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250416
Table 3.1C – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, Standard Errors of 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 926 934 148 152 894 919 139 159 865 896
Smoke Once or Twice a Week 983 987 163 166 956 976 166 172 929 953
Cocaine                    
Use Once a Month 1,039 1,022 185 193 1,024 1,003 227 213 969 964
Use Once or Twice a Week 792 780 142 146 784 761 180 182 756 739
Heroin                    
Try Once or Twice 751 794 175 195 717 759 191 179 679 717
Use Once or Twice a Week 553 562 139 151 522 535 131 140 501 521
LSD                    
Try Once or Twice 1,080 1,036 177 173 1,058 1,020 224 211 1,001 978
Use Once or Twice a Week 875 896 170 169 859 886 215 205 826 840
Cigarettes                    
Smoke One or More Packs Per Day 942 1,002 160 165 920 989 211 212 906 945
Alcohol                    
Have Five or More Drinks Once or Twice a Week 1,025 1,030 174 174 1,002 1,002 217 207 972 978
Have Four or Five Drinks Nearly Every Day 944 889 156 166 926 872 219 210 899 843
PERCEIVED AVAILABILITY2                    
Fairly or Very Easy to Obtain                    
Marijuana 1,044 1,112 181 166 1,012 1,075 208 219 974 1,040
Cocaine 819 855 100 84 804 847 178 190 773 823
Crack 720 797 92 83 713 792 142 156 699 776
Heroin 676 738 79 72 669 732 124 147 650 710
LSD 628 711 97 84 615 704 171 174 593 682
Approached in the Past Month by Someone Selling Drugs 371 346 88 76 358 335 112 110 334 309
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 3.1D – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, Standard Errors of 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 0.33 0.33 0.59 0.60 0.35 0.36 0.41 0.46 0.39 0.40
Smoke Once or Twice a Week 0.35 0.35 0.65 0.65 0.38 0.38 0.49 0.50 0.42 0.43
Cocaine                    
Use Once a Month 0.37 0.36 0.74 0.77 0.40 0.39 0.68 0.62 0.44 0.43
Use Once or Twice a Week 0.28 0.28 0.56 0.58 0.31 0.30 0.54 0.53 0.34 0.33
Heroin                    
Try Once or Twice 0.27 0.28 0.70 0.78 0.28 0.30 0.57 0.52 0.31 0.32
Use Once or Twice a Week 0.20 0.20 0.56 0.61 0.21 0.21 0.39 0.41 0.23 0.23
LSD                    
Try Once or Twice 0.39 0.37 0.73 0.73 0.42 0.40 0.68 0.62 0.46 0.44
Use Once or Twice a Week 0.32 0.32 0.70 0.71 0.34 0.35 0.65 0.60 0.38 0.38
Cigarettes                    
Smoke One or More Packs Per Day 0.34 0.35 0.63 0.65 0.36 0.38 0.63 0.61 0.41 0.42
Alcohol                    
Have Five or More Drinks Once or Twice a Week 0.37 0.36 0.69 0.68 0.39 0.39 0.65 0.60 0.44 0.44
Have Four or Five Drinks Nearly Every Day 0.34 0.31 0.62 0.65 0.36 0.34 0.65 0.61 0.41 0.38
PERCEIVED AVAILABILITY2                    
Fairly or Very Easy to Obtain                    
Marijuana 0.38 0.40 0.73 0.67 0.40 0.42 0.62 0.64 0.45 0.47
Cocaine 0.30 0.31 0.40 0.34 0.33 0.34 0.54 0.56 0.36 0.38
Crack 0.27 0.29 0.37 0.34 0.29 0.32 0.43 0.46 0.33 0.36
Heroin 0.25 0.27 0.32 0.29 0.27 0.29 0.38 0.43 0.30 0.33
LSD 0.23 0.26 0.40 0.35 0.25 0.28 0.52 0.52 0.28 0.31
Approached in the Past Month by Someone Selling Drugs 0.13 0.12 0.34 0.29 0.14 0.13 0.33 0.32 0.15 0.14
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 3.1P – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.3016   0.0739   0.4468   0.0030   0.7517  
Smoke Once or Twice a Week 0.3513   0.0284   0.5415   0.0045   0.8994  
Cocaine                    
Use Once a Month 0.8695   0.7035   0.7753   0.0117   0.3969  
Use Once or Twice a Week 0.5433   0.8020   0.5890   0.0020   0.8202  
Heroin                    
Try Once or Twice 0.5110   0.7639   0.4708   0.8595   0.4938  
Use Once or Twice a Week 0.4977   0.2132   0.6440   0.9804   0.6535  
LSD                    
Try Once or Twice 0.6422   0.9076   0.5610   0.0611   0.3193  
Use Once or Twice a Week 0.8547   0.5593   0.8810   0.0154   0.4483  
Cigarettes                    
Smoke One or More Packs Per Day 0.0935   0.2574   0.1245   0.8648   0.1088  
Alcohol                    
Have Five or More Drinks Once or Twice a Week 0.1069   0.0196   0.2147   0.0097   0.4669  
Have Four or Five Drinks Nearly Every Day 0.0249   0.1872   0.0122   0.0121   0.0476  
PERCEIVED AVAILABILITY2                    
Fairly or Very Easy to Obtain                    
Marijuana 0.5133   0.0000   0.1969   0.1654   0.1043  
Cocaine 0.4433   0.3241   0.4642   0.0322   0.8087  
Crack 0.8647   0.4275   0.8992   0.7464   0.8509  
Heroin 0.4115   0.0985   0.4818   0.3085   0.6142  
LSD 0.1514   0.0006   0.3153   0.0004   0.9429  
Approached in the Past Month by Someone Selling Drugs 0.0006   0.0011   0.0055   0.2841   0.0083  
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 3.2C – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 148 152 163 166 185 193 142 146
AGE GROUP                
12-13 102 115 134 141 128 139 167 181
14-15 104 104 132 136 158 168 209 207
16-17 85 96 104 115 169 167 211 212
SEX                
Male 102 111 112 123 128 131 98 102
Female 105 102 118 118 123 129 101 104
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 118 125 140 138 152 154 116 121
AIAN 13 9 15 12 15 12 18 20
Asian 46 68 70 89 63 83 95 107
Black or African American 69 59 78 67 110 102 136 124
NHPI * * * * * * * *
White 119 125 161 166 198 194 270 279
Two or More Races 24 29 33 31 35 39 48 49
Hispanic or Latino 86 86 83 93 98 104 83 88
COUNTY TYPE                
Large Metro 150 162 180 201 252 240 352 340
Small Metro 105 99 133 137 164 162 223 228
Nonmetro 82 56 99 68 122 139 159 160
Urbanized 46 31 50 39 63 112 86 121
Less Urbanized 54 44 71 57 105 79 130 102
Completely Rural * 18 * 19 38 * 62 42
* = 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.
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 3.2D – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.59 0.60 0.65 0.65 0.74 0.77 0.56 0.58
AGE GROUP                
12-13 1.09 1.14 1.16 1.20 1.18 1.27 1.02 1.15
14-15 0.96 0.99 1.13 1.19 1.16 1.28 0.93 1.03
16-17 0.85 0.93 0.99 1.02 1.25 1.20 0.91 0.88
SEX                
Male 0.80 0.86 0.87 0.95 1.00 1.02 0.77 0.79
Female 0.85 0.83 0.95 0.95 1.00 1.05 0.82 0.85
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.64 0.67 0.75 0.74 0.82 0.83 0.63 0.66
AIAN 4.62 3.85 4.76 4.74 4.48 4.95 3.91 3.29
Asian 2.52 3.43 2.91 3.12 2.89 3.23 2.62 2.30
Black or African American 1.59 1.47 1.60 1.54 1.73 1.73 1.58 1.51
NHPI * * * * * * * *
White 0.78 0.80 0.91 0.91 1.01 1.06 0.79 0.83
Two or More Races 2.33 2.43 2.69 2.39 2.87 2.80 2.15 2.19
Hispanic or Latino 1.30 1.28 1.25 1.39 1.48 1.56 1.26 1.32
COUNTY TYPE                
Large Metro 0.80 0.85 0.85 0.91 1.02 0.99 0.84 0.79
Small Metro 0.97 0.96 1.14 1.06 1.14 1.17 0.92 0.96
Nonmetro 1.78 1.42 1.84 2.09 1.86 2.38 1.28 1.59
Urbanized 2.97 2.08 2.80 3.86 2.62 5.02 2.04 2.86
Less Urbanized 1.97 1.89 2.38 2.35 2.77 2.24 1.82 2.07
Completely Rural * 5.49 * 6.12 4.85 * 3.93 3.81
* = 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.
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 3.2P – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0739   0.0284   0.7035   0.8020  
AGE GROUP                
12-13 0.1081   0.4780   0.8388   0.3350  
14-15 0.5307   0.0372   0.6363   0.9348  
16-17 0.3755   0.3811   0.9966   0.5443  
SEX                
Male 0.0400   0.0382   0.8772   0.8357  
Female 0.6937   0.3511   0.6769   0.8905  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.2852   0.5745   0.8830   0.7724  
AIAN 0.7147   0.9576   0.3230   0.0331  
Asian 0.0396   0.1991   0.0201   0.0945  
Black or African American 0.2114   0.2383   0.1739   0.4369  
NHPI *   *   *   *  
White 0.4120   0.4050   0.7869   0.7229  
Two or More Races 0.3481   0.5571   0.9288   0.4124  
Hispanic or Latino 0.1194   0.0018   0.3615   0.4140  
COUNTY TYPE                
Large Metro 0.0127   0.0071   0.4747   0.6626  
Small Metro 0.9646   0.7401   0.5433   0.6743  
Nonmetro 0.7201   0.8275   0.4828   0.5781  
Urbanized 0.2323   0.8023   0.3500   0.8669  
Less Urbanized 0.4957   0.4901   0.7446   0.8092  
Completely Rural *   *   *   0.2210  
* = 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.
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 3.3C – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 175 195 139 151 177 173 170 169
AGE GROUP                
12-13 136 144 160 166 120 124 147 154
14-15 171 177 216 205 138 144 183 181
16-17 184 187 216 217 140 144 178 172
SEX                
Male 116 131 98 101 123 122 124 118
Female 123 130 100 105 117 121 110 112
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 152 154 115 124 147 146 143 146
AIAN 18 11 19 20 14 11 16 16
Asian 71 81 97 101 63 73 85 92
Black or African American 112 113 125 120 93 91 111 102
NHPI * * * * * * * *
White 214 216 273 278 170 170 232 234
Two or More Races 41 42 46 47 33 34 41 41
Hispanic or Latino 97 100 82 89 99 94 92 93
COUNTY TYPE                
Large Metro 285 275 348 329 216 211 282 267
Small Metro 175 171 226 232 144 135 191 189
Nonmetro 125 152 157 164 98 100 133 137
Urbanized 71 114 92 122 57 72 73 96
Less Urbanized 102 96 125 106 79 67 110 98
Completely Rural 48 * * 39 * * 50 36
* = 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.
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 3.3D – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.70 0.78 0.56 0.61 0.73 0.73 0.70 0.71
AGE GROUP                
12-13 1.21 1.29 1.10 1.15 1.22 1.26 1.16 1.22
14-15 1.12 1.27 0.90 1.03 1.20 1.21 1.19 1.15
16-17 1.22 1.17 0.90 0.89 1.20 1.22 1.15 1.16
SEX                
Male 0.92 1.03 0.77 0.79 1.00 1.00 1.01 0.97
Female 1.01 1.07 0.82 0.86 0.99 1.04 0.93 0.96
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.83 0.84 0.63 0.68 0.82 0.83 0.81 0.84
AIAN 4.13 4.94 3.49 3.54 4.72 4.72 4.46 4.96
Asian 3.29 3.18 2.66 2.74 3.25 3.10 3.16 2.76
Black or African American 1.76 1.69 1.54 1.63 1.81 1.78 1.90 1.77
NHPI * * * * * * * *
White 0.97 1.09 0.76 0.84 1.02 1.05 0.97 1.06
Two or More Races 2.73 2.71 1.97 1.91 2.80 2.73 2.37 2.37
Hispanic or Latino 1.49 1.51 1.24 1.36 1.56 1.47 1.44 1.46
COUNTY TYPE                
Large Metro 1.01 1.00 0.80 0.85 1.06 1.04 1.02 0.99
Small Metro 1.13 1.18 0.94 0.94 1.18 1.14 1.16 1.17
Nonmetro 1.56 2.30 1.31 1.54 1.77 1.73 1.62 1.76
Urbanized 2.53 4.48 1.55 2.83 2.78 2.90 2.54 2.66
Less Urbanized 2.24 2.59 1.84 1.92 2.49 2.26 2.28 2.57
Completely Rural 4.62 * * 3.99 * * 3.80 5.52
* = 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.
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 3.3P – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.7639   0.2132   0.9076   0.5593  
AGE GROUP                
12-13 0.1703   0.2888   0.4407   0.3830  
14-15 0.1624   0.0172   0.3341   0.3084  
16-17 0.7250   0.4484   0.6459   0.4510  
SEX                
Male 0.4740   0.8914   0.8540   0.6354  
Female 0.8021   0.1078   0.9854   0.1636  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.7801   0.2106   0.8308   0.8355  
AIAN 0.3016   0.1110   0.5290   0.5207  
Asian 0.0418   0.5966   0.0184   0.0381  
Black or African American 0.6781   0.4256   0.7200   0.2665  
NHPI *   *   *   *  
White 0.2820   0.2139   0.8113   0.8883  
Two or More Races 0.8834   0.6614   0.5201   0.1744  
Hispanic or Latino 0.8853   0.7480   0.9017   0.4822  
COUNTY TYPE                
Large Metro 0.9967   0.1396   0.4243   0.5154  
Small Metro 0.4123   0.4898   0.2507   0.7114  
Nonmetro 0.5547   0.2685   0.6702   0.4570  
Urbanized 0.5220   0.7048   0.8731   0.4630  
Less Urbanized 0.6124   0.3866   0.3227   0.5026  
Completely Rural *   *   *   0.5386  
* = 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.
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 3.4C – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 160 165 174 174 156 166
AGE GROUP            
12-13 157 169 129 147 169 177
14-15 181 186 152 144 195 189
16-17 182 187 141 160 194 196
SEX            
Male 116 120 125 127 121 115
Female 106 119 120 120 106 108
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 133 140 144 136 131 138
AIAN 16 18 12 11 15 18
Asian 85 93 71 99 102 110
Black or African American 114 102 116 92 129 104
NHPI * * * * * *
White 238 250 165 179 247 265
Two or More Races 42 43 33 32 46 48
Hispanic or Latino 102 87 101 97 92 96
COUNTY TYPE            
Large Metro 305 301 235 243 330 326
Small Metro 190 198 149 151 211 211
Nonmetro 128 115 98 91 134 116
Urbanized 68 78 53 51 82 75
Less Urbanized 101 85 80 74 104 90
Completely Rural 54 * 34 * 42 *
* = 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.
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 3.4D – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.63 0.65 0.69 0.68 0.62 0.65
AGE GROUP            
12-13 1.10 1.24 1.21 1.16 1.09 1.07
14-15 1.06 1.11 1.14 1.18 0.99 1.10
16-17 1.14 1.08 1.15 1.17 1.07 1.14
SEX            
Male 0.89 0.92 0.96 0.97 0.94 0.88
Female 0.86 0.96 0.96 0.96 0.85 0.87
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.71 0.75 0.77 0.73 0.70 0.73
AIAN 4.50 4.43 4.45 4.63 4.40 4.31
Asian 2.71 3.02 2.96 2.96 2.30 2.77
Black or African American 1.76 1.66 1.73 1.55 1.65 1.55
NHPI * * * * * *
White 0.86 0.91 0.93 0.90 0.84 0.91
Two or More Races 2.46 2.58 2.79 2.45 2.42 2.40
Hispanic or Latino 1.54 1.30 1.51 1.43 1.39 1.43
COUNTY TYPE            
Large Metro 0.87 0.91 1.03 0.94 0.85 0.91
Small Metro 1.13 1.09 1.06 1.14 1.12 1.07
Nonmetro 1.58 1.66 1.63 1.90 1.51 1.65
Urbanized 2.41 2.40 2.24 2.57 2.43 2.40
Less Urbanized 2.24 2.30 2.37 2.80 2.26 2.42
Completely Rural 4.42 * 4.45 * 5.52 *
* = 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.
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 3.4P – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.2574   0.0196   0.1872  
AGE GROUP            
12-13 0.7604   0.0669   0.5545  
14-15 0.7130   0.9379   0.4798  
16-17 0.0616   0.0148   0.3040  
SEX            
Male 0.7410   0.2742   0.2654  
Female 0.1946   0.0284   0.4330  
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.5962   0.0602   0.3963  
AIAN 0.4218   0.9045   0.3380  
Asian 0.7290   0.0011   0.3458  
Black or African American 0.2449   0.0788   0.0017  
NHPI *   *   *  
White 0.9130   0.0475   0.4591  
Two or More Races 0.6041   0.9248   0.6737  
Hispanic or Latino 0.2453   0.1834   0.2834  
COUNTY TYPE            
Large Metro 0.0862   0.0109   0.0606  
Small Metro 0.9182   0.9374   0.7657  
Nonmetro 0.5996   0.6495   0.7670  
Urbanized 0.4580   0.9678   0.5006  
Less Urbanized 0.8615   0.7907   0.7145  
Completely Rural *   *   *  
* = 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.
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.
250418
Table 3.5C – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 181 166 100 84 92 83 79 72 97 84
AGE GROUP                    
12-13 73 65 44 39 39 42 29 39 31 31
14-15 145 124 57 58 56 55 51 36 64 39
16-17 179 174 66 61 63 58 51 50 77 73
SEX                    
Male 124 115 66 62 59 58 51 51 71 56
Female 122 114 71 64 65 64 57 52 66 67
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 142 139 79 66 74 68 57 59 75 68
AIAN 8 7 3 2 4 3 3 3 6 3
Asian 53 36 21 23 25 22 14 22 21 20
Black or African American 80 72 32 33 33 30 30 26 31 26
NHPI * * * * * * 1 * * *
White 171 171 68 63 60 64 46 52 72 64
Two or More Races 32 33 13 10 12 9 9 9 14 9
Hispanic or Latino 105 89 59 54 55 48 52 41 60 47
COUNTY TYPE                    
Large Metro 217 192 78 75 74 74 57 61 86 75
Small Metro 146 123 63 47 56 46 50 40 62 48
Nonmetro 92 84 32 32 34 23 34 23 31 24
Urbanized 51 59 20 22 23 10 14 8 21 12
Less Urbanized 77 60 23 22 23 20 29 21 21 19
Completely Rural 23 16 8 9 11 8 * 7 * 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.
NOTE: Respondents with unknown perceived availability data were excluded from the respective analyses.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2023 and 2024.
250418
Table 3.5D – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.73 0.67 0.40 0.34 0.37 0.34 0.32 0.29 0.40 0.35
AGE GROUP                    
12-13 0.89 0.79 0.59 0.51 0.53 0.54 0.40 0.51 0.43 0.42
14-15 1.16 1.13 0.63 0.64 0.62 0.62 0.56 0.42 0.69 0.48
16-17 1.26 1.20 0.72 0.64 0.68 0.60 0.57 0.54 0.81 0.76
SEX                    
Male 0.97 0.90 0.52 0.49 0.47 0.46 0.40 0.40 0.57 0.46
Female 0.99 0.94 0.58 0.54 0.53 0.54 0.47 0.44 0.55 0.57
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.77 0.76 0.43 0.37 0.40 0.38 0.31 0.33 0.42 0.39
AIAN 3.46 3.22 1.54 1.26 1.66 1.37 1.58 1.38 2.53 1.34
Asian 2.90 2.23 1.49 1.53 1.73 1.47 1.00 1.48 1.38 1.37
Black or African American 1.77 1.50 0.88 0.90 0.90 0.82 0.83 0.73 0.86 0.75
NHPI * * * * * * 0.77 * * *
White 0.93 0.94 0.53 0.48 0.46 0.50 0.36 0.42 0.55 0.50
Two or More Races 2.58 2.43 1.37 0.98 1.31 0.89 1.04 0.87 1.55 0.90
Hispanic or Latino 1.59 1.34 0.90 0.82 0.84 0.74 0.80 0.63 0.93 0.74
COUNTY TYPE                    
Large Metro 1.04 0.93 0.55 0.49 0.51 0.50 0.40 0.41 0.57 0.51
Small Metro 1.17 0.96 0.70 0.53 0.64 0.55 0.58 0.48 0.68 0.59
Nonmetro 1.75 1.67 0.89 0.97 0.92 0.80 0.94 0.78 0.88 0.86
Urbanized 2.67 2.05 1.43 1.56 1.59 0.96 1.11 0.82 1.55 1.15
Less Urbanized 2.34 2.56 1.11 1.33 1.13 1.23 1.44 1.25 1.08 1.28
Completely Rural 4.76 5.58 2.57 3.94 3.38 3.62 * 2.91 * 3.47
* = 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.
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.
250418
Table 3.5P – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Demographic/Geographic Characteristic Marijuana
(2023)
Marijuana
(2024)
Cocaine
(2023)
Cocaine
(2024)
Crack
(2023)
Crack
(2024)
Heroin
(2023)
Heroin
(2024)
LSD
(2023)
LSD
(2024)
TOTAL 0.0000   0.3241   0.4275   0.0985   0.0006  
AGE GROUP                    
12-13 0.0884   0.7984   0.6237   0.8281   0.3628  
14-15 0.0001   0.6596   0.7458   0.0320   0.0003  
16-17 0.0108   0.0893   0.2546   0.4071   0.1024  
SEX                    
Male 0.0003   0.7793   0.9482   0.6629   0.0373  
Female 0.0044   0.1192   0.2676   0.0556   0.0061  
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino 0.0003   0.4422   0.9672   0.3179   0.0067  
AIAN 0.0399   0.5084   0.3217   0.5616   0.0285  
Asian 0.0007   0.6957   0.2249   0.5781   0.2301  
Black or African American 0.4325   0.7633   0.9142   0.4181   0.3163  
NHPI *   *   *   *   *  
White 0.0062   0.5721   0.3989   0.4026   0.1018  
Two or More Races 0.4295   0.0717   0.0590   0.4962   0.0039  
Hispanic or Latino 0.0070   0.5387   0.1971   0.1508   0.0308  
COUNTY TYPE                    
Large Metro 0.0001   0.8270   0.5156   0.3398   0.0028  
Small Metro 0.0328   0.0451   0.1185   0.3372   0.1120  
Nonmetro 0.1998   0.7274   0.0987   0.2672   0.3115  
Urbanized 0.3463   0.2132   0.0106   0.0846   0.1153  
Less Urbanized 0.1923   0.9484   0.7060   0.5078   0.5142  
Completely Rural 0.4699   0.2443   0.6434   *   *  
* = 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.
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 3.6C – Perceived That Parents Would Strongly Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 -- 129 -- 120 -- 72 -- 105
AGE GROUP                
12-13 -- 220 -- 221 -- 221 -- 218
14-15 -- 224 -- 233 -- 242 -- 235
16-17 -- 214 -- 216 -- 245 -- 238
SEX                
Male -- 95 -- 88 -- 56 -- 77
Female -- 91 -- 78 -- 47 -- 68
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 117 -- 106 -- 65 -- 87
AIAN -- 20 -- 20 -- 20 -- *
Asian -- 125 -- 127 -- 126 -- 125
Black or African American -- 145 -- 150 -- 158 -- 157
NHPI -- * -- * -- * -- 19
White -- 315 -- 322 -- 345 -- 330
Two or More Races -- 50 -- 50 -- 53 -- 54
Hispanic or Latino -- 65 -- 62 -- 37 -- 53
COUNTY TYPE                
Large Metro -- 386 -- 396 -- 416 -- 404
Small Metro -- 257 -- 260 -- 282 -- 268
Nonmetro -- 159 -- 170 -- 175 -- 181
Urbanized -- 113 -- 124 -- 126 -- 136
Less Urbanized -- 115 -- 117 -- 124 -- 120
Completely Rural -- 41 -- 44 -- 45 -- 46
* = 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 3.6D – Perceived That Parents Would Strongly Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 -- 0.50 -- 0.47 -- 0.28 -- 0.41
AGE GROUP                
12-13 -- 0.64 -- 0.58 -- 0.54 -- 0.60
14-15 -- 0.80 -- 0.67 -- 0.43 -- 0.69
16-17 -- 1.00 -- 0.98 -- 0.55 -- 0.76
SEX                
Male -- 0.73 -- 0.67 -- 0.43 -- 0.59
Female -- 0.72 -- 0.63 -- 0.37 -- 0.54
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 0.62 -- 0.57 -- 0.35 -- 0.46
AIAN -- 2.03 -- 1.89 -- 2.36 -- *
Asian -- 1.62 -- 1.41 -- 1.27 -- 1.76
Black or African American -- 1.62 -- 1.57 -- 1.02 -- 1.10
NHPI -- * -- * -- * -- 1.08
White -- 0.79 -- 0.70 -- 0.40 -- 0.58
Two or More Races -- 1.83 -- 1.73 -- 1.25 -- 0.84
Hispanic or Latino -- 0.96 -- 0.92 -- 0.54 -- 0.78
COUNTY TYPE                
Large Metro -- 0.74 -- 0.69 -- 0.36 -- 0.56
Small Metro -- 0.85 -- 0.79 -- 0.57 -- 0.68
Nonmetro -- 1.22 -- 0.99 -- 0.78 -- 1.13
Urbanized -- 1.85 -- 1.20 -- 1.45 -- 1.87
Less Urbanized -- 1.78 -- 1.58 -- 0.96 -- 1.54
Completely Rural -- 4.22 -- 4.05 -- 3.10 -- 3.24
* = 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 3.7C – Strongly Disapproved or Somewhat Disapproved of Peers’ Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 -- 158 -- 149 -- 110 -- 112
AGE GROUP                
12-13 -- 216 -- 215 -- 215 -- 216
14-15 -- 214 -- 215 -- 231 -- 224
16-17 -- 187 -- 192 -- 229 -- 232
SEX                
Male -- 104 -- 100 -- 78 -- 81
Female -- 112 -- 105 -- 77 -- 77
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 129 -- 120 -- 90 -- 89
AIAN -- 20 -- 20 -- 20 -- 19
Asian -- 125 -- 125 -- 127 -- 128
Black or African American -- 129 -- 134 -- 148 -- 145
NHPI -- * -- * -- * -- *
White -- 301 -- 307 -- 336 -- 334
Two or More Races -- 47 -- 48 -- 51 -- 53
Hispanic or Latino -- 89 -- 82 -- 64 -- 66
COUNTY TYPE                
Large Metro -- 353 -- 367 -- 394 -- 394
Small Metro -- 244 -- 243 -- 271 -- 268
Nonmetro -- 160 -- 148 -- 174 -- 160
Urbanized -- 119 -- 102 -- 124 -- 108
Less Urbanized -- 106 -- 108 -- 121 -- 118
Completely Rural -- 40 -- 40 -- 45 -- 45
* = 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 3.7D – Strongly Disapproved or Somewhat Disapproved of Peers’ Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 -- 0.62 -- 0.58 -- 0.43 -- 0.44
AGE GROUP                
12-13 -- 0.67 -- 0.61 -- 0.54 -- 0.61
14-15 -- 0.96 -- 0.89 -- 0.71 -- 0.74
16-17 -- 1.13 -- 1.12 -- 0.81 -- 0.80
SEX                
Male -- 0.80 -- 0.77 -- 0.60 -- 0.62
Female -- 0.90 -- 0.83 -- 0.61 -- 0.61
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 0.68 -- 0.64 -- 0.48 -- 0.47
AIAN -- 2.38 -- 2.74 -- 2.31 -- 2.98
Asian -- 1.91 -- 1.87 -- 1.27 -- 1.15
Black or African American -- 1.54 -- 1.48 -- 1.16 -- 1.26
NHPI -- * -- * -- * -- *
White -- 0.88 -- 0.82 -- 0.60 -- 0.60
Two or More Races -- 2.48 -- 2.33 -- 1.60 -- 1.42
Hispanic or Latino -- 1.32 -- 1.21 -- 0.94 -- 0.97
COUNTY TYPE                
Large Metro -- 0.90 -- 0.86 -- 0.63 -- 0.59
Small Metro -- 0.90 -- 0.85 -- 0.62 -- 0.70
Nonmetro -- 1.40 -- 1.32 -- 1.07 -- 1.27
Urbanized -- 1.90 -- 2.08 -- 1.49 -- 2.20
Less Urbanized -- 2.02 -- 1.76 -- 1.64 -- 1.60
Completely Rural -- 4.21 -- 4.25 -- 3.18 -- 3.88
* = 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 3.8C – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 92 79 125 133 88 73
AGE GROUP            
12-13 57 43 79 74 56 43
14-15 65 53 91 92 51 49
16-17 51 48 88 87 54 37
SEX            
Male 64 62 91 94 65 59
Female 66 58 95 90 63 45
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 71 62 103 115 70 58
AIAN 6 3 9 7 4 5
Asian 23 21 43 49 23 11
Black or African American 41 30 54 58 42 34
NHPI * 1 * * * 2
White 62 55 106 98 62 46
Two or More Races 12 13 23 28 13 16
Hispanic or Latino 56 50 75 68 57 41
COUNTY TYPE            
Large Metro 74 66 121 128 77 58
Small Metro 48 47 89 80 53 45
Nonmetro 53 30 48 40 30 24
Urbanized 17 15 32 21 15 10
Less Urbanized 37 25 33 33 22 19
Completely Rural * 5 19 11 14 *
* = 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.
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 3.8D – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.36 0.31 0.50 0.53 0.35 0.29
AGE GROUP            
12-13 0.69 0.53 0.94 0.85 0.69 0.54
14-15 0.67 0.58 0.89 0.94 0.54 0.54
16-17 0.55 0.51 0.86 0.86 0.59 0.41
SEX            
Male 0.49 0.48 0.72 0.74 0.50 0.45
Female 0.53 0.46 0.77 0.73 0.50 0.36
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.38 0.33 0.56 0.63 0.37 0.31
AIAN 2.43 1.60 3.48 3.31 1.90 2.27
Asian 1.46 1.31 2.42 2.78 1.45 0.75
Black or African American 1.03 0.78 1.24 1.39 1.03 0.85
NHPI * 1.56 * * * 2.82
White 0.46 0.41 0.70 0.72 0.45 0.36
Two or More Races 1.28 1.18 2.38 2.44 1.36 1.50
Hispanic or Latino 0.85 0.74 1.15 1.02 0.86 0.61
COUNTY TYPE            
Large Metro 0.47 0.43 0.68 0.76 0.50 0.39
Small Metro 0.55 0.55 0.88 0.79 0.58 0.51
Nonmetro 1.41 0.90 1.18 1.42 0.79 0.77
Urbanized 1.39 1.26 2.19 2.17 1.20 0.92
Less Urbanized 1.86 1.35 1.49 2.00 1.07 1.07
Completely Rural * 2.25 3.07 4.18 3.19 *
* = 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.
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 3.8P – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0374   0.3856   0.0003  
AGE GROUP            
12-13 0.0413   0.4313   0.0014  
14-15 0.2782   0.6173   0.2165  
16-17 0.6089   0.7659   0.0462  
SEX            
Male 0.2013   0.5529   0.2979  
Female 0.1151   0.5160   0.0000  
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.0289   0.5274   0.0002  
AIAN 0.4218   0.4578   0.4927  
Asian 0.3550   0.6039   0.0180  
Black or African American 0.1688   0.0905   0.2877  
NHPI *   *   *  
White 0.1540   0.5129   0.0006  
Two or More Races 0.9519   0.3440   0.4907  
Hispanic or Latino 0.4945   0.5383   0.2313  
COUNTY TYPE            
Large Metro 0.1650   0.2801   0.0010  
Small Metro 0.3242   0.7886   0.2138  
Nonmetro 0.2520   0.7455   0.2788  
Urbanized 0.3209   0.3879   0.0521  
Less Urbanized 0.9164   0.1971   0.9569  
Completely Rural *   0.7073   *  
* = 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.
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 3.9C – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 121 135 95 100 74 71
AGE GROUP            
12-13 75 89 55 61 46 40
14-15 90 83 68 57 47 42
16-17 68 74 59 66 38 42
SEX            
Male 93 96 75 73 62 58
Female 77 84 60 66 43 40
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 96 119 78 84 62 63
AIAN 6 11 6 5 4 3
Asian 28 27 18 20 11 14
Black or African American 59 66 42 49 36 39
NHPI * * * * 1 1
White 93 108 71 74 52 48
Two or More Races 18 26 12 16 9 13
Hispanic or Latino 69 65 54 53 39 35
COUNTY TYPE            
Large Metro 109 128 85 94 60 53
Small Metro 81 82 59 51 39 44
Nonmetro 55 52 31 29 28 27
Urbanized 25 37 21 14 18 17
Less Urbanized 45 31 23 25 21 19
Completely Rural 21 19 11 7 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.
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 3.9D – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.47 0.53 0.37 0.39 0.29 0.27
AGE GROUP            
12-13 0.86 0.96 0.65 0.71 0.57 0.48
14-15 0.87 0.84 0.71 0.63 0.51 0.46
16-17 0.73 0.79 0.63 0.70 0.42 0.45
SEX            
Male 0.72 0.73 0.58 0.56 0.47 0.44
Female 0.62 0.67 0.48 0.53 0.34 0.32
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.51 0.63 0.41 0.45 0.33 0.33
AIAN 2.54 4.55 2.57 2.64 1.59 1.38
Asian 1.66 1.59 1.15 1.33 0.79 0.93
Black or African American 1.36 1.48 1.06 1.26 0.93 1.03
NHPI * * * * 0.70 1.29
White 0.64 0.76 0.53 0.54 0.40 0.37
Two or More Races 1.82 2.39 1.25 1.50 0.94 1.24
Hispanic or Latino 1.04 0.95 0.80 0.77 0.58 0.51
COUNTY TYPE            
Large Metro 0.67 0.75 0.55 0.59 0.41 0.34
Small Metro 0.80 0.86 0.61 0.59 0.45 0.53
Nonmetro 1.27 1.35 0.85 0.83 0.78 0.84
Urbanized 1.80 2.01 1.47 1.03 1.45 1.24
Less Urbanized 1.86 1.81 1.06 1.23 1.02 1.18
Completely Rural 3.07 4.92 3.79 2.84 0.83 *
* = 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.
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 3.9P – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.8012   0.9258   0.4482  
AGE GROUP            
12-13 0.0812   0.3054   0.0780  
14-15 0.2188   0.3402   0.9403  
16-17 0.9585   0.8815   0.7075  
SEX            
Male 0.6827   0.4966   0.9598  
Female 0.9493   0.4964   0.1608  
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.3986   0.6692   0.4789  
AIAN 0.0059   0.7891   0.8567  
Asian 0.6772   0.8536   0.6966  
Black or African American 0.3618   0.5267   0.4814  
NHPI *   *   0.5799  
White 0.9905   0.2910   0.1661  
Two or More Races 0.0908   0.2989   0.5195  
Hispanic or Latino 0.3577   0.6253   0.7863  
COUNTY TYPE            
Large Metro 0.9144   0.7767   0.1341  
Small Metro 0.4528   0.6409   0.2453  
Nonmetro 0.5648   0.7575   0.5136  
Urbanized 0.7897   0.0412   0.2032  
Less Urbanized 0.1882   0.1038   0.5625  
Completely Rural 0.2794   0.4383   *  
* = 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.
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 3.10C – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 80 64 34 37 71 68
AGE GROUP            
12-13 34 33 10 14 24 29
14-15 56 36 21 14 57 36
16-17 54 44 27 30 42 47
SEX            
Male 71 55 28 31 56 45
Female 44 33 22 21 43 46
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 62 54 28 31 52 50
AIAN 4 4 3 2 4 5
Asian 6 11 6 3 8 13
Black or African American 25 28 12 19 24 30
NHPI 1 1 * 1 * 2
White 59 47 25 24 46 37
Two or More Races 9 9 6 5 14 16
Hispanic or Latino 53 34 22 19 47 44
COUNTY TYPE            
Large Metro 63 49 26 26 59 60
Small Metro 45 42 19 24 40 33
Nonmetro 39 24 11 9 21 16
Urbanized 20 18 5 7 11 8
Less Urbanized 31 15 10 6 18 14
Completely Rural * 4 * <1 3 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.
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 3.10D – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.31 0.25 0.13 0.14 0.28 0.26
AGE GROUP            
12-13 0.42 0.41 0.13 0.18 0.30 0.35
14-15 0.59 0.39 0.23 0.16 0.60 0.40
16-17 0.59 0.48 0.30 0.34 0.46 0.50
SEX            
Male 0.54 0.42 0.21 0.24 0.43 0.35
Female 0.35 0.26 0.18 0.16 0.34 0.37
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.33 0.29 0.15 0.17 0.28 0.26
AIAN 1.86 1.82 1.24 0.83 1.89 2.47
Asian 0.40 0.70 0.38 0.21 0.54 0.87
Black or African American 0.67 0.78 0.33 0.53 0.63 0.82
NHPI 0.86 1.40 * 1.20 * 2.41
White 0.44 0.37 0.19 0.19 0.36 0.28
Two or More Races 1.02 0.90 0.66 0.51 1.53 1.44
Hispanic or Latino 0.79 0.50 0.33 0.27 0.70 0.64
COUNTY TYPE            
Large Metro 0.43 0.32 0.19 0.17 0.41 0.40
Small Metro 0.51 0.47 0.22 0.29 0.47 0.40
Nonmetro 0.97 0.74 0.33 0.32 0.60 0.54
Urbanized 1.55 1.34 0.41 0.61 0.91 0.76
Less Urbanized 1.37 0.91 0.52 0.40 0.90 0.83
Completely Rural * 1.72 * 0.04 0.90 0.71
* = 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.
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 3.10P – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.1471   0.7396   0.3449  
AGE GROUP            
12-13 0.6280   0.9441   0.6383  
14-15 0.0261   0.2743   0.0185  
16-17 0.6653   0.8037   0.4337  
SEX            
Male 0.3165   0.7285   0.4314  
Female 0.2725   0.3010   0.5766  
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.4170   0.6266   0.2854  
AIAN 0.8754   0.4827   0.9659  
Asian 0.3525   0.6714   0.3229  
Black or African American 0.7119   0.2552   0.5630  
NHPI 0.4485   *   *  
White 0.4179   0.3678   0.0416  
Two or More Races 0.8412   0.1753   0.8705  
Hispanic or Latino 0.1784   0.9072   0.7957  
COUNTY TYPE            
Large Metro 0.0866   0.2895   0.3898  
Small Metro 0.5302   0.5073   0.6382  
Nonmetro 0.2677   0.8720   0.8843  
Urbanized 0.2237   0.4410   0.8271  
Less Urbanized 0.0120   0.6297   0.9909  
Completely Rural *   *   0.8717  
* = 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.
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 3.11C – Select Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 145 137 88 76 71 87
AGE GROUP            
12-13 69 83 30 28 199 221
14-15 103 96 59 45 242 226
16-17 97 90 62 57 234 238
SEX            
Male 87 90 65 57 49 63
Female 103 105 55 45 52 62
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 120 116 71 57 59 69
AIAN 8 * 8 4 20 19
Asian 37 46 13 10 111 122
Black or African American 42 43 29 30 157 144
NHPI 1 * * * 21 *
White 121 123 65 45 319 334
Two or More Races 23 28 10 17 52 50
Hispanic or Latino 73 76 54 45 38 53
COUNTY TYPE            
Large Metro 133 136 75 65 409 407
Small Metro 84 86 51 44 263 263
Nonmetro 61 61 29 22 197 179
Urbanized 40 32 17 16 111 137
Less Urbanized 38 51 22 14 153 115
Completely Rural 31 11 2 * 85 *
* = 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.
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 3.11D – Select Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.58 0.54 0.34 0.29 0.29 0.35
AGE GROUP            
12-13 0.86 0.95 0.37 0.34 0.54 0.58
14-15 1.01 0.94 0.62 0.50 0.48 0.68
16-17 0.97 0.88 0.65 0.60 0.45 0.53
SEX            
Male 0.68 0.70 0.49 0.43 0.39 0.49
Female 0.84 0.84 0.44 0.35 0.42 0.51
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.64 0.62 0.37 0.30 0.32 0.38
AIAN 3.23 * 3.09 1.90 3.59 2.76
Asian 2.08 2.59 0.90 0.68 1.28 1.51
Black or African American 1.12 1.15 0.76 0.75 0.88 1.12
NHPI 1.53 * * * 1.43 *
White 0.80 0.79 0.48 0.35 0.39 0.41
Two or More Races 2.27 2.27 1.00 1.56 1.05 1.90
Hispanic or Latino 1.10 1.12 0.80 0.65 0.58 0.80
COUNTY TYPE            
Large Metro 0.84 0.77 0.48 0.42 0.42 0.49
Small Metro 0.86 0.84 0.57 0.49 0.45 0.58
Nonmetro 1.43 1.53 0.81 0.73 0.57 1.00
Urbanized 2.55 1.72 1.35 1.40 0.78 1.37
Less Urbanized 1.71 2.52 1.10 0.84 0.86 1.45
Completely Rural 5.36 3.26 0.79 * 1.06 *
* = 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.
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 3.11P – Select Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.3084   0.0011   0.0000  
AGE GROUP            
12-13 0.8017   0.3284   0.2871  
14-15 0.4102   0.0306   0.0155  
16-17 0.2899   0.0191   0.0003  
SEX            
Male 0.2360   0.0201   0.0017  
Female 0.0139   0.0124   0.0109  
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.0896   0.0024   0.0016  
AIAN *   0.3559   0.9718  
Asian 0.5275   0.0837   0.9368  
Black or African American 0.9962   0.8305   0.0009  
NHPI *   *   *  
White 0.0247   0.0018   0.2781  
Two or More Races 0.1088   0.4810   0.0687  
Hispanic or Latino 0.4402   0.1523   0.0077  
COUNTY TYPE            
Large Metro 0.2322   0.0021   0.0357  
Small Metro 0.6784   0.2436   0.0013  
Nonmetro 0.4115   0.3297   0.0140  
Urbanized 0.1729   0.4794   0.2359  
Less Urbanized 0.7348   0.3050   0.1418  
Completely Rural 0.1568   *   *  
* = 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.
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 3.12C – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 121 130 -- 178 138 130 143 133
AGE GROUP                
12-13 194 204 -- 186 194 216 194 213
14-15 238 228 -- 158 217 211 214 210
16-17 233 230 -- 134 215 217 214 212
SEX                
Male 80 82 -- 131 86 84 87 93
Female 80 98 -- 120 98 94 104 95
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 101 101 -- 147 109 105 113 112
AIAN 21 19 -- 9 22 18 18 18
Asian 102 102 -- 88 101 110 99 109
Black or African American 161 149 -- 93 148 141 146 141
NHPI * * -- * * * * 18
White 305 329 -- 225 297 321 297 318
Two or More Races 51 50 -- 36 48 49 47 48
Hispanic or Latino 60 76 -- 99 85 80 86 77
COUNTY TYPE                
Large Metro 388 387 -- 271 370 379 374 375
Small Metro 263 268 -- 171 246 264 240 262
Nonmetro 190 176 -- 86 173 163 176 161
Urbanized 110 135 -- 54 94 118 96 118
Less Urbanized 143 113 -- 64 143 114 143 109
Completely Rural 83 * -- 30 * 39 68 43
* = 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.
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 3.12D – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.47 0.51 -- 0.69 0.54 0.50 0.56 0.52
AGE GROUP                
12-13 0.79 0.90 -- 1.15 0.69 0.70 0.77 0.68
14-15 0.73 0.77 -- 1.19 0.88 0.83 0.89 0.86
16-17 0.76 0.78 -- 1.13 1.02 0.90 1.06 0.96
SEX                
Male 0.61 0.62 -- 1.00 0.66 0.64 0.67 0.71
Female 0.64 0.78 -- 0.95 0.78 0.74 0.83 0.76
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.54 0.53 -- 0.78 0.57 0.56 0.60 0.59
AIAN 2.67 3.47 -- 4.48 2.68 4.05 3.87 3.99
Asian 2.23 2.81 -- 2.64 2.58 2.41 2.83 2.45
Black or African American 0.94 1.01 -- 1.72 1.28 1.34 1.17 1.38
NHPI * * -- * * * * 3.40
White 0.70 0.63 -- 1.01 0.69 0.66 0.74 0.71
Two or More Races 1.71 1.82 -- 2.52 2.03 2.01 2.12 2.06
Hispanic or Latino 0.90 1.11 -- 1.45 1.26 1.18 1.29 1.14
COUNTY TYPE                
Large Metro 0.70 0.75 -- 0.97 0.74 0.74 0.77 0.71
Small Metro 0.67 0.71 -- 1.16 0.90 0.79 0.97 0.90
Nonmetro 1.14 1.14 -- 1.83 1.26 1.13 1.26 1.25
Urbanized 1.53 1.78 -- 3.14 1.94 1.62 1.93 1.71
Less Urbanized 1.62 1.41 -- 2.28 1.59 1.63 1.87 1.86
Completely Rural 3.02 * -- 5.74 * 4.86 3.48 5.22
* = 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.
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 3.12P – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.4393   --   0.2967   0.1671  
AGE GROUP                
12-13 0.6217   --   0.9802   0.1470  
14-15 0.3258   --   0.6263   0.1954  
16-17 0.9460   --   0.2340   0.9808  
SEX                
Male 0.9008   --   0.4218   0.3864  
Female 0.2189   --   0.0276   0.0073  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.9129   --   0.4129   0.0738  
AIAN 0.7401   --   0.1927   0.5680  
Asian 0.0640   --   0.3787   0.1256  
Black or African American 0.1990   --   0.9029   0.8620  
NHPI *   --   *   *  
White 0.1782   --   0.4893   0.1502  
Two or More Races 0.7777   --   0.7848   0.9129  
Hispanic or Latino 0.2171   --   0.5091   0.9123  
COUNTY TYPE                
Large Metro 0.6511   --   0.6994   0.5967  
Small Metro 0.1076   --   0.3887   0.2121  
Nonmetro 0.2253   --   0.3174   0.2975  
Urbanized 0.5737   --   0.1230   0.0278  
Less Urbanized 0.1234   --   0.8278   0.9892  
Completely Rural *   --   *   0.5955  
* = 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.
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 3.13C – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 155 167 376 370 396 420 64 69
AGE GROUP                
12-13 66 78 156 162 172 184 24 28
14-15 93 95 195 202 196 209 39 44
16-17 93 99 180 178 194 204 42 39
SEX                
Male 109 121 240 234 269 265 43 46
Female 105 95 234 225 231 247 45 47
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 123 127 315 317 319 344 51 50
AIAN 6 13 17 18 18 13 3 4
Asian 22 39 95 110 101 108 8 4
Black or African American 46 50 113 104 128 124 18 31
NHPI * * * * * * * *
White 106 105 253 263 246 280 39 36
Two or More Races 24 23 43 43 43 45 14 11
Hispanic or Latino 99 100 189 182 210 210 35 45
COUNTY TYPE                
Large Metro 122 134 297 303 316 344 48 54
Small Metro 96 82 200 212 211 225 35 31
Nonmetro 57 68 136 127 132 145 22 28
Urbanized 34 55 73 78 69 114 11 22
Less Urbanized 46 36 93 99 101 91 19 17
Completely Rural * * * 33 * 33 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 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.
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 3.13D – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Standard Errors of 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 0.55 0.61 0.65 0.66 0.63 0.66 0.27 0.29
AGE GROUP                
12-13 0.85 0.95 1.19 1.18 1.06 1.12 0.37 0.40
14-15 0.95 1.01 1.09 1.04 1.10 1.05 0.46 0.55
16-17 1.00 1.03 1.15 1.15 1.09 1.06 0.52 0.47
SEX                
Male 0.78 0.83 0.95 0.98 0.85 0.85 0.37 0.39
Female 0.78 0.73 0.91 0.82 0.91 0.95 0.40 0.40
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.61 0.66 0.73 0.79 0.70 0.77 0.29 0.29
AIAN 3.09 6.10 4.48 4.56 2.80 5.50 1.87 2.58
Asian 1.57 2.51 2.10 2.54 2.35 2.83 0.60 0.27
Black or African American 1.29 1.40 1.67 1.72 1.56 1.49 0.57 0.97
NHPI * * * * * * * *
White 0.75 0.81 0.94 0.98 0.85 0.94 0.34 0.31
Two or More Races 2.47 2.12 2.38 2.70 2.45 2.66 1.64 1.18
Hispanic or Latino 1.24 1.33 1.42 1.24 1.44 1.24 0.60 0.70
COUNTY TYPE                
Large Metro 0.78 0.81 0.90 0.92 0.93 0.90 0.37 0.40
Small Metro 1.07 0.93 1.07 1.09 0.98 1.08 0.46 0.41
Nonmetro 1.49 1.86 1.87 1.95 1.67 1.86 0.76 1.01
Urbanized 2.32 3.29 2.56 3.00 2.15 2.84 0.93 1.98
Less Urbanized 1.89 2.28 2.38 2.62 2.36 2.68 1.18 1.17
Completely Rural * * * 4.97 * 5.61 1.79 *
* = 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.
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 3.13P – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.7186   0.6731   0.2569   0.7471  
AGE GROUP                
12-13 0.5328   0.9064   0.5887   0.7727  
14-15 0.4734   0.0554   0.0354   0.5027  
16-17 0.4608   0.3304   0.5535   0.9905  
SEX                
Male 0.1851   0.7128   0.5399   0.8485  
Female 0.3758   0.8290   0.0294   0.7821  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.6975   0.9253   0.3901   0.3393  
AIAN 0.1441   0.5615   0.0063   0.3569  
Asian 0.0689   0.2094   0.4968   0.2533  
Black or African American 0.1786   0.1392   0.4495   0.4052  
NHPI *   *   *   *  
White 0.5546   0.2432   0.2606   0.2122  
Two or More Races 0.3928   0.2359   0.4586   0.3033  
Hispanic or Latino 0.9799   0.5068   0.4441   0.4912  
COUNTY TYPE                
Large Metro 0.1720   0.7399   0.2613   0.8384  
Small Metro 0.4501   0.6469   0.1785   0.3446  
Nonmetro 0.5424   0.2554   0.0170   0.8837  
Urbanized 0.4028   0.8899   0.0211   0.9057  
Less Urbanized 0.2286   0.0459   0.0805   0.9891  
Completely Rural *   *   *   *  
* = 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.
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 3.14C – 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, Standard Errors of 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 406 400 420 428 425 433 330 346
AGE GROUP                
12-13 173 194 177 205 179 210 146 171
14-15 201 196 217 205 212 207 176 173
16-17 198 192 194 208 191 199 163 167
SEX                
Male 270 258 286 271 284 264 217 211
Female 242 238 241 250 241 262 204 219
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 318 331 337 349 350 363 265 273
AIAN 16 14 18 * 18 19 16 10
Asian 88 107 94 115 91 111 75 93
Black or African American 136 133 132 124 131 120 112 96
NHPI * * * * * * * *
White 243 272 270 288 284 308 219 228
Two or More Races 46 47 47 48 43 49 36 38
Hispanic or Latino 222 203 224 217 208 197 179 184
COUNTY TYPE                
Large Metro 319 324 328 358 337 355 257 279
Small Metro 216 231 221 228 224 232 185 182
Nonmetro 146 124 156 133 157 162 124 112
Urbanized 76 85 87 91 85 126 63 73
Less Urbanized 112 88 125 93 133 104 97 86
Completely Rural 66 37 66 * 48 33 62 *
* = 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.
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 3.14D – 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, Standard Errors of 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 0.64 0.61 0.59 0.56 0.59 0.61 0.74 0.70
AGE GROUP                
12-13 1.01 0.88 0.94 0.88 0.85 0.84 1.25 1.25
14-15 1.03 1.08 0.88 0.89 0.97 0.97 1.15 1.23
16-17 1.19 1.09 1.08 1.06 1.16 1.14 1.23 1.20
SEX                
Male 0.85 0.87 0.72 0.81 0.80 0.92 1.06 1.01
Female 0.96 0.84 0.90 0.80 0.85 0.78 1.00 0.97
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.73 0.69 0.67 0.65 0.64 0.64 0.79 0.81
AIAN 4.45 5.83 3.23 * 3.14 2.18 4.83 5.85
Asian 2.49 2.71 2.26 2.11 2.56 2.41 3.17 3.28
Black or African American 1.35 1.22 1.48 1.44 1.59 1.45 1.93 1.85
NHPI * * * * * * * *
White 0.92 0.88 0.83 0.82 0.76 0.79 0.97 1.00
Two or More Races 2.42 2.58 2.19 2.04 2.34 1.96 2.71 2.65
Hispanic or Latino 1.21 1.38 1.21 1.05 1.35 1.35 1.59 1.39
COUNTY TYPE                
Large Metro 0.95 0.87 0.84 0.77 0.85 0.83 1.09 0.97
Small Metro 1.03 0.97 0.93 0.93 0.93 1.05 1.17 1.15
Nonmetro 1.54 1.67 1.27 1.64 1.45 1.57 1.70 1.82
Urbanized 2.00 2.68 2.14 2.85 2.43 2.30 2.27 2.61
Less Urbanized 2.34 2.40 1.71 2.01 1.71 2.15 2.54 2.56
Completely Rural 4.80 5.21 3.61 * 6.06 5.96 6.09 *
* = 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.
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 3.14P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.3462   0.3560   0.7636   0.3582  
AGE GROUP                
12-13 0.0193   0.3022   0.6599   0.3276  
14-15 0.9748   0.6815   0.4726   0.3028  
16-17 0.7823   0.6602   0.7382   0.8252  
SEX                
Male 0.8749   0.6713   0.0729   0.9007  
Female 0.2420   0.1025   0.0206   0.1390  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.1021   0.4317   0.8747   0.3947  
AIAN 0.8194   *   0.1230   0.9389  
Asian 0.6303   0.0404   0.2414   0.6722  
Black or African American 0.0941   0.5983   0.2321   0.3417  
NHPI *   *   *   *  
White 0.1984   0.7229   0.9225   0.2142  
Two or More Races 0.3032   0.6594   0.3805   0.9237  
Hispanic or Latino 0.4345   0.6179   0.7340   0.7115  
COUNTY TYPE                
Large Metro 0.9544   0.1571   0.3612   0.3531  
Small Metro 0.3077   0.7174   0.4631   0.7684  
Nonmetro 0.2847   0.7766   0.8062   0.2061  
Urbanized 0.1140   0.7873   0.1109   0.5533  
Less Urbanized 0.7264   0.4207   0.3320   0.1332  
Completely Rural 0.7497   *   0.8876   *  
* = 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.
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 3.15C – 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, Standard Errors of 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 128 120 195 172 197 190 108 103
AGE GROUP                
12-13 45 38 44 40 39 37 22 21
14-15 77 74 107 98 95 93 60 56
16-17 79 78 137 123 152 149 77 81
SEX                
Male 79 74 115 106 109 102 65 59
Female 93 88 137 127 145 146 81 80
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 96 95 149 135 163 155 86 82
AIAN 7 4 9 4 6 5 4 3
Asian 26 25 26 28 35 42 14 23
Black or African American 50 50 75 73 60 65 42 43
NHPI * * * * * * * *
White 71 70 107 103 133 128 69 63
Two or More Races 16 26 25 29 25 31 15 20
Hispanic or Latino 85 77 120 103 113 110 61 62
COUNTY TYPE                
Large Metro 92 100 153 140 159 156 88 82
Small Metro 80 57 107 98 105 97 52 50
Nonmetro 46 45 56 58 68 67 42 36
Urbanized 29 31 35 44 44 41 21 22
Less Urbanized 38 30 43 37 50 52 36 29
Completely Rural 5 6 * 8 20 11 * 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: 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.
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 3.15D – 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, Standard Errors of 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 0.49 0.48 0.66 0.63 0.66 0.67 0.42 0.42
AGE GROUP                
12-13 0.63 0.53 0.63 0.55 0.56 0.52 0.32 0.30
14-15 0.87 0.83 1.12 1.04 1.04 1.03 0.70 0.67
16-17 0.87 0.89 1.22 1.18 1.29 1.25 0.85 0.91
SEX                
Male 0.64 0.59 0.82 0.82 0.82 0.79 0.54 0.49
Female 0.73 0.71 0.95 0.92 0.97 0.98 0.66 0.65
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.50 0.51 0.71 0.66 0.73 0.75 0.45 0.46
AIAN 3.51 2.65 4.39 2.92 3.49 3.10 2.49 2.08
Asian 1.81 1.76 1.82 2.07 2.30 2.58 0.93 1.65
Black or African American 1.42 1.45 1.81 1.88 1.69 1.79 1.27 1.30
NHPI * * * * * * * *
White 0.56 0.57 0.79 0.76 0.90 0.89 0.55 0.52
Two or More Races 1.83 2.53 2.55 2.54 2.49 2.76 1.71 2.06
Hispanic or Latino 1.19 1.15 1.50 1.37 1.51 1.47 0.96 0.96
COUNTY TYPE                
Large Metro 0.64 0.68 0.93 0.89 0.95 0.96 0.62 0.59
Small Metro 0.91 0.76 1.09 1.03 1.08 1.02 0.64 0.64
Nonmetro 1.36 1.28 1.68 1.53 1.63 1.73 1.26 1.08
Urbanized 2.24 2.09 2.46 2.26 3.05 2.56 1.63 1.59
Less Urbanized 1.90 1.73 2.15 2.20 2.13 2.46 1.88 1.61
Completely Rural 1.76 2.88 * 3.66 3.44 5.08 * 2.58
* = 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.
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 3.15P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.6684   0.0072   0.2543   0.5786  
AGE GROUP                
12-13 0.1588   0.3552   0.9641   0.5852  
14-15 0.7610   0.0307   0.2703   0.5712  
16-17 0.6377   0.0723   0.3136   0.3253  
SEX                
Male 0.6366   0.0333   0.4245   0.8975  
Female 0.3363   0.0648   0.3832   0.4063  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.7026   0.0229   0.2438   0.9233  
AIAN 0.3242   0.1168   0.8493   0.8160  
Asian 0.7982   0.7623   0.7122   0.6904  
Black or African American 0.6210   0.5628   0.3977   0.4780  
NHPI *   *   *   *  
White 0.9940   0.0188   0.0307   0.8604  
Two or More Races 0.1202   0.6430   0.3587   0.8192  
Hispanic or Latino 0.2119   0.0982   0.7535   0.2848  
COUNTY TYPE                
Large Metro 0.2086   0.0080   0.2579   0.9235  
Small Metro 0.0016   0.1971   0.3994   0.3710  
Nonmetro 0.4082   0.9229   0.6235   0.4419  
Urbanized 0.7849   0.7047   0.5933   0.8590  
Less Urbanized 0.3019   0.6570   0.2035   0.4844  
Completely Rural 0.2203   *   0.6194   *  
* = 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.
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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