10.0	10.4	1.5	15.0
26 or Older	5.2	3.3	3.8	0.8	7.7
GENDER
Male	6.7	5.2	5.7	1.0	10.5
Female	3.8	3.0	3.4	0.7	6.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.5	4.3	4.7	0.8	8.7
White	6.1	4.4	4.8	0.9	9.4
Black or African American	4.1	4.5	4.7	0.6	7.3
AIAN	2.1	5.6	5.9	1.6	7.0
NHOPI	0.1	2.1	2.8	1.2	2.9
Asian	1.6	1.4	1.6	0.4	2.9
Two or More Races	7.5	9.1	10.0	1.7	14.2
Hispanic or Latino	3.9	3.3	3.6	0.9	6.1
* = 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 were asked about driving a vehicle while under the influence of specific substances. Respondents with unknown driving under the influence information were excluded. ¹ Selected Illicit Drugs include the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. ² Selected Illicit Drugs Other than Marijuana include the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. 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.

220711

Table 8.34A – Drove Under Influence of Alcohol or Selected Illicit Drugs in Past Year: Among People Aged 16 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2021
Geographic/Socioeconomic Characteristic	Alcohol (2021)	Marijuana (2021)	Selected Illicit Drugs¹ (2021)	Selected Illicit Drugs Other than Marijuana² (2021)	Alcohol or Selected Illicit Drugs¹ (2021)
TOTAL	13,485	10,671	11,661	2,184	21,254
GEOGRAPHIC REGION
Northeast	2,273	1,752	1,892	403	3,588
Midwest	3,369	2,594	2,842	500	5,310
South	4,999	3,734	4,025	714	7,512
West	2,844	2,591	2,902	568	4,843
COUNTY TYPE
Large Metro	7,498	5,847	6,410	1,235	11,788
Small Metro	4,356	3,512	3,804	650	6,792
Nonmetro	1,631	1,312	1,447	299	2,675
Urbanized	784	586	658	124	1,215
Less Urbanized	713	610	664	139	1,224
Completely Rural	134	116	125	36	236
POVERTY LEVEL³
Less Than 100%	976	1,460	1,704	549	2,214
100-199%	1,798	2,487	2,799	577	3,725
200% or More	10,712	6,722	7,156	1,058	15,312
HEALTH INSURANCE⁴
Private	9,692	5,946	6,231	689	13,511
Medicaid/CHIP	1,546	2,408	2,849	894	3,640
Other⁵	2,439	1,437	1,669	409	3,629
No Coverage	1,306	1,568	1,713	432	2,447
* = 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 were asked about driving a vehicle while under the influence of specific substances. Respondents with unknown driving under the influence information were excluded. ¹ Selected Illicit Drugs include the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. ² Selected Illicit Drugs Other than Marijuana include the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ 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, 2021.

220711

Table 8.34B – Drove Under Influence of Alcohol or Selected Illicit Drugs in Past Year: Among People Aged 16 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2021
Geographic/Socioeconomic Characteristic	Alcohol (2021)	Marijuana (2021)	Selected Illicit Drugs¹ (2021)	Selected Illicit Drugs Other than Marijuana² (2021)	Alcohol or Selected Illicit Drugs¹ (2021)
TOTAL	5.2	4.1	4.5	0.8	8.3
GEOGRAPHIC REGION
Northeast	5.0	3.8	4.2	0.9	8.0
Midwest	6.3	4.8	5.3	0.9	10.0
South	5.1	3.8	4.1	0.7	7.7
West	4.6	4.2	4.7	0.9	8.0
COUNTY TYPE
Large Metro	5.3	4.1	4.5	0.9	8.4
Small Metro	5.5	4.4	4.8	0.8	8.6
Nonmetro	4.2	3.4	3.7	0.8	7.0
Urbanized	5.3	4.0	4.5	0.8	8.3
Less Urbanized	3.6	3.1	3.4	0.7	6.2
Completely Rural	3.2	2.8	3.1	0.9	5.8
POVERTY LEVEL³
Less Than 100%	2.5	3.7	4.4	1.4	5.8
100-199%	3.5	4.8	5.5	1.1	7.3
200% or More	6.3	4.0	4.2	0.6	9.1
HEALTH INSURANCE⁴
Private	6.2	3.8	4.0	0.4	8.7
Medicaid/CHIP	3.1	4.9	5.8	1.8	7.5
Other⁵	3.3	1.9	2.2	0.5	4.9
No Coverage	5.1	6.1	6.7	1.7	9.7
* = 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 were asked about driving a vehicle while under the influence of specific substances. Respondents with unknown driving under the influence information were excluded. ¹ Selected Illicit Drugs include the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. ² Selected Illicit Drugs Other than Marijuana include the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. ³ Respondents aged 18 to 22 who were living in a college dormitory were excluded. ⁴ Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive. ⁵ 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, 2021.

220711

Table 8.35A – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses, Numbers in Thousands, 2021
Substance	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
ILLICIT DRUGS	38,152	1,227	36,142	559	36,819
Marijuana	34,864	982	33,204	431	33,765
Cocaine	1,828	189	1,598	81	1,706
Crack	526	86	422	*	469
Heroin	588	106	439	43	503
Hallucinogens	2,156	167	1,936	*	2,028
LSD	483	62	412	22	452
PCP	92	16	76	*	76
Ecstasy	586	40	528	5	563
Inhalants	625	28	551	*	565
Methamphetamine	1,603	308	1,228	*	1,292
Misuse of Prescription Psychotherapeutics	4,063	236	3,674	123	3,787
Pain Relievers	2,286	148	2,036	102	2,083
Stimulants	1,029	50	962	15	998
Tranquilizers or Sedatives	1,330	112	1,161	35	1,238
Tranquilizers	1,155	89	1,012	27	1,073
Sedatives	208	30	174	8	196
Benzodiazepines	--	--	--	--	--
Opioids	2,676	232	2,301	121	2,412
Central Nervous System Stimulants	4,034	463	3,466	*	3,632
Illicit Drugs Other than Marijuana²	8,554	664	7,584	*	7,896
TOBACCO PRODUCTS	54,014	1,950	51,012	859	52,157
Cigarettes	43,222	1,709	40,557	756	41,583
Daily Cigarettes	26,961	1,118	25,297	*	25,990
Smokeless Tobacco	7,191	280	6,797	179	6,895
Cigars	10,121	353	9,519	165	9,776
Pipe Tobacco	1,717	*	1,505	*	1,510
ALCOHOL	131,239	1,432	127,830	631	128,676
Binge Alcohol Use³	59,045	1,031	56,938	471	57,549
Heavy Alcohol Use	16,233	488	15,329	*	15,605
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	158,695	2,500	153,526	*	155,081
Illicit Drugs or Alcohol	142,034	1,747	138,021	739	139,074
Tobacco Products or Alcohol	153,133	2,402	148,193	*	149,665
* = 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 The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.35B – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses, Percentages, 2021
Substance	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
ILLICIT DRUGS	15.0	40.5	14.6	40.9	14.8
Marijuana	13.7	32.5	13.5	31.6	13.6
Cocaine	0.7	6.2	0.6	5.9	0.7
Crack	0.2	2.8	0.2	*	0.2
Heroin	0.2	3.5	0.2	3.1	0.2
Hallucinogens	0.8	5.5	0.8	*	0.8
LSD	0.2	2.0	0.2	1.6	0.2
PCP	0.0	0.5	0.0	*	0.0
Ecstasy	0.2	1.3	0.2	0.3	0.2
Inhalants	0.2	0.9	0.2	*	0.2
Methamphetamine	0.6	10.2	0.5	*	0.5
Misuse of Prescription Psychotherapeutics	1.6	7.8	1.5	9.0	1.5
Pain Relievers	0.9	4.9	0.8	7.4	0.8
Stimulants	0.4	1.7	0.4	1.1	0.4
Tranquilizers or Sedatives	0.5	3.7	0.5	2.5	0.5
Tranquilizers	0.5	2.9	0.4	2.0	0.4
Sedatives	0.1	1.0	0.1	0.6	0.1
Benzodiazepines	--	--	--	--	--
Opioids	1.1	7.7	0.9	8.9	1.0
Central Nervous System Stimulants	1.6	15.3	1.4	*	1.5
Illicit Drugs Other than Marijuana²	3.4	21.9	3.1	*	3.2
TOBACCO PRODUCTS	21.3	64.4	20.7	62.9	21.0
Cigarettes	17.0	56.5	16.4	55.4	16.7
Daily Cigarettes	10.6	36.9	10.2	*	10.5
Smokeless Tobacco	2.8	9.2	2.8	13.1	2.8
Cigars	4.0	11.7	3.9	12.1	3.9
Pipe Tobacco	0.7	*	0.6	*	0.6
ALCOHOL	51.7	47.3	51.8	46.2	51.8
Binge Alcohol Use³	23.3	34.1	23.1	34.5	23.2
Heavy Alcohol Use	6.4	16.1	6.2	*	6.3
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	62.5	82.6	62.2	*	62.4
Illicit Drugs or Alcohol	56.0	57.7	55.9	54.1	55.9
Tobacco Products or Alcohol	60.3	79.4	60.0	*	60.2
* = 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 The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.36A – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among People Aged 18 to 49; by Past Year Probation and Parole/Supervised Release Statuses, Numbers in Thousands, 2021
Substance	Aged 18-49¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
ILLICIT DRUGS	27,849	972	26,274	385	26,871
Marijuana	25,933	815	24,603	336	25,092
Cocaine	1,375	131	1,206	50	1,289
Crack	227	29	185	7	206
Heroin	370	106	221	43	285
Hallucinogens	1,907	97	1,759	39	1,825
LSD	461	62	390	22	430
PCP	31	16	15	*	15
Ecstasy	553	40	497	5	533
Inhalants	497	28	423	*	436
Methamphetamine	906	160	692	*	729
Misuse of Prescription Psychotherapeutics	2,632	193	2,365	89	2,470
Pain Relievers	1,217	106	1,075	68	1,114
Stimulants	927	50	860	15	896
Tranquilizers or Sedatives	819	109	669	35	743
Tranquilizers	722	86	597	27	656
Sedatives	131	30	96	8	118
Benzodiazepines	--	--	--	--	--
Opioids	1,498	189	1,231	88	1,334
Central Nervous System Stimulants	2,856	258	2,511	*	2,625
Illicit Drugs Other than Marijuana²	5,939	448	5,274	207	5,526
TOBACCO PRODUCTS	31,536	1,437	29,387	624	30,180
Cigarettes	24,677	1,219	22,825	554	23,488
Daily Cigarettes	13,844	820	12,642	310	13,144
Smokeless Tobacco	4,686	259	4,329	*	4,430
Cigars	7,193	331	6,700	146	6,880
Pipe Tobacco	1,044	36	959	25	971
ALCOHOL	75,596	1,054	73,378	401	74,056
Binge Alcohol Use³	39,686	794	38,104	313	38,617
Heavy Alcohol Use	10,658	349	9,978	*	10,200
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	90,436	1,891	86,943	751	88,074
Illicit Drugs or Alcohol	82,960	1,359	80,201	505	81,081
Tobacco Products or Alcohol	86,742	1,794	83,465	736	84,514
* = 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 The Aged 18-49 column includes respondents with unknown past year probation or parole/supervised release status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.36B – Types of Illicit Drug, Tobacco Product, and Alcohol Use in Past Month: Among People Aged 18 to 49; by Past Year Probation and Parole/Supervised Release Statuses, Percentages, 2021
Substance	Aged 18-49¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
ILLICIT DRUGS	20.5	43.4	20.0	43.3	20.2
Marijuana	19.1	36.4	18.7	37.7	18.9
Cocaine	1.0	5.9	0.9	5.7	1.0
Crack	0.2	1.3	0.1	0.8	0.2
Heroin	0.3	4.8	0.2	4.8	0.2
Hallucinogens	1.4	4.3	1.3	4.4	1.4
LSD	0.3	2.8	0.3	2.5	0.3
PCP	0.0	0.7	0.0	*	0.0
Ecstasy	0.4	1.8	0.4	0.5	0.4
Inhalants	0.4	1.3	0.3	*	0.3
Methamphetamine	0.7	7.2	0.5	*	0.5
Misuse of Prescription Psychotherapeutics	1.9	8.6	1.8	10.0	1.9
Pain Relievers	0.9	4.7	0.8	7.6	0.8
Stimulants	0.7	2.2	0.7	1.6	0.7
Tranquilizers or Sedatives	0.6	4.9	0.5	3.9	0.6
Tranquilizers	0.5	3.9	0.5	3.1	0.5
Sedatives	0.1	1.3	0.1	0.9	0.1
Benzodiazepines	--	--	--	--	--
Opioids	1.1	8.4	0.9	9.8	1.0
Central Nervous System Stimulants	2.1	11.5	1.9	*	2.0
Illicit Drugs Other than Marijuana²	4.4	20.0	4.0	23.3	4.2
TOBACCO PRODUCTS	23.2	64.2	22.4	70.1	22.7
Cigarettes	18.2	54.5	17.4	62.3	17.7
Daily Cigarettes	10.2	36.6	9.6	34.9	9.9
Smokeless Tobacco	3.5	11.5	3.3	*	3.3
Cigars	5.3	14.8	5.1	16.4	5.2
Pipe Tobacco	0.8	1.6	0.7	2.8	0.7
ALCOHOL	55.7	47.1	55.9	45.1	55.8
Binge Alcohol Use³	29.2	35.5	29.0	35.1	29.1
Heavy Alcohol Use	7.8	15.6	7.6	*	7.7
GENERAL SUBSTANCES
Illicit Drugs, Tobacco Products, or Alcohol	66.6	84.5	66.2	84.4	66.4
Illicit Drugs or Alcohol	61.1	60.7	61.1	56.7	61.1
Tobacco Products or Alcohol	63.9	80.1	63.5	82.7	63.7
* = 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 The Aged 18-49 column includes respondents with unknown past year probation or parole/supervised release status. ² Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs. ³ Estimates of binge alcohol use include use by those who were heavy alcohol users. 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.

220711

Table 8.37A – Illicit Drug Use in Past Month: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	38,152	1,227	36,142	559	36,819
AGE GROUP
18-49	27,849	972	26,274	385	26,871
18-25	8,472	290	8,035	*	8,234
26-34	9,543	352	8,995	*	9,213
35-49	9,835	331	9,244	*	9,424
GENDER/AGE GROUP
Male 18 or Older	21,456	833	20,187	*	20,637
Male 18-49	15,413	687	14,402	*	14,802
Female 18 or Older	16,696	393	15,955	*	16,183
Female 18-49	12,437	286	11,872	*	12,069
* = 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 The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. 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.

220711

Table 8.37B – Illicit Drug Use in Past Month: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	15.0	40.5	14.6	40.9	14.8
AGE GROUP
18-49	20.5	43.4	20.0	43.3	20.2
18-25	25.3	61.5	24.7	*	25.0
26-34	23.8	41.0	23.3	*	23.6
35-49	15.8	36.3	15.4	*	15.5
GENDER/AGE GROUP
Male 18 or Older	17.4	41.1	16.9	*	17.1
Male 18-49	22.8	45.2	22.2	*	22.6
Female 18 or Older	12.8	39.5	12.5	*	12.6
Female 18-49	18.2	39.7	17.8	*	18.0
* = 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. ¹ The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. 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.

220711

Table 8.38A – Drug Use Disorder in Past Year: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	22,258	1,172	20,476	*	21,042
AGE GROUP
18-49	16,694	958	15,315	408	15,876
18-25	5,467	235	5,124	*	5,285
26-34	5,603	335	5,158	*	5,329
35-49	5,624	388	5,033	*	5,261
GENDER/AGE GROUP
Male 18 or Older	12,636	778	11,504	*	11,866
Male 18-49	9,591	650	8,693	*	9,059
Female 18 or Older	9,622	394	8,972	*	9,175
Female 18-49	7,104	308	6,622	*	6,817
* = 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: Drug use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. 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.

220711

Table 8.38B – Drug Use Disorder in Past Year: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	8.8	38.7	8.3	*	8.5
AGE GROUP
18-49	12.3	42.8	11.7	45.9	12.0
18-25	16.3	49.9	15.7	*	16.1
26-34	14.0	39.2	13.4	*	13.6
35-49	9.0	42.5	8.4	*	8.7
GENDER/AGE GROUP
Male 18 or Older	10.2	38.3	9.6	*	9.9
Male 18-49	14.2	42.8	13.4	*	13.8
Female 18 or Older	7.4	39.6	7.0	*	7.2
Female 18-49	10.4	42.8	9.9	*	10.2
* = 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: Drug use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. 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.

220711

Table 8.39A – Substance Use Disorder in Past Year: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses and Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	44,027	1,439	41,675	*	42,433
AGE GROUP
18-49	30,675	1,174	28,834	482	29,539
18-25	8,550	286	8,115	*	8,313
26-34	10,156	419	9,502	*	9,716
35-49	11,969	470	11,217	*	11,509
GENDER/AGE GROUP
Male 18 or Older	25,032	965	23,520	*	23,998
Male 18-49	17,292	797	16,090	*	16,532
Female 18 or Older	18,995	474	18,155	*	18,436
Female 18-49	13,383	377	12,745	*	13,006
* = 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: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. 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.

220711

Table 8.39B – Substance Use Disorder in Past Year: Among People Aged 18 or Older; by Past Year Probation and Parole/Supervised Release Statuses and Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Aged 18+¹ (2021)	On Probation (2021)	Not on Probation (2021)	On Parole/ Supervised Release (2021)	Not on Parole/ Supervised Release (2021)
TOTAL 18 OR OLDER	17.3	47.5	16.9	*	17.1
AGE GROUP
18-49	22.6	52.4	21.9	54.1	22.3
18-25	25.6	60.7	24.9	*	25.3
26-34	25.3	48.9	24.6	*	24.9
35-49	19.3	51.5	18.6	*	18.9
GENDER/AGE GROUP
Male 18 or Older	20.3	47.5	19.7	*	19.9
Male 18-49	25.6	52.5	24.8	*	25.2
Female 18 or Older	14.6	47.6	14.2	*	14.4
Female 18-49	19.6	52.3	19.1	*	19.4
* = 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: Substance use disorder estimates are based on DSM-5 criteria. Beginning with the 2021 NSDUH, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs. The estimates in this table include prescription drug use disorder data from all past year users of prescription drugs. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details on these changes. NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year. ¹ The Aged 18+ column includes respondents with unknown past year probation or parole/supervised release status. 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.

220711

Table 8.40A – Perceived Ever Having Had a Substance Use Problem or Mental Health Issue: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	Ever Had a Substance Use Problem¹ (2021)	Ever Had a Mental Health Issue² (2021)
TOTAL	29,012	58,727
AGE GROUP
18-25	2,367	12,486
26 or Older	26,645	46,242
26-49	14,150	28,664
50 or Older	12,495	17,578
GENDER
Male	17,375	23,941
Female	11,638	34,787
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	25,581	51,354
White	21,486	41,951
Black or African American	2,404	5,313
AIAN	270	356
NHOPI	*	*
Asian	555	1,891
Two or More Races	798	1,715
Hispanic or Latino	3,431	7,374
EDUCATION LEVEL
< High School	2,992	4,268
High School Graduate	7,629	12,046
Some College/Associate’s Degree	10,133	21,280
College Graduate	8,259	21,134
EMPLOYMENT STATUS
Full-Time	13,406	26,631
Part-Time	3,561	9,738
Unemployed	2,172	3,793
Other³	9,873	18,566
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Excluded were respondents with unknown information for ever having a problem with their drug or alcohol use. ² Excluded were respondents with unknown information for ever having a problem with their mental health. ³ 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, 2021.

220711

Table 8.40B – Perceived Ever Having Had a Substance Use Problem or Mental Health Issue: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	Ever Had a Substance Use Problem¹ (2021)	Ever Had a Mental Health Issue² (2021)
TOTAL	11.5	23.3
AGE GROUP
18-25	7.1	37.6
26 or Older	12.2	21.1
26-49	13.9	28.2
50 or Older	10.7	15.0
GENDER
Male	14.2	19.5
Female	9.0	26.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	12.2	24.5
White	13.7	26.7
Black or African American	7.9	17.5
AIAN	16.6	21.7
NHOPI	*	*
Asian	3.7	12.7
Two or More Races	18.0	38.8
Hispanic or Latino	8.0	17.3
EDUCATION LEVEL
< High School	10.5	15.0
High School Graduate	11.0	17.4
Some College/Associate’s Degree	13.2	27.8
College Graduate	10.6	27.1
EMPLOYMENT STATUS
Full-Time	11.8	23.4
Part-Time	11.8	32.2
Unemployed	16.6	28.9
Other³	10.4	19.6
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Excluded were respondents with unknown information for ever having a problem with their drug or alcohol use. ² Excluded were respondents with unknown information for ever having a problem with their mental health. ³ 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, 2021.

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Table 8.41A – Perceived Recovery from a Substance Use Problem or Mental Health Issue: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	In Recovery from a Substance Use Problem¹ (2021)	In Recovery from a Mental Health Issue² (2021)
TOTAL	20,936	38,787
AGE GROUP
18-25	1,579	7,784
26 or Older	19,358	31,002
26-49	10,062	18,588
50 or Older	9,295	12,415
GENDER
Male	12,487	15,596
Female	8,449	23,191
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	18,618	33,936
White	15,787	27,885
Black or African American	1,658	3,346
AIAN	173	223
NHOPI	*	*
Asian	372	1,336
Two or More Races	571	1,055
Hispanic or Latino	2,318	4,851
EDUCATION LEVEL
< High School	2,308	2,547
High School Graduate	5,566	7,587
Some College/Associate’s Degree	7,471	13,913
College Graduate	5,592	14,739
EMPLOYMENT STATUS
Full-Time	9,502	17,807
Part-Time	2,421	6,540
Unemployed	1,543	2,299
Other³	7,471	12,141
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents were asked if they perceived themselves to be in recovery or recovered from a substance use problem only if they reported ever having a drug or alcohol use problem. Respondents who perceived themselves never having had a substance use problem were classified in this analysis as not being in recovery or having recovered from a substance use problem. Excluded were respondents with unknown information for ever having a substance use problem or for perceived recovery from their substance use problem. ² Respondents were asked if they perceived themselves to be in recovery or recovered from a mental health issue only if they reported ever having a mental health issue. Respondents who perceived themselves never having had a mental health issue were classified in this analysis as not being in recovery or having recovered from a mental health issue. Excluded were respondents with unknown information for ever having a mental health issue or for perceived recovery from their mental health issue. ³ 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, 2021.

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Table 8.41B – Perceived Recovery from a Substance Use Problem or Mental Health Issue: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	In Recovery from a Substance Use Problem¹ (2021)	In Recovery from a Mental Health Issue² (2021)
TOTAL	8.3	15.4
AGE GROUP
18-25	4.8	23.6
26 or Older	8.8	14.2
26-49	9.9	18.3
50 or Older	7.9	10.6
GENDER
Male	10.2	12.7
Female	6.5	17.9
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8.9	16.2
White	10.0	17.8
Black or African American	5.4	11.0
AIAN	10.6	13.6
NHOPI	*	*
Asian	2.5	9.0
Two or More Races	12.9	23.9
Hispanic or Latino	5.4	11.4
EDUCATION LEVEL
< High School	8.1	9.0
High School Graduate	8.0	11.0
Some College/Associate’s Degree	9.8	18.2
College Graduate	7.2	19.0
EMPLOYMENT STATUS
Full-Time	8.3	15.7
Part-Time	8.0	21.7
Unemployed	11.8	17.5
Other³	7.9	12.8
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents were asked if they perceived themselves to be in recovery or recovered from a substance use problem only if they reported ever having a drug or alcohol use problem. Respondents who perceived themselves never having had a substance use problem were classified in this analysis as not being in recovery or having recovered from a substance use problem. Excluded were respondents with unknown information for ever having a substance use problem or for perceived recovery from their substance use problem. ² Respondents were asked if they perceived themselves to be in recovery or recovered from a mental health issue only if they reported ever having a mental health issue. Respondents who perceived themselves never having had a mental health issue were classified in this analysis as not being in recovery or having recovered from a mental health issue. Excluded were respondents with unknown information for ever having a mental health issue or for perceived recovery from their mental health issue. ³ 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, 2021.

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Table 8.42A – Perceived Recovery from a Substance Use Problem: Among People Aged 18 or Older Who Perceived Ever Having a Substance Use Problem; Perceived Recovery from a Mental Health Issue: Among People Aged 18 or Older Who Perceived Ever Having a Mental Health Issue; by Demographic Characteristics, Numbers in Thousands, 2021
Demographic Characteristic	In Recovery from a Substance Use Problem¹ (2021)	In Recovery from a Mental Health Issue² (2021)
TOTAL	20,936	38,787
AGE GROUP
18-25	1,579	7,784
26 or Older	19,358	31,002
26-49	10,062	18,588
50 or Older	9,295	12,415
GENDER
Male	12,487	15,596
Female	8,449	23,191
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	18,618	33,936
White	15,787	27,885
Black or African American	1,658	3,346
AIAN	*	*
NHOPI	*	*
Asian	*	1,336
Two or More Races	*	1,055
Hispanic or Latino	2,318	4,851
EDUCATION LEVEL
< High School	2,308	2,547
High School Graduate	5,566	7,587
Some College/Associate’s Degree	7,471	13,913
College Graduate	5,592	14,739
EMPLOYMENT STATUS
Full-Time	9,502	17,807
Part-Time	2,421	6,540
Unemployed	1,543	2,299
Other³	7,471	12,141
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents were asked if they perceived themselves to be in recovery or recovered from a substance use problem only if they reported ever having a drug or alcohol use problem. Excluded were respondents with unknown information for ever having a substance use problem or for perceived recovery from their substance use problem. ² Respondents were asked if they perceived themselves to be in recovery or recovered from a mental health issue only if they reported ever having a mental health issue. Excluded were respondents with unknown information for ever having a mental health issue or for perceived recovery from their mental health issue. ³ 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, 2021.

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Table 8.42B – Perceived Recovery from a Substance Use Problem: Among People Aged 18 or Older Who Perceived Ever Having a Substance Use Problem; Perceived Recovery from a Mental Health Issue: Among People Aged 18 or Older Who Perceived Ever Having a Mental Health Issue; by Demographic Characteristics, Percentages, 2021
Demographic Characteristic	In Recovery from a Substance Use Problem¹ (2021)	In Recovery from a Mental Health Issue² (2021)
TOTAL	72.2	66.5
AGE GROUP
18-25	67.0	63.0
26 or Older	72.7	67.4
26-49	71.2	65.2
50 or Older	74.4	71.2
GENDER
Male	72.0	65.7
Female	72.7	67.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	72.9	66.5
White	73.5	66.9
Black or African American	69.2	63.6
AIAN	*	*
NHOPI	*	*
Asian	*	71.1
Two or More Races	*	61.7
Hispanic or Latino	67.6	66.2
EDUCATION LEVEL
< High School	77.2	60.5
High School Graduate	73.0	63.6
Some College/Associate’s Degree	73.8	65.7
College Graduate	67.8	70.1
EMPLOYMENT STATUS
Full-Time	71.0	67.1
Part-Time	68.0	67.6
Unemployed	71.4	61.1
Other³	75.7	66.1
* = 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: Estimates in this table 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 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details. ¹ Respondents were asked if they perceived themselves to be in recovery or recovered from a substance use problem only if they reported ever having a drug or alcohol use problem. Excluded were respondents with unknown information for ever having a substance use problem or for perceived recovery from their substance use problem. ² Respondents were asked if they perceived themselves to be in recovery or recovered from a mental health issue only if they reported ever having a mental health issue. Excluded were respondents with unknown information for ever having a mental health issue or for perceived recovery from their mental health issue. ³ 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, 2021.