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250416
Table 3.1A – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2023 and 2024
Specific Substance Risk/Availability Aged 12+
(2023)		 Aged 12+
(2024)		 Aged 12-17
(2023)		 Aged 12-17
(2024)		 Aged 18+
(2023)		 Aged 18+
(2024)		 Aged 18-25
(2023)		 Aged 18-25
(2024)		 Aged 26+
(2023)		 Aged 26+
(2024)
PERCEPTIONS OF GREAT RISK1                    
Marijuana                    
Smoke Once a Month 57,051 59,403 5,443 5,813 51,609 53,591 3,808b 4,501 47,801 49,090
Smoke Once or Twice a Week 70,416 73,015 8,390a 8,894 62,026 64,121 4,871b 5,685 57,155 58,436
Cocaine                    
Use Once a Month 180,750 183,470 12,202 12,313 168,548 171,157 19,257b 20,577 149,292 150,580
Use Once or Twice a Week 229,028b 233,409 19,062 19,129 209,966b 214,280 26,697b 28,298 183,269b 185,982
Heroin                    
Try Once or Twice 225,697b 228,700 13,850 13,757 211,848b 214,943 25,301a 25,947 186,546b 188,996
Use Once or Twice a Week 254,680b 258,273 19,219 18,919 235,461b 239,354 30,028b 30,855 205,433b 208,499
LSD                    
Try Once or Twice 155,134 157,361 9,543 9,450 145,591 147,911 13,068b 14,067 132,523 133,844
Use Once or Twice a Week 199,507b 202,662 14,836 14,506 184,671b 188,155 19,979b 21,344 164,692 166,811
Cigarettes                    
Smoke One or More Packs Per Day 191,247 192,387 15,621 15,392 175,626 176,995 20,370a 20,975 155,257 156,020
Alcohol                    
Have Five or More Drinks Once or Twice a Week 127,378b 131,843 10,690a 11,283 116,688b 120,560 13,130b 14,278 103,558a 106,281
Have Four or Five Drinks Nearly Every Day 192,867b 198,894 17,096 16,841 175,771b 182,053 21,670b 22,986 154,100b 159,067
PERCEIVED AVAILABILITY2                    
Fairly or Very Easy to Obtain                    
Marijuana 182,196b 186,831 9,775b 8,673 172,421b 178,158 24,434 24,676 147,986b 153,482
Cocaine 53,749 53,760 2,004 1,865 51,745 51,895 6,989 6,617 44,756 45,278
Crack 41,001 41,537 1,869 1,760 39,132 39,777 4,015 4,201 35,117 35,576
Heroin 35,996 35,805 1,330 1,147 34,666 34,657 3,468 3,371 31,198 31,287
LSD 36,787 36,029 2,193b 1,719 34,593 34,310 6,441b 5,741 28,152 28,570
Approached in the Past Month by Someone Selling Drugs 11,499b 9,965 1,702b 1,334 9,797a 8,631 2,400 2,299 7,397a 6,332
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents with unknown perception of risk data were excluded from the respective analyses.
2 Respondents with unknown perceived availability data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
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Table 3.1B – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, Percentages, 2023 and 2024
Specific Substance Risk/Availability Aged 12+
(2023)		 Aged 12+
(2024)		 Aged 12-17
(2023)		 Aged 12-17
(2024)		 Aged 18+
(2023)		 Aged 18+
(2024)		 Aged 18-25
(2023)		 Aged 18-25
(2024)		 Aged 26+
(2023)		 Aged 26+
(2024)
PERCEPTIONS OF GREAT RISK1                    
Marijuana                    
Smoke Once a Month 20.5 21.0 21.6 23.0 20.4 20.8 11.3b 13.0 21.8 22.0
Smoke Once or Twice a Week 25.3 25.8 33.3a 35.2 24.5 24.8 14.5b 16.5 26.1 26.1
Cocaine                    
Use Once a Month 65.0 65.0 48.7 49.1 66.7 66.5 57.6a 59.8 68.0 67.5
Use Once or Twice a Week 82.3 82.6 76.0 76.2 83.0 83.2 79.8b 82.2 83.4 83.3
Heroin                    
Try Once or Twice 81.3 81.0 55.7 55.4 83.8 83.5 75.6 75.4 85.0 84.8
Use Once or Twice a Week 91.6 91.4 77.2 76.1 93.0 92.9 89.7 89.7 93.6 93.4
LSD                    
Try Once or Twice 56.4 56.2 39.5 39.6 58.1 57.7 39.4 41.2 60.9 60.3
Use Once or Twice a Week 72.5 72.4 61.4 60.8 73.6 73.5 60.2a 62.4 75.6 75.2
Cigarettes                    
Smoke One or More Packs Per Day 68.3 67.5 61.5 60.5 69.0 68.2 60.5 60.7 70.3 69.4
Alcohol                    
Have Five or More Drinks Once or Twice a Week 45.6 46.4 42.1a 44.3 45.9 46.6 39.1b 41.3 46.9 47.4
Have Four or Five Drinks Nearly Every Day 68.9a 69.9 67.3 66.1 69.1a 70.3 64.3a 66.5 69.8a 70.9
PERCEIVED AVAILABILITY2                    
Fairly or Very Easy to Obtain                    
Marijuana 66.2 66.6 39.1b 34.9 68.9 69.7 73.0 71.8 68.3 69.3
Cocaine 19.8 19.5 8.1 7.6 21.0 20.6 21.2a 19.5 20.9 20.8
Crack 15.1 15.1 7.6 7.2 15.9 15.8 12.2 12.4 16.5 16.4
Heroin 13.3 13.0 5.4 4.7 14.1 13.8 10.5 9.9 14.6 14.4
LSD 13.6 13.1 9.1b 7.2 14.1 13.7 19.6b 17.0 13.2 13.2
Approached in the Past Month by Someone Selling Drugs 4.1b 3.5 6.6b 5.2 3.8b 3.3 7.1 6.6 3.3b 2.8
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents with unknown perception of risk data were excluded from the respective analyses.
2 Respondents with unknown perceived availability data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
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Table 3.2A – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic MARIJUANA COCAINE
Smoke Once a Month Smoke Once or Twice a Week Use Once a Month Use Once or Twice a Week
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 5,443 5,813 8,390a 8,894 12,202 12,313 19,062 19,129
AGE GROUP                
12-13 2,101 2,334 3,348 3,509 3,263 3,355 5,214 5,425
14-15 1,948 1,962 2,920 3,109 4,217 4,154 6,792 6,589
16-17 1,394 1,516 2,122 2,276 4,722 4,804 7,056 7,115
SEX                
Male 2,695a 3,016 4,079a 4,435 6,338 6,385 9,781 9,847
Female 2,748 2,797 4,311 4,459 5,864 5,928 9,281 9,282
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 3,906 4,069 6,441 6,534 8,955 8,905 14,236 14,158
AIAN 50 51 78 73 97 102 145 155
Asian 358 489 685 783 551 697 1,020 1,130
Black or African American 864 758 1,082 985 1,980 1,863 2,525 2,467
NHPI * * * * * * * *
White 2,450 2,530 4,267 4,349 5,849 5,722 9,777 9,600
Two or More Races 170 224 311 328 436 485 705 764
Hispanic or Latino 1,536 1,743 1,949b 2,360 3,247 3,408 4,826 4,971
COUNTY TYPE                
Large Metro 2,897a 3,399 4,503a 5,129 6,499 6,836 10,411 10,793
Small Metro 1,751 1,754 2,739 2,800 3,978 3,947 6,099 6,120
Nonmetro 795 659 1,147 966 1,725 1,530 2,551 2,215
Urbanized 276 208 383 339 599 598 924 846
Less Urbanized 436 390 628 555 993 803 1,399 1,170
Completely Rural * 61 * 71 132 * 228 199
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perception of risk data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.2B – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic MARIJUANA COCAINE
Smoke Once a Month Smoke Once or Twice a Week Use Once a Month Use Once or Twice a Week
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 21.6 23.0 33.3a 35.2 48.7 49.1 76.0 76.2
AGE GROUP                
12-13 27.8 30.3 44.2 45.4 43.7 44.1 69.7 71.1
14-15 21.8 22.6 32.6a 35.9 47.4 48.3 76.3 76.4
16-17 16.0 17.1 24.4 25.6 54.3 54.3 81.2 80.4
SEX                
Male 21.0a 23.4 31.7a 34.4 49.7 49.9 76.6 76.8
Female 22.2 22.6 34.8 36.0 47.7 48.3 75.4 75.5
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 21.0 22.0 34.6 35.2 48.5 48.3 77.0 76.8
AIAN 22.3 24.5 35.3 35.6 43.0 49.7 64.6a 75.8
Asian 25.5a 34.6 48.9 54.7 39.7a 48.8 73.3 79.1
Black or African American 24.8 22.0 31.1 28.4 57.9 54.4 73.8 72.1
NHPI * * * * * * * *
White 19.6 20.5 34.1 35.1 47.0 46.6 78.5 78.1
Two or More Races 18.8 22.0 34.5 32.4 48.6 48.2 78.5 76.0
Hispanic or Latino 23.2 25.9 29.4b 35.2 49.3 51.3 73.2 74.7
COUNTY TYPE                
Large Metro 20.9a 23.8 32.6b 35.9 47.2 48.3 75.6 76.1
Small Metro 21.7 21.6 33.9 34.4 49.7 48.8 76.1 75.5
Nonmetro 24.0 23.2 34.5 33.9 52.4 54.4 77.5 78.6
Urbanized 23.1 18.7 31.9 30.7 50.1 55.1 77.3 77.9
Less Urbanized 24.1 26.0 34.5 36.9 54.9 53.7 77.4 78.0
Completely Rural * 26.1 * 30.3 45.7 * 79.1 85.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perception of risk data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.3A – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic HEROIN LSD
Try Once or Twice Use Once or Twice a Week Try Once or Twice Use Once or Twice a Week
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 13,850 13,757 19,219 18,919 9,543 9,450 14,836 14,506
AGE GROUP                
12-13 3,353 3,570 4,871 5,061 2,769 2,832 4,103 4,151
14-15 4,935 4,569 7,036 6,491 3,362 3,084 5,281 4,929
16-17 5,563 5,618 7,312 7,367 3,412 3,534 5,453 5,426
SEX                
Male 7,338 7,233 9,880 9,857 4,876 4,852 7,467 7,446
Female 6,512 6,524 9,339 9,063 4,667 4,598 7,369a 7,060
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 10,036 9,926 14,292 14,019 6,871 6,800 10,967 10,756
AIAN 122 96 147 150 74 76 109 110
Asian 614 747 1,026 1,068 491 609 806 905
Black or African American 2,052 2,071 2,441 2,363 1,586 1,518 1,974 1,843
NHPI * * * * * * * *
White 6,700 6,428 9,910 9,624 4,341 4,218 7,474 7,299
Two or More Races 506 552 709 771 347 356 567 575
Hispanic or Latino 3,814 3,831 4,927 4,901 2,671 2,650 3,869 3,751
COUNTY TYPE                
Large Metro 7,562 7,772 10,544 10,587 5,079 5,304 8,073 8,043
Small Metro 4,356 4,288 6,117 6,085 3,123 2,957 4,741 4,672
Nonmetro 1,932 1,697 2,558 2,248 1,341 1,189 2,022 1,792
Urbanized 689 660 934 861 466 417 698 657
Less Urbanized 1,054 895 1,402 1,194 736 668 1,124 978
Completely Rural 188 * * 192 * * 199 157
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perception of risk data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.3B – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic HEROIN LSD
Try Once or Twice Use Once or Twice a Week Try Once or Twice Use Once or Twice a Week
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 55.7 55.4 77.2 76.1 39.5 39.6 61.4 60.8
AGE GROUP                
12-13 45.6 48.0 66.3 67.9 39.3 40.7 58.1 59.6
14-15 55.8 53.4 79.2a 75.9 39.2 37.5 61.6 60.0
16-17 64.1 63.5 84.3 83.3 40.0 40.8 63.8 62.6
SEX                
Male 58.0 57.0 77.9 77.7 39.6 39.9 60.5 61.2
Female 53.3 53.7 76.4 74.5 39.4 39.4 62.2 60.5
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 54.7 54.4 77.9 76.7 38.6 38.9 61.6 61.4
AIAN 54.6 47.9 65.9 74.0 34.4 38.7 50.4 54.7
Asian 44.1a 53.1 73.6 75.7 36.5a 47.1 59.8a 68.6
Black or African American 60.3 61.3 71.7 69.9 47.5 46.6 59.7 56.9
NHPI * * * * * * * *
White 54.2 52.6 80.1 78.7 36.3 36.0 62.4 62.2
Two or More Races 57.0 56.5 80.0 78.8 40.5 37.9 65.6 61.2
Hispanic or Latino 58.5 58.2 75.2 74.6 42.0 41.7 60.6 59.2
COUNTY TYPE                
Large Metro 55.3 55.3 77.2 75.5 38.4 39.5 60.9 60.0
Small Metro 54.9 53.6 76.8 75.9 40.3 38.4 61.1 60.5
Nonmetro 59.1 60.6 78.0 80.2 42.5 43.5 64.0 65.8
Urbanized 58.0 61.1 78.5 79.7 40.4 39.8 60.5 63.1
Less Urbanized 58.5 60.2 77.9 80.2 42.5 45.8 64.9 67.2
Completely Rural 68.5 * * 83.1 * * 73.6 69.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perception of risk data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250417
Table 3.4A – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic CIGARETTES ALCOHOL
Smoke One or More Packs Per Day Have Five or More Drinks Once or Twice a Week Have Four or Five Drinks Nearly Every Day
2023 2024 2023 2024 2023 2024
TOTAL 15,621 15,392 10,690a 11,283 17,096 16,841
AGE GROUP            
12-13 4,675 4,715 3,264 3,566 5,158 5,171
14-15 5,431 5,327 3,810 3,696 5,971 5,730
16-17 5,515 5,351 3,616a 4,021 5,968 5,939
SEX            
Male 7,721 7,679 5,144 5,349 8,243 8,099
Female 7,900 7,713 5,545a 5,934 8,854 8,742
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 11,549 11,424 7,717 8,093 12,661 12,505
AIAN 119 119 96 86 126 127
Asian 950 968 673a 898 1,148 1,127
Black or African American 2,042 1,914 1,897 1,756 2,383 2,146
NHPI * * * * * *
White 7,849 7,775 4,631 4,900 8,314 8,340
Two or More Races 564 621 376 421 636 723
Hispanic or Latino 4,072 3,968 2,973 3,190 4,435 4,336
COUNTY TYPE            
Large Metro 8,859 8,856 6,088a 6,793 9,847 9,853
Small Metro 4,843 4,857 3,287 3,334 5,305 5,310
Nonmetro 1,920 1,679 1,315 1,156 1,944 1,678
Urbanized 661 644 466 425 731 644
Less Urbanized 1,077 894 743 629 1,055 889
Completely Rural 181 * 105 * 158 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perception of risk data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.4B – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic CIGARETTES ALCOHOL
Smoke One or More Packs Per Day Have Five or More Drinks Once or Twice a Week Have Four or Five Drinks Nearly Every Day
2023 2024 2023 2024 2023 2024
TOTAL 61.5 60.5 42.1a 44.3 67.3 66.1
AGE GROUP            
12-13 60.9 60.4 42.5 45.4 66.9 65.9
14-15 60.4 61.0 42.5 42.3 66.6 65.6
16-17 63.1 60.1 41.4a 45.1 68.3 66.7
SEX            
Male 59.4 59.0 39.7 41.1 63.7 62.2
Female 63.6 62.0 44.6a 47.6 71.0 70.1
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 61.5 61.0 41.2 43.2 67.6 66.7
AIAN 52.6 57.7 42.5 41.8 55.7 61.7
Asian 67.4 66.0 47.5b 61.0 80.0 76.6
Black or African American 57.9 55.1 54.6 50.4 68.6b 61.6
NHPI * * * * * *
White 62.2 62.3 36.7a 39.2 65.9 66.8
Two or More Races 62.2 60.4 41.4 41.8 70.1 71.6
Hispanic or Latino 61.3 59.0 44.6 47.4 66.4 64.3
COUNTY TYPE            
Large Metro 63.6 61.5 43.6a 47.0 70.6 68.2
Small Metro 59.5 59.3 40.6 40.7 65.3 64.8
Nonmetro 57.4 58.6 39.4 40.6 58.2 58.9
Urbanized 54.9 57.5 38.7 38.6 60.7 58.5
Less Urbanized 58.7 59.2 40.6 41.6 57.6 58.8
Completely Rural 59.8 * 34.8 * 52.3 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perception of risk data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.5A – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic Marijuana
(2023)		 Marijuana
(2024)		 Cocaine
(2023)		 Cocaine
(2024)		 Crack
(2023)		 Crack
(2024)		 Heroin
(2023)		 Heroin
(2024)		 LSD
(2023)		 LSD
(2024)
TOTAL 9,775b 8,673 2,004 1,865 1,869 1,760 1,330 1,147 2,193b 1,719
AGE GROUP                    
12-13 1,209 1,086 425 418 442 422 293 309 302 266
14-15 3,552b 2,898 673 672 672 660 503a 351 739b 445
16-17 5,014 4,689 906 776 755 678 535 487 1,152 1,007
SEX                    
Male 4,882b 4,288 809 834 754 759 568 536 1,063a 862
Female 4,893b 4,385 1,194 1,031 1,115 1,001 762a 611 1,130b 857
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 7,019b 6,262 1,344 1,251 1,295 1,276 888 796 1,494b 1,193
AIAN 60a 37 13 10 16 11 13 10 24a 10
Asian 432a 277 95 89 130 99 57 74 92 65
Black or African American 1,126 1,049 232 240 246 236 195 159 230 190
NHPI * * * * * * 1 * * *
White 4,987a 4,454 921 852 824 872 575 507 1,050 876
Two or More Races 366 433 77 56 77 56 46 43 89a 49
Hispanic or Latino 2,756a 2,411 660 614 574 484 442 351 700a 525
COUNTY TYPE                    
Large Metro 5,548a 4,946 1,020 1,066 971 1,056 704 643 1,263a 966
Small Metro 3,020 2,787 725 591 636 535 421 367 697 587
Nonmetro 1,207a 941 259 208 263a 169 204 137 233 165
Urbanized 448 379 105 69 105a 45 61 31 102 65
Less Urbanized 681a 493 139 116 135 102 131 89 116 80
Completely Rural 78 69 15 24 23 22 * 17 * 20
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perceived availability data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.5B – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic Marijuana
(2023)		 Marijuana
(2024)		 Cocaine
(2023)		 Cocaine
(2024)		 Crack
(2023)		 Crack
(2024)		 Heroin
(2023)		 Heroin
(2024)		 LSD
(2023)		 LSD
(2024)
TOTAL 39.1b 34.9 8.1 7.6 7.6 7.2 5.4 4.7 9.1b 7.2
AGE GROUP                    
12-13 16.4 14.3 5.8 5.6 6.0 5.6 4.0 4.1 4.3 3.7
14-15 40.0b 34.1 7.6 8.0 7.6 7.9 5.7a 4.2 8.5b 5.5
16-17 57.6a 53.2 10.6 8.9 8.8 7.8 6.2 5.6 13.6 11.7
SEX                    
Male 38.4b 33.6 6.4 6.6 6.0 6.0 4.5 4.3 8.6a 7.0
Female 39.9b 36.2 9.8 8.6 9.2 8.4 6.3 5.1 9.5b 7.3
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 38.2b 34.3 7.4 6.9 7.1 7.1 4.9 4.4 8.4b 6.8
AIAN 27.8a 18.3 6.2 4.9 7.3 5.3 6.1 4.9 11.5a 5.2
Asian 31.2b 19.0 7.0 6.1 9.6 6.8 4.1 5.1 6.9 4.6
Black or African American 32.5 30.6 6.7 7.1 7.1 7.0 5.7 4.8 6.8 5.7
NHPI * * * * * * 1.2 * * *
White 40.4b 36.8 7.5 7.1 6.7 7.3 4.7 4.2 8.8 7.5
Two or More Races 41.1 43.8 8.8 5.8 8.7 5.7 5.3 4.4 10.4b 5.3
Hispanic or Latino 41.9b 36.3 10.1 9.4 8.8 7.4 6.8 5.3 10.9a 8.2
COUNTY TYPE                    
Large Metro 40.5b 35.2 7.5 7.7 7.1 7.6 5.2 4.6 9.5b 7.1
Small Metro 37.8a 34.7 9.2a 7.5 8.0 6.8 5.3 4.6 9.0 7.6
Nonmetro 36.6 33.5 8.0 7.5 8.1 6.1 6.3 4.9 7.3 6.1
Urbanized 37.5 34.3 8.9 6.3 9.0a 4.1 5.2 2.9 8.8 6.1
Less Urbanized 37.9 33.3 7.8 7.9 7.6 7.0 7.4 6.1 6.7 5.6
Completely Rural 25.5 30.7 5.0 10.6 7.7 10.0 * 7.5 * 9.1
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perceived availability data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250420
Table 3.6A – Perceived That Parents Would Strongly Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Trying Marijuana Once or Twice Using Marijuana Once a Month or More Smoking Cigarettes Every Day Having One or Two Drinks of an Alcoholic Beverage Nearly Every Day
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL -- 21,401 -- 22,096 -- 24,252 -- 23,215
AGE GROUP                
12-13 -- 7,300 -- 7,419 -- 7,550 -- 7,406
14-15 -- 7,479 -- 7,782 -- 8,374 -- 7,976
16-17 -- 6,622 -- 6,895 -- 8,328 -- 7,833
SEX                
Male -- 10,926 -- 11,210 -- 12,336 -- 11,722
Female -- 10,475 -- 10,885 -- 11,916 -- 11,493
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 15,498 -- 16,103 -- 17,765 -- 17,076
AIAN -- 179 -- 182 -- 186 -- *
Asian -- 1,406 -- 1,435 -- 1,418 -- 1,396
Black or African American -- 2,853 -- 2,928 -- 3,299 -- 3,206
NHPI -- * -- * -- * -- 80
White -- 10,143 -- 10,624 -- 11,831 -- 11,235
Two or More Races -- 841 -- 859 -- 962 -- 980
Hispanic or Latino -- 5,903 -- 5,993 -- 6,487 -- 6,139
COUNTY TYPE                
Large Metro -- 12,176 -- 12,577 -- 13,831 -- 13,220
Small Metro -- 6,774 -- 6,992 -- 7,749 -- 7,429
Nonmetro -- 2,451 -- 2,526 -- 2,672 -- 2,566
Urbanized -- 960 -- 999 -- 1,025 -- 1,013
Less Urbanized -- 1,301 -- 1,326 -- 1,435 -- 1,339
Completely Rural -- 190 -- 201 -- 211 -- 213
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perceptions of parents’ feelings data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
250420
Table 3.6B – Perceived That Parents Would Strongly Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Trying Marijuana Once or Twice Using Marijuana Once a Month or More Smoking Cigarettes Every Day Having One or Two Drinks of an Alcoholic Beverage Nearly Every Day
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL -- 83.6 -- 86.4 -- 94.7 -- 90.7
AGE GROUP                
12-13 -- 92.1 -- 93.6 -- 95.3 -- 93.6
14-15 -- 85.7 -- 89.2 -- 95.7 -- 91.2
16-17 -- 74.1 -- 77.2 -- 93.2 -- 87.7
SEX                
Male -- 83.7 -- 85.9 -- 94.6 -- 89.8
Female -- 83.5 -- 86.9 -- 94.8 -- 91.7
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 82.4 -- 85.7 -- 94.5 -- 90.8
AIAN -- 88.2 -- 90.0 -- 91.8 -- *
Asian -- 93.5 -- 95.5 -- 95.1 -- 92.8
Black or African American -- 81.9 -- 84.0 -- 94.1 -- 91.7
NHPI -- * -- * -- * -- 98.3
White -- 81.1 -- 85.0 -- 94.7 -- 89.9
Two or More Races -- 81.6 -- 83.4 -- 93.2 -- 94.7
Hispanic or Latino -- 86.9 -- 88.4 -- 95.3 -- 90.6
COUNTY TYPE                
Large Metro -- 84.1 -- 87.0 -- 95.5 -- 91.4
Small Metro -- 82.1 -- 84.9 -- 93.8 -- 90.1
Nonmetro -- 85.3 -- 88.0 -- 93.0 -- 89.3
Urbanized -- 85.1 -- 88.6 -- 90.8 -- 89.8
Less Urbanized -- 86.2 -- 87.8 -- 95.2 -- 88.6
Completely Rural -- 81.0 -- 85.8 -- 90.2 -- 91.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown perceptions of parents’ feelings data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
250420
Table 3.7A – Strongly Disapproved or Somewhat Disapproved of Peers’ Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Trying Marijuana Once or Twice Using Marijuana Once a Month or More Smoking Cigarettes Every Day Having One or Two Drinks of an Alcoholic Beverage Nearly Every Day
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL -- 19,611 -- 20,013 -- 22,892 -- 22,562
AGE GROUP                
12-13 -- 7,220 -- 7,282 -- 7,395 -- 7,361
14-15 -- 6,807 -- 6,991 -- 7,790 -- 7,670
16-17 -- 5,584 -- 5,739 -- 7,707 -- 7,530
SEX                
Male -- 10,186 -- 10,383 -- 11,765 -- 11,542
Female -- 9,425 -- 9,630 -- 11,126 -- 11,019
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 14,471 -- 14,803 -- 16,966 -- 16,737
AIAN -- 171 -- 168 -- 178 -- 174
Asian -- 1,357 -- 1,352 -- 1,444 -- 1,454
Black or African American -- 2,594 -- 2,624 -- 3,067 -- 3,004
NHPI -- * -- * -- * -- *
White -- 9,512 -- 9,818 -- 11,284 -- 11,105
Two or More Races -- 776 -- 780 -- 932 -- 936
Hispanic or Latino -- 5,141 -- 5,210 -- 5,926 -- 5,825
COUNTY TYPE                
Large Metro -- 10,978 -- 11,296 -- 12,925 -- 12,840
Small Metro -- 6,365 -- 6,454 -- 7,435 -- 7,263
Nonmetro -- 2,268 -- 2,262 -- 2,532 -- 2,459
Urbanized -- 894 -- 865 -- 987 -- 947
Less Urbanized -- 1,184 -- 1,207 -- 1,330 -- 1,303
Completely Rural -- 190 -- 190 -- 214 -- 209
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown feelings about peers data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
250420
Table 3.7B – Strongly Disapproved or Somewhat Disapproved of Peers’ Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Trying Marijuana Once or Twice Using Marijuana Once a Month or More Smoking Cigarettes Every Day Having One or Two Drinks of an Alcoholic Beverage Nearly Every Day
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL -- 76.6 -- 78.2 -- 89.4 -- 88.1
AGE GROUP                
12-13 -- 91.1 -- 92.1 -- 93.3 -- 92.8
14-15 -- 77.8 -- 79.9 -- 88.9 -- 87.6
16-17 -- 62.5 -- 64.3 -- 86.3 -- 84.3
SEX                
Male -- 78.1 -- 79.7 -- 90.1 -- 88.4
Female -- 75.1 -- 76.7 -- 88.6 -- 87.7
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 76.9 -- 78.7 -- 90.1 -- 88.8
AIAN -- 85.7 -- 84.1 -- 89.3 -- 86.4
Asian -- 89.8 -- 90.0 -- 95.6 -- 96.3
Black or African American -- 74.2 -- 75.3 -- 88.0 -- 85.8
NHPI -- * -- * -- * -- *
White -- 76.0 -- 78.5 -- 90.2 -- 88.7
Two or More Races -- 75.1 -- 75.5 -- 90.1 -- 90.6
Hispanic or Latino -- 76.0 -- 76.9 -- 87.2 -- 86.0
COUNTY TYPE                
Large Metro -- 75.8 -- 78.0 -- 89.1 -- 88.6
Small Metro -- 77.2 -- 78.4 -- 90.2 -- 87.9
Nonmetro -- 79.1 -- 78.9 -- 88.1 -- 85.8
Urbanized -- 79.5 -- 77.0 -- 87.7 -- 84.2
Less Urbanized -- 78.4 -- 80.1 -- 87.9 -- 86.5
Completely Rural -- 81.3 -- 80.7 -- 90.9 -- 88.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown feelings about peers data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
250410
Table 3.8A – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic Alcohol, Tobacco, or Drug Prevention Program Outside of School Problem-Solving, Communication Skills, or Self-Esteem Group Violence Prevention Program
2023 2024 2023 2024 2023 2024
TOTAL 1,860a 1,604 4,520 4,697 1,858b 1,436
AGE GROUP            
12-13 637 512 1,360 1,459 765b 565
14-15 705 598 1,665 1,669 602 502
16-17 518 495 1,495 1,570 491 369
SEX            
Male 922 805 2,237 2,318 899 808
Female 938 799 2,282 2,378 960b 628
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 1,365a 1,151 3,390 3,479 1,369b 1,023
AIAN 22 15 47 34 20 22
Asian 104 82 319 358 92a 39
Black or African American 317 252 626 732 387 334
NHPI * 2 * * * 5
White 857 730 2,216 2,102 800b 536
Two or More Races 60 70 174 234 65 88
Hispanic or Latino 495 453 1,129 1,218 489 413
COUNTY TYPE            
Large Metro 964 865 2,531 2,766 1,044b 764
Small Metro 563 510 1,467 1,464 566 491
Nonmetro 332 229 522 467 248 182
Urbanized 99 72 197 156 87a 49
Less Urbanized 172 146 272 275 138 114
Completely Rural * 12 53 36 23 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown prevention program or group participation data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250410
Table 3.8B – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic Alcohol, Tobacco, or Drug Prevention Program Outside of School Problem-Solving, Communication Skills, or Self-Esteem Group Violence Prevention Program
2023 2024 2023 2024 2023 2024
TOTAL 7.3a 6.3 18.1 18.7 7.3b 5.6
AGE GROUP            
12-13 8.2a 6.5 18.3 19.3 10.0b 7.2
14-15 7.8 6.8 18.7 19.4 6.7 5.8
16-17 5.9 5.5 17.3 17.6 5.6a 4.1
SEX            
Male 7.1 6.2 17.6 18.2 6.9 6.2
Female 7.5 6.4 18.6 19.3 7.7b 5.0
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 7.2a 6.1 18.4 18.9 7.3b 5.5
AIAN 9.9 7.5 20.6 16.9 8.6 10.6
Asian 7.2 5.5 23.3 25.2 6.5a 2.6
Black or African American 9.0 7.2 18.0 21.2 11.0 9.6
NHPI * 3.3 * * * 7.4
White 6.8 5.9 17.9 17.2 6.3b 4.3
Two or More Races 6.7 6.8 19.6 22.9 7.3 8.7
Hispanic or Latino 7.5 6.7 17.3 18.3 7.4 6.1
COUNTY TYPE            
Large Metro 6.9 6.0 18.4 19.6 7.5b 5.3
Small Metro 6.9 6.2 18.3 18.0 7.0 6.0
Nonmetro 10.0 8.0 16.0 16.6 7.5 6.4
Urbanized 8.2 6.4 16.7 14.0 7.3 4.4
Less Urbanized 9.4 9.7 15.2 18.6 7.6 7.6
Completely Rural * 5.0 18.4 16.4 7.6 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown prevention program or group participation data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250410
Table 3.9A – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic PHYSICAL DELINQUENT BEHAVIOR
Got into a Serious Fight at School or Work Took Part in a Group-Against-Group Fight Attacked Someone with the Intent to Seriously Hurt Them
2023 2024 2023 2024 2023 2024
TOTAL 4,021 4,072 2,399 2,392 1,292 1,220
AGE GROUP            
12-13 1,390 1,592 789 886 468 377
14-15 1,539 1,357 888 780 463 454
16-17 1,093 1,123 722 726 361 390
SEX            
Male 2,338 2,391 1,313 1,244 769 776
Female 1,683 1,681 1,085 1,148 523 444
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 2,984 3,106 1,788 1,736 1,006 944
AIAN 38a 63 36 34 14 13
Asian 146 139 92 91 36 44
Black or African American 824 879 461 493 331 364
NHPI * * * * 1 2
White 1,823 1,798 1,108 996 568 468
Two or More Races 139a 208 81 111 56 52
Hispanic or Latino 1,038 966 610 656 286 276
COUNTY TYPE            
Large Metro 2,134 2,211 1,305 1,378 700 607
Small Metro 1,286 1,376 778 753 391 461
Nonmetro 601 485 316 261 201 152
Urbanized 196 192 134a 84 84 53
Less Urbanized 339a 226 150 162 113 80
Completely Rural 66 67 32 16 5 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown delinquent behavior data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250410
Table 3.9B – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic PHYSICAL DELINQUENT BEHAVIOR
Got into a Serious Fight at School or Work Took Part in a Group-Against-Group Fight Attacked Someone with the Intent to Seriously Hurt Them
2023 2024 2023 2024 2023 2024
TOTAL 15.7 15.9 9.4 9.3 5.0 4.7
AGE GROUP            
12-13 17.8 20.0 10.1 11.1 6.0 4.7
14-15 17.0 15.5 9.8 8.9 5.1 5.2
16-17 12.5 12.6 8.3 8.1 4.1 4.4
SEX            
Male 17.9 18.3 10.0 9.5 5.9 5.9
Female 13.4 13.4 8.7 9.1 4.2 3.5
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 15.8 16.5 9.5 9.2 5.3 5.0
AIAN 16.2b 30.6 15.6 16.6 6.0 6.4
Asian 10.2 9.2 6.4 6.1 2.5 3.0
Black or African American 23.3 25.2 13.1 14.1 9.4 10.4
NHPI * * * * 1.2 2.0
White 14.4 14.4 8.7 8.0 4.5 3.7
Two or More Races 15.2 20.2 8.9 10.9 6.1 5.0
Hispanic or Latino 15.5 14.2 9.1 9.6 4.2 4.0
COUNTY TYPE            
Large Metro 15.2 15.3 9.3 9.5 5.0 4.2
Small Metro 15.7 16.6 9.5 9.1 4.8 5.6
Nonmetro 18.0 16.9 9.5 9.1 6.0 5.3
Urbanized 16.3 17.0 11.1a 7.4 7.0 4.7
Less Urbanized 18.6 15.1 8.2 10.8 6.1 5.3
Completely Rural 21.6 28.6 10.5 6.8 1.6 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown delinquent behavior data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250410
Table 3.10A – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic NONPHYSICAL DELINQUENT BEHAVIOR
Carried a Handgun Sold Illegal Drugs Stole or Tried to Steal Anything Worth More Than $50
2023 2024 2023 2024 2023 2024
TOTAL 1,278 1,133 347 331 1,029 939
AGE GROUP            
12-13 244 271 38 38 178 198
14-15 527a 369 109 79 467a 300
16-17 508 493 200 215 384 441
SEX            
Male 900 814 204 220 560 504
Female 379 319 142 112 469 435
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 920 853 253 232 728 650
AIAN 19 16 7 4 18 15
Asian 9 21 7 4 16 32
Black or African American 171 157 47 70 153 173
NHPI 1 2 * 1 * 4
White 669 602 167 135 481a 358
Two or More Races 52 56 25 16 57 68
Hispanic or Latino 358 280 94 99 300 289
COUNTY TYPE            
Large Metro 583 471 182 148 604 550
Small Metro 450 491 124 145 324 305
Nonmetro 245 171 42 38 101 83
Urbanized 57 82 11 18 36 30
Less Urbanized 167b 78 30 20 62 51
Completely Rural * 11 * <1 4 2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown delinquent behavior data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250410
Table 3.10B – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic NONPHYSICAL DELINQUENT BEHAVIOR
Carried a Handgun Sold Illegal Drugs Stole or Tried to Steal Anything Worth More Than $50
2023 2024 2023 2024 2023 2024
TOTAL 5.0 4.4 1.4 1.3 4.0 3.6
AGE GROUP            
12-13 3.1 3.4 0.5 0.5 2.3 2.5
14-15 5.8a 4.2 1.2 0.9 5.2a 3.4
16-17 5.8 5.5 2.3 2.4 4.4 4.9
SEX            
Male 6.9 6.2 1.6 1.7 4.3 3.8
Female 3.0 2.5 1.1 0.9 3.7 3.5
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 4.9 4.5 1.3 1.2 3.9 3.4
AIAN 8.0 7.6 3.0 2.0 7.6 7.5
Asian 0.6 1.4 0.5 0.3 1.1 2.1
Black or African American 4.8 4.5 1.3 2.0 4.3 4.9
NHPI 1.1 2.4 * 1.8 * 4.7
White 5.3 4.8 1.3 1.1 3.8a 2.9
Two or More Races 5.7 5.4 2.7 1.6 6.2 6.5
Hispanic or Latino 5.3 4.1 1.4 1.4 4.5 4.2
COUNTY TYPE            
Large Metro 4.2 3.2 1.3 1.0 4.3 3.8
Small Metro 5.5 5.9 1.5 1.7 4.0 3.7
Nonmetro 7.3 5.9 1.2 1.3 3.0 2.9
Urbanized 4.7 7.3 0.9 1.6 3.0 2.6
Less Urbanized 9.1a 5.1 1.6 1.3 3.4 3.4
Completely Rural * 4.8 * <0.1 1.2 1.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown delinquent behavior data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250411
Table 3.11A – Select Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic Youth Argued with at Least One Parent 10 or More Times in the Past Year Youth Was Approached by Someone Selling Drugs in the Past Month Youth Had Someone to Talk to about Problems1
2023 2024 2023 2024 2023 2024
TOTAL 4,768 4,575 1,702b 1,334 23,597b 23,138
AGE GROUP            
12-13 1,234 1,295 246 212 7,170 7,227
14-15 1,864 1,694 640a 473 8,316 7,833
16-17 1,671 1,586 816a 650 8,110 8,078
SEX            
Male 1,758 1,909 954a 757 12,149b 11,859
Female 3,011a 2,666 749a 577 11,448a 11,279
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 3,673 3,383 1,149b 873 17,392b 17,070
AIAN 31 * 26 16 194 174
Asian 278 259 55 28 1,306 1,377
Black or African American 367 367 241 231 3,149 2,977
NHPI 2 * * * 75 *
White 2,816a 2,463 759b 515 11,847 11,576
Two or More Races 180a 256 59 80 821 906
Hispanic or Latino 1,095 1,192 553 461 6,205a 6,068
COUNTY TYPE            
Large Metro 2,738 2,619 968a 727 12,986 13,194
Small Metro 1,399 1,456 544 475 7,523 7,344
Nonmetro 631 500 190 132 3,087 2,599
Urbanized 239 185 84 63 1,105 1,036
Less Urbanized 321 282 101 62 1,686 1,355
Completely Rural 71 33 5 * 296 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown risk or protective factors data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents were able to select multiple categories of people that they would talk to about a serious problem, including the choice of “nobody.” Respondents who reported both a person that they would talk to and that they had nobody to talk to were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
250411
Table 3.11B – Select Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic Youth Argued with at Least One Parent 10 or More Times in the Past Year Youth Was Approached by Someone Selling Drugs in the Past Month Youth Had Someone to Talk to about Problems1
2023 2024 2023 2024 2023 2024
TOTAL 18.9 18.1 6.6b 5.2 94.4b 92.6
AGE GROUP            
12-13 16.2 16.6 3.1 2.6 94.2 93.3
14-15 20.8 19.6 7.0a 5.3 94.0a 92.0
16-17 19.3 17.9 9.3a 7.2 95.1b 92.5
SEX            
Male 13.6 14.8 7.2a 5.7 94.9b 92.9
Female 24.4a 21.5 5.9a 4.6 93.9a 92.3
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 19.7 18.2 6.0b 4.6 94.4b 92.8
AIAN 13.3 * 11.1 7.8 87.8 88.0
Asian 20.0 17.8 3.8 1.8 93.8 93.9
Black or African American 10.5 10.5 6.8 6.5 92.6b 87.7
NHPI 2.4 * * * 97.4 *
White 22.5a 19.9 5.9b 4.1 95.1 94.5
Two or More Races 20.0 25.1 6.4 7.7 93.8 89.9
Hispanic or Latino 16.5 17.7 8.2 6.7 94.5b 91.9
COUNTY TYPE            
Large Metro 19.7 18.3 6.8b 5.0 94.6a 93.3
Small Metro 17.3 17.8 6.6 5.7 93.9b 91.5
Nonmetro 19.3 17.6 5.6 4.6 94.9a 92.2
Urbanized 20.6 16.5 6.9 5.5 94.9 93.1
Less Urbanized 17.9 18.9 5.4 4.1 94.4 91.9
Completely Rural 23.3 14.1 1.8 * 98.1 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown risk or protective factors data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents were able to select multiple categories of people that they would talk to about a serious problem, including the choice of “nobody.” Respondents who reported both a person that they would talk to and that they had nobody to talk to were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
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Table 3.12A – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic PARENTAL INVOLVEMENT
Parents Made Youth Do Chores around the House Parents Limited Amount of Time Youth Watched or Used Electronics (e.g., TV, Tablets, Video Games) Parents Let Youth Know He or She Had Done a Good Job Parents Let Youth Know They Were Proud of Something He or She Had Done
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 22,406 22,322 -- 12,424 21,346 21,602 20,841a 21,237
AGE GROUP                
12-13 6,807 6,883 -- 5,121 6,967 7,124 6,812 7,107
14-15 7,989 7,635 -- 4,186 7,485 7,277 7,243 7,172
16-17 7,610 7,804 -- 3,118 6,895 7,201 6,785 6,957
SEX                
Male 11,525 11,534 -- 6,401 11,341 11,249 11,170 11,118
Female 10,881 10,788 -- 6,023 10,005b 10,353 9,670b 10,119
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 16,428 16,331 -- 9,118 15,932 16,025 15,566 15,853
AIAN 198 174 -- 83 195 162 171 162
Asian 1,204 1,147 -- 884 1,128 1,232 1,051 1,204
Black or African American 3,220 3,125 -- 1,541 2,970 2,948 2,950 2,934
NHPI * * -- * * * * 75
White 10,949 10,938 -- 6,126 10,846 10,773 10,615 10,650
Two or More Races 785 882 -- 437 738 844 726 828
Hispanic or Latino 5,978 5,991 -- 3,305 5,414 5,577 5,275 5,384
COUNTY TYPE                
Large Metro 12,242 12,555 -- 7,208 11,770 12,183 11,527 12,009
Small Metro 7,264 7,224 -- 3,964 6,825 6,999 6,615 6,831
Nonmetro 2,901 2,544 -- 1,252 2,752 2,420 2,699 2,397
Urbanized 1,053 1,006 -- 471 959 951 938 956
Less Urbanized 1,568 1,328 -- 664 1,543 1,282 1,511 1,252
Completely Rural 280 * -- 117 * 187 250 189
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown parental involvement data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.12B – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic PARENTAL INVOLVEMENT
Parents Made Youth Do Chores around the House Parents Limited Amount of Time Youth Watched or Used Electronics (e.g., TV, Tablets, Video Games) Parents Let Youth Know He or She Had Done a Good Job Parents Let Youth Know They Were Proud of Something He or She Had Done
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 87.4 86.9 -- 48.4 83.4 84.2 81.7 82.7
AGE GROUP                
12-13 86.7 86.1 -- 64.4 89.2 89.2 87.4 88.9
14-15 88.3 87.2 -- 47.8 82.7 83.3 80.3 81.9
16-17 87.2 87.2 -- 34.8 79.0 80.6 77.9 77.9
SEX                
Male 87.9 88.0 -- 48.9 86.7 86.0 85.7 84.9
Female 86.9 85.7 -- 47.9 79.9a 82.3 77.5b 80.5
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 86.8 86.7 -- 48.5 84.3 85.0 82.6 84.1
AIAN 85.5 84.1 -- 40.3 84.2 78.2 75.3 78.3
Asian 83.5 77.0 -- 59.4 78.9 82.3 74.3 80.3
Black or African American 90.7 88.8 -- 43.8 84.0 83.8 83.7 83.4
NHPI * * -- * * * * 92.5
White 86.1 87.4 -- 49.0 85.4 86.1 83.6 85.1
Two or More Races 86.4 85.7 -- 42.4 81.0 81.8 80.1 80.4
Hispanic or Latino 89.3 87.5 -- 48.3 80.8 81.9 79.1 78.9
COUNTY TYPE                
Large Metro 86.8 86.4 -- 49.6 83.6 84.0 82.2 82.7
Small Metro 88.8 87.2 -- 48.0 83.5 84.5 80.9 82.5
Nonmetro 86.6 88.6 -- 43.6 82.6 84.4 81.3 83.2
Urbanized 87.4 88.8 -- 41.9 80.0 84.1 78.4a 84.4
Less Urbanized 85.2 88.4 -- 43.9 84.3 84.8 82.9 82.8
Completely Rural 91.6 * -- 49.4 * 82.5 83.6 80.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown parental involvement data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.13A – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic STUDENT CHARACTERISTICS
Participated in One or Fewer Activities1 Saw or Heard Drug or Alcohol Prevention Messages in School Youth Liked a Lot or Kind of Liked Going to School Grade Average for Last Completed Period Was “D” or Lower2
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 4,228 4,319 16,083 16,211 17,199 17,562 995 977
AGE GROUP                
12-13 1,083 1,169 4,587 4,686 5,306 5,494 200 216
14-15 1,498 1,356 6,108 6,115 6,044 6,091 390 339
16-17 1,647 1,794 5,388 5,410 5,849 5,977 405 421
SEX                
Male 2,224 2,415 7,851 7,942 9,029 9,000 489 482
Female 2,004 1,904 8,231 8,269 8,170 8,562 507 495
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,836 2,901 12,055 12,053 12,622 12,808 699 638
AIAN 38 50 115 110 158a 109 13 16
Asian 86 170 1,090 1,112 1,114 1,136 15 6
Black or African American 512 591 1,962 1,864 2,305 2,346 137 167
NHPI * * * * * * * *
White 2,009 1,902 8,252 8,287 8,402 8,493 455 388
Two or More Races 170 171 611 654 608 672 59 48
Hispanic or Latino 1,392 1,419 4,027 4,157 4,578 4,754 296 339
COUNTY TYPE                
Large Metro 2,197 2,485 8,925 9,170 9,610 10,184 464 496
Small Metro 1,397 1,329 5,155 5,244 5,599 5,513 380 344
Nonmetro 634 505 2,002 1,797 1,990 1,864 151 137
Urbanized 255 203 729 683 706 741 58 58
Less Urbanized 358a 250 1,060 973 1,081 982 84 72
Completely Rural * * * 141 * 142 10 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown student characteristics data were excluded from the respective analyses.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12 months were excluded from the respective analyses. Youths reporting that they were “home-schooled” in the past 12 months were considered to be enrolled in school.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The number of activities participated in is based on four questions: participation in school-based activities, community-based activities, church or faith-based activities, and other activities. For each question, the response categories include “none,” “one,” “two,” and “3 or more.” Respondents were excluded from the respective analyses if they had unknown data for at least three of the questions and if their known responses did not place them in the recoded “two or more” category.
2 Respondents reporting that their school does not give these grades were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
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Table 3.13B – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic STUDENT CHARACTERISTICS
Participated in One or Fewer Activities1 Saw or Heard Drug or Alcohol Prevention Messages in School Youth Liked a Lot or Kind of Liked Going to School Grade Average for Last Completed Period Was “D” or Lower2
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 17.7 18.0 68.1 68.5 71.9 72.9 4.4 4.3
AGE GROUP                
12-13 15.1 15.9 64.8 65.0 73.3 74.2 3.1 3.2
14-15 17.5 16.5 72.3 75.2 70.6a 73.8 4.8 4.4
16-17 20.3 21.4 66.7 65.0 71.9 70.9 5.2 5.2
SEX                
Male 18.4 19.9 65.8 66.3 74.5 73.8 4.3 4.2
Female 17.0 16.1 70.5 70.8 69.1a 72.0 4.6 4.4
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 16.0 16.4 68.9 69.0 71.1 72.0 4.2 3.8
AIAN 19.8 29.7 62.7 66.5 81.9b 64.8 7.3 10.2
Asian 6.3 11.7 82.1 78.2 81.2 78.7 1.2 0.4
Black or African American 16.4 19.1 64.1 60.5 73.3 74.8 4.6 5.6
NHPI * * * * * * * *
White 16.6 15.9 68.6 70.2 69.3 70.7 4.0 3.4
Two or More Races 20.2 17.4 72.7 68.4 71.2 68.5 7.3 5.3
Hispanic or Latino 22.6 22.7 66.0 67.3 74.1 75.6 5.1 5.8
COUNTY TYPE                
Large Metro 16.7 18.3 68.8 68.3 72.9 74.4 3.7 3.8
Small Metro 18.3 17.2 68.4 69.1 73.2 71.2 5.3 4.7
Nonmetro 20.5 19.1 64.9 68.0 64.1a 70.1 5.3 5.5
Urbanized 22.9 19.5 65.8 66.4 63.3a 71.3 5.7 6.0
Less Urbanized 21.1 17.9 62.5a 69.1 63.3 69.5 5.3 5.4
Completely Rural * * * 67.6 * 67.2 3.6 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents with unknown student characteristics data were excluded from the respective analyses.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12 months were excluded from the respective analyses. Youths reporting that they were “home-schooled” in the past 12 months were considered to be enrolled in school.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The number of activities participated in is based on four questions: participation in school-based activities, community-based activities, church or faith-based activities, and other activities. For each question, the response categories include “none,” “one,” “two,” and “3 or more.” Respondents were excluded from the respective analyses if they had unknown data for at least three of the questions and if their known responses did not place them in the recoded “two or more” category.
2 Respondents reporting that their school does not give these grades were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
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Table 3.14A – Students Enrolled in School in Past Year Who Always or Sometimes Had Adult Involvement through Specific School-Related Behaviors: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic ADULT INVOLVEMENT
Teacher Let Youth Know He or She Was Doing a Good Job with School Work Parents Checked That Youth Did Homework Parents Provided Help with Homework Parents Limited Time Youth Went Out with Friends on a School Night
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 17,799 18,080 18,992 19,308 18,693 18,873 13,553 13,896
AGE GROUP                
12-13 5,692 6,048 6,054 6,309 6,183 6,381 4,393 4,651
14-15 6,329 6,093 6,977 6,769 6,806 6,635 4,915 4,882
16-17 5,777 5,940 5,960 6,231 5,704 5,857 4,245 4,363
SEX                
Male 9,232 9,304 10,003 10,008 9,677 9,500 6,655 6,696
Female 8,567 8,776 8,989 9,301 9,016 9,373 6,898 7,199
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 13,016 13,302 14,037 14,191 14,183 14,247 9,890 10,099
AIAN 136 121 157 * 158 148 104 90
Asian 1,048 1,129 1,047 1,205 1,000 1,134 790 854
Black or African American 2,573 2,652 2,522 2,490 2,471 2,389 1,914 1,820
NHPI * * * * * * * *
White 8,559 8,641 9,609 9,528 9,857 9,754 6,597 6,767
Two or More Races 650 713 661 773 654 780 455 533
Hispanic or Latino 4,782 4,778 4,954 5,117 4,510 4,626 3,663 3,797
COUNTY TYPE                
Large Metro 9,993 10,365 10,469 11,133 10,125 10,656 7,299 7,771
Small Metro 5,608 5,775 6,090 6,115 6,060 6,038 4,481 4,492
Nonmetro 2,197 1,940 2,432 2,059 2,508 2,179 1,773 1,633
Urbanized 764 768 850 799 867 868 616 605
Less Urbanized 1,213 1,013 1,363 1,091 1,440 1,156 982 910
Completely Rural 220 159 219 * 201 155 175 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12 months were excluded from the respective analyses. Youths reporting that they were “home-schooled” in the past 12 months were considered to be enrolled in school.
NOTE: Respondents with unknown adult involvement data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250414
Table 3.14B – Students Enrolled in School in Past Year Who Always or Sometimes Had Adult Involvement through Specific School-Related Behaviors: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic ADULT INVOLVEMENT
Teacher Let Youth Know He or She Was Doing a Good Job with School Work Parents Checked That Youth Did Homework Parents Provided Help with Homework Parents Limited Time Youth Went Out with Friends on a School Night
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 74.5 75.3 79.8 80.5 78.6 78.9 58.1 59.0
AGE GROUP                
12-13 78.8a 82.1 84.4 85.8 86.3 86.9 63.5 65.3
14-15 74.0 74.1 81.9 82.4 79.9 80.8 58.8 60.5
16-17 71.0 70.6 73.5 74.1 70.5 69.9 52.7 52.3
SEX                
Male 76.4 76.6 83.1 82.6 80.7 78.6 56.7 56.5
Female 72.4 74.0 76.4 78.4 76.4a 79.2 59.5 61.6
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 73.4 75.0 79.4 80.2 80.5 80.6 57.1 58.1
AIAN 70.6 72.2 81.9 * 82.3 88.1 54.3 54.9
Asian 76.5 78.3 77.2a 83.2 74.2 78.4 59.5 61.4
Black or African American 81.8 84.8 80.6 79.6 79.5 77.0 62.2 59.6
NHPI * * * * * * * *
White 70.7 72.3 79.5 79.9 81.7 81.8 55.8 57.6
Two or More Races 76.3 72.8 78.4 79.7 77.6 80.4 55.2 55.5
Hispanic or Latino 77.5 76.1 80.7 81.5 73.3 73.9 60.8 61.6
COUNTY TYPE                
Large Metro 75.9 76.0 79.9 81.6 77.3 78.4 56.9 58.3
Small Metro 73.4 74.8 80.0 79.5 79.7 78.6 59.7 59.3
Nonmetro 71.0 73.3 78.6 78.0 81.5 82.1 59.0 62.2
Urbanized 68.7 74.0 76.3 77.3 78.3 83.9 57.0 59.0
Less Urbanized 71.3 72.5 80.2 78.1 84.7 82.0 59.7 65.0
Completely Rural 77.6 75.5 77.5 * 74.5 73.4 63.0 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12 months were excluded from the respective analyses. Youths reporting that they were “home-schooled” in the past 12 months were considered to be enrolled in school.
NOTE: Respondents with unknown adult involvement data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.15A – Students Enrolled in School in Past Year who Perceived That All or Most Students in Grade Level Use Specific Substances: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic/Geographic Characteristic SUBSTANCE USE OF STUDENTS IN GRADE LEVEL
Smoke Cigarettes Use Marijuana Drink Alcoholic Beverages Get Drunk at Least Once a Week
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 2,891 2,853 5,777a 5,257 6,064 5,895 2,087 2,171
AGE GROUP                
12-13 528 458 468 425 376 388 102 121
14-15 1,174 1,112 2,115a 1,790 1,983 1,812 748 680
16-17 1,189 1,284 3,194 3,041 3,705 3,695 1,237 1,370
SEX                
Male 1,091 1,150 2,363 2,089 2,221 2,140 748 739
Female 1,800 1,703 3,414 3,167 3,843 3,755 1,338 1,432
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 1,856 1,904 3,969 3,602 4,359 4,171 1,485 1,471
AIAN 30 19 45 26 29 26 17 14
Asian 116 111 144 140 231 261 54 66
Black or African American 465 488 1,075 1,025 759 822 393 352
NHPI * * * * * * * *
White 1,126 1,120 2,440a 2,126 3,118 2,779 929 932
Two or More Races 95a 155 226 276 212 275 86 104
Hispanic or Latino 1,035 949 1,808 1,655 1,706 1,724 602 700
COUNTY TYPE                
Large Metro 1,444 1,663 3,254 2,947 3,408 3,387 1,161 1,196
Small Metro 1,076b 834 1,876 1,756 1,917 1,850 648 709
Nonmetro 372 356 647 554 739 657 278 265
Urbanized 138 118 268 234 283 236 110 97
Less Urbanized 222 221 340 299 395 383 159 153
Completely Rural 12 17 * 21 62 38 * 16
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Youths who did not report their school enrollment status, reported not being enrolled in school in the past 12 months, or reported that they were “home-schooled” in the past 12 months were excluded from the respective analyses.
NOTE: Respondents with unknown substance use in grade level data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 3.15B – Students Enrolled in School in Past Year who Perceived That All or Most Students in Grade Level Use Specific Substances: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2023 and 2024
Demographic/Geographic Characteristic SUBSTANCE USE OF STUDENTS IN GRADE LEVEL
Smoke Cigarettes Use Marijuana Drink Alcoholic Beverages Get Drunk at Least Once a Week
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 12.6 12.4 25.4b 22.9 26.7 25.7 9.2 9.6
AGE GROUP                
12-13 7.7 6.5 6.9 6.1 5.5 5.6 1.5 1.7
14-15 14.3 14.0 26.0a 22.6 24.6 23.0 9.3 8.7
16-17 15.2 15.8 40.6 37.6 47.3 45.5 16.0 17.3
SEX                
Male 9.5 9.9 20.5a 18.1 19.4 18.5 6.6 6.5
Female 15.9 14.9 30.4 27.9 34.2 33.0 12.0 12.8
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 10.9 11.2 23.5a 21.3 25.8 24.6 8.8 8.8
AIAN 16.6 12.2 25.3 17.3 16.3 17.2 9.6 8.8
Asian 8.7 8.0 11.2 10.3 17.7 19.0 4.2 4.9
Black or African American 15.4 16.3 35.8 34.2 25.4 27.5 13.3 12.0
NHPI * * * * * * * *
White 9.7 9.7 21.1a 18.6 27.0a 24.3 8.1 8.2
Two or More Races 11.6 16.6 27.5 29.3 26.0 29.5 10.6 11.2
Hispanic or Latino 17.6 15.6 31.0 27.7 29.3 28.7 10.4 11.8
COUNTY TYPE                
Large Metro 11.4 12.6 25.9b 22.5 27.3 25.8 9.3 9.3
Small Metro 14.7b 11.3 25.9 23.9 26.3 25.2 9.0 9.8
Nonmetro 12.6 14.1 22.0 22.2 25.0 26.2 9.4 10.7
Urbanized 12.8 12.0 25.3 24.1 26.5 24.2 10.5 10.1
Less Urbanized 13.8 16.5 21.2 22.5 24.4 28.6 9.8 11.6
Completely Rural 4.5 8.5 * 10.7 22.4 19.7 * 8.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Youths who did not report their school enrollment status, reported not being enrolled in school in the past 12 months, or reported that they were “home-schooled” in the past 12 months were excluded from the respective analyses.
NOTE: Respondents with unknown substance use in grade level data were excluded from the respective analyses.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.

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