National Surveys on Drug Use and Health:
Comparison of 2022‑2023 and 2023‑2024 Population Percentages
(50 States and the District of Columbia)

250930
Table 1 – Illicit Drug Use in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 16.67 16.77 0.627 7.26 7.35 0.703 26.71a 25.78 0.035 16.21 16.48 0.282 17.62 17.71 0.675
Northeast 18.00 18.12 0.742 7.43 7.54 0.787 29.76 29.26 0.529 17.34 17.56 0.615 18.95 19.07 0.769
Midwest 17.40a 18.20 0.009 7.47 7.63 0.626 26.72 26.83 0.865 17.10a 18.09 0.009 18.42a 19.28 0.011
South 14.26 14.49 0.317 6.93 7.06 0.695 23.32 22.45 0.129 13.73 14.15 0.130 15.02 15.25 0.348
West 18.98b 18.28 0.072 7.49 7.48 0.992 30.02a 27.82 0.012 18.61 18.06 0.245 20.14b 19.36 0.066
Alabama 12.45 11.90 0.432 6.27 6.33 0.938 17.97b 15.40 0.093 12.29 12.00 0.735 13.08 12.47 0.427
Alaska 23.01 21.71 0.268 6.52 6.41 0.888 31.15a 25.16 0.007 23.96 23.16 0.576 24.85 23.40 0.264
Arizona 19.18 17.97 0.199 7.88 7.91 0.970 31.27a 25.36 0.004 18.56 17.95 0.593 20.32 18.96 0.190
Arkansas 16.39b 18.00 0.072 7.90 8.17 0.738 24.83 24.62 0.910 16.09b 18.16 0.061 17.31b 19.06 0.076
California 17.45 16.74 0.225 7.11 6.89 0.697 29.77 28.47 0.346 16.75 16.09 0.342 18.50 17.73 0.227
Colorado 21.94a 24.58 0.024 8.62 10.08 0.117 33.54 33.60 0.982 21.62a 24.79 0.023 23.21a 25.95 0.031
Connecticut 19.92 20.12 0.841 8.51 9.01 0.588 33.88 31.59 0.310 19.01 19.55 0.640 21.00 21.14 0.891
Delaware 16.68 17.65 0.235 9.17 9.93 0.397 29.94 28.39 0.465 15.66 17.00 0.162 17.37 18.37 0.264
District of Columbia 24.91 24.24 0.577 8.59 9.47 0.394 37.85 35.85 0.421 23.93 23.41 0.717 25.98 25.23 0.562
Florida 15.45 15.02 0.426 7.63 7.38 0.692 27.34 25.73 0.226 14.67 14.38 0.667 16.13 15.67 0.443
Georgia 14.98a 17.48 0.001 7.59 8.32 0.339 23.89a 27.95 0.011 14.48a 16.97 0.006 15.79a 18.49 0.001
Hawaii 15.76a 12.99 0.002 7.26a 5.56 0.028 24.00a 18.37 0.005 15.61a 13.11 0.019 16.52a 13.67 0.003
Idaho 14.77 14.49 0.742 6.76 6.66 0.897 23.02 20.69 0.166 14.43 14.48 0.964 15.70 15.39 0.743
Illinois 18.19 19.12 0.222 8.24 8.61 0.587 26.28 28.57 0.129 18.11 18.89 0.401 19.20 20.18 0.243
Indiana 14.61a 17.21 0.000 6.94 7.83 0.251 23.72 24.22 0.766 14.03a 17.22 0.000 15.43a 18.22 0.001
Iowa 12.17a 13.78 0.035 5.77 6.03 0.718 20.62 19.71 0.616 11.51a 13.71 0.018 12.85a 14.59 0.037
Kansas 13.73b 15.01 0.094 7.00 8.24 0.171 20.78 20.78 1.000 13.39 14.88 0.114 14.49 15.77 0.128
Kentucky 13.72 14.65 0.218 6.25 6.64 0.622 20.40 21.42 0.538 13.58 14.57 0.286 14.49 15.48 0.234
Louisiana 16.55 17.50 0.271 7.26 7.80 0.503 24.04 26.45 0.195 16.53 17.31 0.468 17.55 18.54 0.296
Maine 24.99a 27.80 0.027 10.41 12.09 0.186 39.18 41.45 0.369 24.54a 27.51 0.050 26.17a 29.05 0.035
Maryland 15.97 15.81 0.843 7.97 7.79 0.833 26.20 23.68 0.202 15.43 15.63 0.843 16.77 16.62 0.861
Massachusetts 23.11 22.58 0.621 9.09 8.92 0.872 39.01 35.50 0.116 21.94 21.85 0.941 24.32 23.74 0.623
Michigan 20.56 21.68 0.125 7.64 8.26 0.369 30.53 30.82 0.850 20.45 21.76 0.143 21.81 22.96 0.146
Minnesota 18.84 18.69 0.877 7.31 6.89 0.599 29.70 27.36 0.283 18.59 18.81 0.855 20.05 19.93 0.906
Mississippi 12.62 12.64 0.972 6.64 6.40 0.744 20.02 18.65 0.402 12.17 12.45 0.732 13.29 13.33 0.952
Missouri 20.38b 22.22 0.060 8.06 8.23 0.856 30.21 32.24 0.345 20.31b 22.33 0.091 21.65b 23.65 0.062
Montana 23.39 24.74 0.238 8.53 9.24 0.488 35.64 36.67 0.669 23.16 24.65 0.279 24.81 26.20 0.264
Nebraska 12.56 12.52 0.955 6.17 5.67 0.484 19.19 17.21 0.213 12.27 12.62 0.691 13.29 13.30 0.988
Nevada 22.03 21.45 0.609 8.54 8.28 0.776 31.91 33.16 0.587 22.22 21.38 0.533 23.37 22.74 0.612
New Hampshire 18.60 19.44 0.382 7.67 8.59 0.324 32.79 30.64 0.343 17.68 18.92 0.279 19.50 20.32 0.429
New Jersey 14.16 14.98 0.283 6.57 6.34 0.720 27.22 27.50 0.886 13.18 14.19 0.265 14.91 15.83 0.271
New Mexico 25.90b 23.72 0.076 11.27 11.51 0.857 38.32a 33.16 0.030 25.71 23.70 0.185 27.42b 24.97 0.068
New York 17.71 17.70 0.991 6.81 7.13 0.624 28.19 28.80 0.668 17.25 17.13 0.868 18.67 18.63 0.951
North Carolina 13.22 13.20 0.972 6.26 6.51 0.737 21.66 22.61 0.557 12.71 12.51 0.786 13.91 13.86 0.934
North Dakota 14.14 14.72 0.499 6.18 5.68 0.535 20.96 19.31 0.393 13.81 14.96 0.277 14.98 15.67 0.459
Ohio 17.51 17.48 0.966 7.89 7.69 0.772 28.11 28.47 0.791 17.01 16.96 0.942 18.47 18.46 0.983
Oklahoma 21.13 22.10 0.303 6.81 7.95 0.197 33.84 32.17 0.441 20.84 22.25 0.232 22.75 23.70 0.364
Oregon 24.25 24.62 0.746 8.28 9.14 0.326 34.79b 31.24 0.083 24.41 25.28 0.528 25.69 26.00 0.804
Pennsylvania 16.30 15.99 0.651 7.39 7.10 0.662 24.83 24.34 0.718 15.97 15.70 0.745 17.12 16.80 0.674
Rhode Island 20.53 22.08 0.136 7.38b 8.94 0.091 34.54 34.49 0.981 19.53 21.34 0.151 21.62 23.15 0.167
South Carolina 13.96 14.17 0.769 7.39 7.97 0.512 24.84 22.34 0.215 13.08 13.67 0.503 14.60 14.78 0.826
South Dakota 13.30 13.01 0.707 5.49 5.11 0.627 19.98a 16.57 0.035 13.21 13.44 0.818 14.17 13.88 0.740
Tennessee 13.92 15.05 0.141 6.76 7.31 0.494 22.00 21.51 0.763 13.52 14.98 0.113 14.63 15.83 0.156
Texas 11.66 11.51 0.728 6.07 6.05 0.978 19.39b 17.34 0.058 11.09 11.25 0.761 12.32 12.15 0.715
Utah 11.02 11.40 0.548 4.52 5.02 0.485 17.63 15.95 0.275 10.61 11.43 0.297 11.91 12.27 0.619
Vermont 27.15 26.73 0.763 10.31 11.09 0.516 43.34 40.14 0.254 26.18 26.11 0.967 28.51 27.98 0.728
Virginia 15.10 14.92 0.780 7.92 7.37 0.456 26.08 24.30 0.271 14.24 14.36 0.870 15.81 15.67 0.836
Washington 22.64a 19.14 0.001 8.34 7.92 0.614 31.65a 27.08 0.024 22.92a 19.24 0.003 24.00a 20.20 0.001
West Virginia 15.34a 13.25 0.016 6.91 5.86 0.175 23.15a 17.67 0.003 15.08 13.39 0.109 16.11a 13.93 0.021
Wisconsin 16.01 15.24 0.312 7.07 6.17 0.245 27.01b 23.96 0.087 15.30 14.90 0.669 16.89 16.13 0.355
Wyoming 12.00 13.06 0.204 5.85 5.71 0.867 20.52 20.27 0.901 11.46 12.87 0.163 12.67 13.84 0.201

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Illicit drug use includes the misuse of prescription psychotherapeutics or the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one’s own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over‐the‐counter drugs.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 2 – Marijuana Use in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 21.88 22.04 0.486 11.31b 10.77 0.062 37.39a 35.75 0.001 20.71b 21.24 0.051 22.94 23.17 0.372
Northeast 23.34 23.65 0.471 11.77 11.34 0.443 40.42 40.06 0.697 22.00 22.49 0.335 24.39 24.75 0.429
Midwest 22.80a 24.05 0.000 11.38 11.17 0.629 39.44 38.58 0.257 21.52a 23.28 0.000 23.97a 25.36 0.000
South 18.81 19.03 0.458 10.92 10.34 0.141 32.57a 30.87 0.017 17.62b 18.24 0.061 19.63 19.92 0.354
West 24.99a 24.06 0.035 11.60b 10.78 0.098 41.24a 38.14 0.001 24.04 23.44 0.257 26.35a 25.38 0.049
Alabama 16.45 16.76 0.698 11.01 11.01 0.994 26.43 24.50 0.250 15.49 16.20 0.459 17.00 17.34 0.696
Alaska 29.73a 26.74 0.025 10.61 10.04 0.587 41.76a 33.81 0.000 30.48 27.86 0.111 31.88a 28.59 0.027
Arizona 24.52 24.13 0.714 12.08 10.75 0.263 42.90a 35.49 0.001 23.02 23.86 0.530 25.77 25.44 0.782
Arkansas 21.03a 23.51 0.014 13.03 12.94 0.939 33.44 33.20 0.904 20.03a 23.27 0.009 21.89a 24.64 0.014
California 23.56a 21.72 0.006 11.21b 9.89 0.087 40.89b 38.23 0.063 22.32a 20.56 0.029 24.81a 22.91 0.009
Colorado 29.61a 33.06 0.004 13.93 14.10 0.892 46.49 46.64 0.951 28.74a 33.05 0.003 31.11a 34.85 0.005
Connecticut 25.37 25.49 0.920 12.27 12.93 0.609 43.51 41.49 0.386 23.99 24.38 0.786 26.60 26.64 0.974
Delaware 21.80a 23.89 0.030 11.94 12.72 0.483 37.02 38.75 0.432 20.76a 23.04 0.047 22.72a 24.92 0.035
District of Columbia 32.61 32.15 0.720 12.58 13.13 0.696 48.56 48.22 0.885 31.40 30.90 0.744 33.92 33.43 0.719
Florida 19.84 19.85 0.992 11.88 10.53 0.107 36.30 34.91 0.341 18.48 18.82 0.670 20.53 20.65 0.871
Georgia 19.79a 22.38 0.001 12.49 12.14 0.749 33.89b 37.49 0.053 18.43a 21.27 0.005 20.60a 23.51 0.001
Hawaii 19.89a 16.45 0.002 9.70 8.08 0.104 32.77a 27.14 0.012 19.34a 16.02 0.011 20.81a 17.21 0.003
Idaho 19.55 19.45 0.916 10.42 9.81 0.571 33.11 30.18 0.125 18.45 18.90 0.706 20.60 20.55 0.962
Illinois 23.51b 25.14 0.052 12.88 11.87 0.295 39.05 40.55 0.359 22.37b 24.32 0.056 24.59a 26.47 0.039
Indiana 19.71a 22.49 0.001 11.15 11.56 0.735 36.23 37.20 0.613 18.01a 21.40 0.001 20.64a 23.66 0.001
Iowa 15.49a 18.58 0.001 9.15 10.03 0.404 31.03 30.75 0.890 13.58a 17.55 0.000 16.16a 19.48 0.001
Kansas 18.59a 20.70 0.020 10.87 11.59 0.525 33.10 31.00 0.291 17.05a 20.10 0.007 19.46a 21.73 0.024
Kentucky 17.22b 18.68 0.088 10.19 10.48 0.792 28.94 28.76 0.923 16.25b 18.12 0.072 17.94b 19.53 0.095
Louisiana 21.67 22.34 0.479 11.76 11.69 0.955 31.91 34.00 0.323 21.30 21.85 0.630 22.74 23.49 0.473
Maine 29.97a 33.41 0.010 14.39 16.80 0.133 49.83 51.13 0.595 28.90a 32.69 0.018 31.23a 34.73 0.015
Maryland 20.53 21.56 0.284 11.18 12.01 0.467 34.95 32.90 0.345 19.56 21.06 0.199 21.48 22.52 0.317
Massachusetts 29.70 29.83 0.914 14.40 13.07 0.359 52.04 48.73 0.138 27.62 28.45 0.579 31.02 31.26 0.852
Michigan 27.05 28.02 0.196 11.42 12.24 0.392 44.42 43.67 0.662 26.09 27.37 0.168 28.56 29.53 0.237
Minnesota 23.72 24.38 0.527 9.60 9.33 0.788 41.76a 36.96 0.037 22.70 24.30 0.213 25.21 25.95 0.515
Mississippi 16.27 16.13 0.851 10.99 10.49 0.661 27.26 24.34 0.101 15.14 15.50 0.697 16.87 16.76 0.897
Missouri 26.60 28.45 0.102 11.60 11.63 0.982 41.67 44.09 0.283 26.02 28.02 0.152 28.13 30.16 0.101
Montana 28.68b 31.09 0.052 12.39 13.16 0.541 48.58 47.66 0.703 27.45a 30.57 0.037 30.24b 32.78 0.061
Nebraska 16.93 17.12 0.808 9.24 8.34 0.364 30.70b 27.38 0.087 15.57 16.52 0.350 17.80 18.12 0.721
Nevada 29.76 29.90 0.906 13.33 13.24 0.953 45.61 45.27 0.879 29.47 29.73 0.866 31.39 31.54 0.916
New Hampshire 24.02a 26.81 0.011 11.09 12.93 0.146 45.21 45.06 0.948 22.34a 25.61 0.011 25.09a 27.93 0.017
New Jersey 20.70 20.11 0.520 11.35 9.87 0.137 38.73 38.47 0.891 19.22 18.69 0.643 21.63 21.11 0.614
New Mexico 29.96 30.67 0.590 16.19 16.40 0.908 48.94 47.07 0.419 28.62 29.80 0.473 31.39 32.13 0.611
New York 22.75 23.21 0.518 11.50 11.37 0.890 37.65 38.46 0.583 21.67 22.16 0.573 23.75 24.26 0.509
North Carolina 17.27 17.01 0.729 10.46 9.27 0.272 31.24 29.44 0.321 15.89 15.98 0.923 17.95 17.78 0.830
North Dakota 17.31 17.81 0.603 7.78 7.55 0.826 30.70b 26.87 0.086 15.90 17.35 0.223 18.32 18.90 0.582
Ohio 22.76 23.34 0.432 12.43 12.01 0.680 40.53 39.99 0.702 21.27 22.15 0.330 23.80 24.48 0.403
Oklahoma 26.37 26.51 0.892 11.13 12.07 0.457 44.01 41.57 0.281 25.34 25.85 0.711 28.08 28.14 0.960
Oregon 30.57 31.29 0.576 13.69 14.69 0.432 46.15 43.30 0.205 30.12 31.32 0.438 32.10 32.77 0.629
Pennsylvania 20.40 20.41 0.986 10.57 10.08 0.606 34.95 34.49 0.760 19.27 19.43 0.855 21.31 21.36 0.942
Rhode Island 26.93b 28.95 0.091 13.22 12.90 0.815 47.89 50.05 0.357 24.86 27.09 0.120 28.07b 30.26 0.089
South Carolina 17.98 18.99 0.262 10.53 10.58 0.964 31.90 28.82 0.137 16.76 18.50 0.112 18.72 19.82 0.267
South Dakota 18.55 18.59 0.969 8.37 7.81 0.574 34.46a 30.24 0.039 17.24 18.08 0.472 19.69 19.79 0.923
Tennessee 20.00 20.23 0.795 11.73 11.27 0.682 33.53 31.52 0.281 18.90 19.56 0.543 20.83 21.12 0.759
Texas 16.41a 15.16 0.017 9.40 8.51 0.254 28.69a 24.90 0.004 15.24 14.40 0.179 17.24a 15.94 0.024
Utah 15.95 15.60 0.651 6.97 6.92 0.956 26.26 24.44 0.324 15.13 15.04 0.929 17.18 16.78 0.639
Vermont 34.26 35.96 0.253 14.02 15.86 0.257 58.69 58.28 0.874 32.32 34.40 0.248 35.89 37.57 0.295
Virginia 19.27 20.13 0.277 11.19 10.45 0.406 36.28 34.18 0.236 17.58 19.11 0.106 20.07 21.09 0.244
Washington 28.55a 25.92 0.018 11.80 11.17 0.571 42.91a 37.32 0.007 28.34b 25.93 0.076 30.14a 27.32 0.020
West Virginia 18.39 17.50 0.388 11.70 10.02 0.181 33.36a 27.62 0.006 16.91 16.84 0.956 19.00 18.19 0.464
Wisconsin 21.97 21.68 0.757 11.07 9.59 0.191 42.52a 36.43 0.002 19.98 20.75 0.491 23.04 22.87 0.860
Wyoming 15.65a 18.10 0.014 8.84 8.71 0.917 31.22 30.93 0.900 14.09a 17.30 0.009 16.38a 19.10 0.014

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: These estimates of marijuana use include marijuana vaping.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 3 – Marijuana Use in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 15.20 15.38 0.369 6.22 6.01 0.372 25.54a 24.65 0.039 14.65b 15.04 0.089 16.11 16.31 0.329
Northeast 16.37 16.52 0.691 6.56 6.20 0.402 28.80 28.26 0.570 15.54 15.85 0.473 17.26 17.45 0.635
Midwest 15.91a 16.93 0.001 6.48 6.38 0.743 26.16 26.34 0.833 15.41a 16.70 0.000 16.88a 18.00 0.001
South 12.75 13.04 0.183 5.79 5.62 0.520 22.01 21.00 0.173 12.14a 12.70 0.032 13.47 13.81 0.164
West 17.71b 17.01 0.067 6.46 6.22 0.484 28.37b 26.52 0.056 17.38 16.80 0.223 18.85b 18.09 0.070
Alabama 10.85 10.22 0.277 5.45 5.27 0.779 17.88a 14.80 0.044 10.37 10.08 0.681 11.40 10.73 0.281
Alaska 22.31 21.15 0.334 4.99 4.92 0.913 28.26a 23.17 0.015 23.67 22.92 0.610 24.25 22.95 0.327
Arizona 18.66 17.09 0.101 6.94 6.41 0.477 28.89a 23.55 0.008 18.39 17.29 0.339 19.83 18.14 0.101
Arkansas 14.63a 16.99 0.006 6.82 6.51 0.641 23.13 23.32 0.906 14.24a 17.28 0.004 15.47a 18.11 0.005
California 16.16 15.46 0.221 6.15 5.91 0.648 28.25 27.51 0.588 15.46 14.72 0.292 17.17 16.41 0.226
Colorado 20.93a 23.67 0.012 7.42 8.21 0.319 32.57 32.42 0.950 20.62a 24.02 0.009 22.22a 25.13 0.014
Connecticut 17.83 18.85 0.305 7.39 7.46 0.940 32.62 30.87 0.452 16.68 18.23 0.187 18.81 19.90 0.308
Delaware 14.93b 16.41 0.077 7.49 7.72 0.780 27.83 26.44 0.489 13.94a 15.95 0.043 15.62b 17.21 0.076
District of Columbia 22.43 21.03 0.262 8.14 8.78 0.530 34.11 33.56 0.820 21.52 19.86 0.261 23.36 21.86 0.252
Florida 14.36 13.92 0.416 6.45 5.74 0.188 25.62 23.92 0.196 13.65 13.41 0.714 15.04 14.62 0.471
Georgia 13.17a 15.07 0.004 6.75 6.97 0.763 22.90b 25.71 0.091 12.42a 14.40 0.011 13.88a 15.96 0.004
Hawaii 15.14a 11.67 0.000 4.93a 3.65 0.033 22.15a 16.73 0.006 15.29a 11.87 0.002 16.05a 12.39 0.000
Idaho 13.59 13.75 0.829 5.66 5.11 0.370 22.10 20.27 0.265 13.21 13.80 0.508 14.51 14.74 0.771
Illinois 17.18 17.97 0.292 7.56 7.55 0.985 26.23 28.25 0.207 16.91 17.61 0.453 18.16 19.02 0.294
Indiana 13.10a 15.51 0.001 5.70 5.94 0.734 22.49 23.27 0.632 12.45a 15.42 0.000 13.89a 16.54 0.000
Iowa 10.49a 11.81 0.038 5.17 4.94 0.746 20.39 18.46 0.275 9.44a 11.52 0.007 11.05a 12.53 0.033
Kansas 11.80a 13.51 0.020 6.11 6.68 0.461 20.51 20.30 0.903 11.03a 13.23 0.013 12.44a 14.28 0.021
Kentucky 11.52b 12.69 0.084 5.27 5.41 0.839 18.77 20.09 0.427 11.16 12.42 0.119 12.17b 13.44 0.082
Louisiana 14.48b 15.87 0.071 6.34 6.59 0.743 22.01 24.76 0.155 14.31 15.64 0.153 15.35b 16.87 0.071
Maine 23.06a 25.47 0.046 8.41 9.87 0.214 38.25 40.07 0.452 22.48b 25.04 0.072 24.25b 26.71 0.056
Maryland 14.27 14.79 0.478 6.70 6.36 0.590 24.75 22.74 0.265 13.65 14.65 0.261 15.03 15.65 0.443
Massachusetts 20.79 20.23 0.599 8.53 7.63 0.398 37.26 33.89 0.121 19.35 19.28 0.953 21.84 21.31 0.637
Michigan 19.41 20.28 0.214 6.48 7.01 0.366 29.63 30.07 0.780 19.26 20.25 0.252 20.65 21.55 0.242
Minnesota 17.64 17.71 0.937 5.98 5.41 0.400 29.61 26.98 0.225 17.23 17.79 0.599 18.86 18.99 0.890
Mississippi 11.27 11.90 0.308 5.83 5.33 0.456 18.97 18.49 0.772 10.70 11.67 0.183 11.88 12.63 0.265
Missouri 18.56a 21.58 0.002 6.79 7.15 0.652 29.35 32.62 0.124 18.27a 21.59 0.006 19.76a 23.06 0.002
Montana 21.97 23.25 0.218 6.52 7.16 0.444 35.80 35.16 0.794 21.56 23.23 0.181 23.44 24.78 0.237
Nebraska 11.25 11.71 0.451 5.14 4.63 0.409 19.02 17.30 0.281 10.73 11.68 0.199 11.94 12.51 0.395
Nevada 20.88 19.90 0.367 7.14 6.70 0.585 30.03 30.01 0.994 21.19 20.03 0.381 22.25 21.20 0.374
New Hampshire 16.96 17.86 0.340 6.32 6.93 0.495 30.20 29.03 0.573 16.13 17.35 0.273 17.83 18.75 0.367
New Jersey 13.66 14.36 0.342 6.03 5.40 0.330 27.85 27.79 0.977 12.52 13.49 0.263 14.42 15.24 0.298
New Mexico 23.97 22.46 0.204 9.74 9.47 0.828 34.92b 30.98 0.089 23.96 22.67 0.374 25.45 23.79 0.199
New York 16.19 15.99 0.755 5.92 5.76 0.810 27.13 27.59 0.760 15.60 15.32 0.707 17.10 16.90 0.765
North Carolina 11.68 11.77 0.872 5.43 5.43 0.991 20.77 21.26 0.760 10.99 11.03 0.950 12.30 12.40 0.877
North Dakota 12.36 13.27 0.231 4.98 4.32 0.338 20.75 18.83 0.311 11.68b 13.33 0.081 13.14 14.22 0.191
Ohio 15.68 16.22 0.369 7.13 6.48 0.342 27.72 28.25 0.715 14.84 15.53 0.340 16.53 17.19 0.314
Oklahoma 20.07 20.82 0.429 6.17 7.13 0.246 32.36 30.90 0.531 19.80 20.92 0.339 21.63 22.36 0.483
Oregon 22.33 21.99 0.759 7.76 8.07 0.701 33.27 29.76 0.101 22.29 22.33 0.976 23.65 23.23 0.727
Pennsylvania 14.33 14.29 0.936 6.37 5.65 0.264 23.72 23.19 0.713 13.77 13.88 0.874 15.07 15.08 0.984
Rhode Island 18.32b 20.09 0.053 7.24 8.08 0.365 33.35 33.60 0.914 16.95b 19.07 0.051 19.23b 21.07 0.060
South Carolina 11.89 12.35 0.509 5.57 5.30 0.699 21.56 19.69 0.293 11.16 12.07 0.272 12.51 13.04 0.481
South Dakota 11.85 11.60 0.737 4.82 4.10 0.262 19.79a 16.02 0.025 11.45 11.85 0.671 12.63 12.43 0.806
Tennessee 12.92b 14.23 0.076 5.73 5.98 0.705 21.19 20.85 0.838 12.50b 14.18 0.055 13.64b 15.05 0.078
Texas 10.29 10.02 0.492 4.69 4.56 0.780 18.40a 15.80 0.024 9.67 9.78 0.820 10.96 10.66 0.494
Utah 10.31 10.41 0.862 4.02 3.84 0.744 16.18 14.60 0.299 10.08 10.58 0.510 11.18 11.30 0.850
Vermont 25.33 25.21 0.934 8.55 9.51 0.398 42.05 38.78 0.255 24.27 24.58 0.845 26.67 26.47 0.886
Virginia 13.27 13.56 0.630 6.55 5.79 0.208 24.90 23.68 0.430 12.25 12.90 0.343 13.94 14.32 0.544
Washington 20.70a 17.92 0.003 7.14 6.38 0.276 29.46a 25.45 0.039 20.93a 18.11 0.011 21.99a 19.01 0.003
West Virginia 12.76b 11.36 0.070 6.09 5.22 0.267 21.40a 16.67 0.008 12.20 11.24 0.297 13.37b 11.92 0.079
Wisconsin 14.04 13.82 0.743 5.89 5.21 0.316 25.77 22.84 0.102 13.13 13.38 0.743 14.84 14.66 0.800
Wyoming 10.80 11.72 0.251 4.68 4.10 0.418 20.23 17.92 0.227 10.11b 11.70 0.100 11.47 12.52 0.224

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: These estimates of marijuana use include marijuana vaping.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 4 – Perceptions of Great Risk from Smoking Marijuana Once a Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 20.40 20.73 0.184 20.54a 22.29 0.000 10.88a 12.19 0.000 21.86 21.86 0.995 20.38 20.57 0.480
Northeast 19.60a 20.71 0.014 20.33a 21.83 0.036 10.49a 12.45 0.000 20.89b 21.82 0.089 19.53a 20.61 0.028
Midwest 17.03 17.28 0.454 19.26b 20.34 0.060 9.12a 10.08 0.013 18.02 18.06 0.921 16.80 16.97 0.637
South 22.48 22.73 0.502 21.98a 23.78 0.002 11.99a 13.53 0.000 24.18 24.03 0.740 22.53 22.63 0.817
West 20.53 20.45 0.848 19.43a 21.82 0.001 10.91 11.67 0.150 22.16 21.64 0.324 20.64 20.32 0.478
Alabama 21.64 23.02 0.199 25.15 26.19 0.542 11.71 12.63 0.431 22.83 24.30 0.269 21.28 22.70 0.223
Alaska 14.95 16.45 0.114 16.74 18.83 0.217 10.64 11.93 0.228 15.33 16.79 0.206 14.75 16.19 0.165
Arizona 18.60 19.25 0.533 16.64a 20.40 0.013 9.48a 11.98 0.030 20.30 20.28 0.989 18.80 19.14 0.765
Arkansas 21.81 20.27 0.156 21.82 21.09 0.651 11.89 11.74 0.900 23.41 21.54 0.176 21.80 20.19 0.180
California 23.88 23.67 0.765 20.77a 23.99 0.005 11.83 12.45 0.444 26.12 25.36 0.384 24.20 23.64 0.468
Colorado 13.64 13.44 0.798 15.10 15.62 0.691 7.86 8.50 0.476 14.38 13.96 0.666 13.50 13.23 0.755
Connecticut 16.30 17.81 0.164 15.18a 18.47 0.026 8.12 9.69 0.108 17.70 18.98 0.336 16.41 17.74 0.252
Delaware 18.41 18.46 0.961 20.71 21.96 0.376 9.28 9.97 0.514 19.42 19.25 0.885 18.19 18.13 0.952
District of Columbia 14.55 14.97 0.678 18.52 17.25 0.433 9.03 10.11 0.319 15.21 15.63 0.727 14.29 14.81 0.623
Florida 25.76 24.58 0.143 21.11a 23.51 0.044 13.11 13.84 0.417 27.86b 26.06 0.064 26.16b 24.67 0.087
Georgia 20.42a 22.63 0.031 21.15a 24.21 0.041 11.59b 13.76 0.054 21.77 23.87 0.102 20.34b 22.46 0.059
Hawaii 23.07 21.53 0.191 19.99 19.52 0.795 11.40 11.52 0.927 24.81 22.93 0.185 23.35 21.71 0.201
Idaho 18.93 19.90 0.350 21.85 23.50 0.292 11.41 13.15 0.117 19.85 20.58 0.573 18.59 19.49 0.430
Illinois 17.45 18.49 0.158 18.81b 21.19 0.068 9.18 10.00 0.332 18.57 19.49 0.314 17.31 18.22 0.256
Indiana 18.99 18.56 0.648 19.10 20.79 0.328 10.22 11.55 0.242 20.47 19.47 0.397 18.98 18.33 0.527
Iowa 18.05 17.65 0.695 21.61 19.97 0.342 9.99 10.90 0.429 19.02 18.54 0.708 17.68 17.41 0.811
Kansas 17.47 17.81 0.744 18.99 20.47 0.346 9.32a 11.35 0.047 18.72 18.60 0.927 17.30 17.51 0.854
Kentucky 19.51 17.83 0.121 23.86 22.22 0.311 10.08 10.77 0.575 20.44 18.40 0.120 19.06 17.38 0.149
Louisiana 22.51 21.65 0.425 23.52 24.10 0.729 12.56 11.49 0.399 23.95 22.94 0.445 22.40 21.39 0.390
Maine 12.10a 14.55 0.017 17.80 17.93 0.930 6.43a 8.09 0.033 12.29a 15.05 0.026 11.64a 14.28 0.018
Maryland 19.50 19.63 0.910 20.76 20.56 0.894 10.06 11.32 0.260 20.70 20.69 0.995 19.38 19.53 0.895
Massachusetts 15.17b 17.09 0.051 17.33b 20.27 0.065 6.87a 9.27 0.019 16.31 18.04 0.148 14.99b 16.81 0.083
Michigan 16.31a 18.59 0.001 18.23a 21.35 0.011 9.38a 11.18 0.028 17.18a 19.43 0.009 16.13a 18.32 0.004
Minnesota 16.09b 17.99 0.065 18.82b 22.00 0.055 8.35b 10.10 0.086 16.94 18.71 0.166 15.80 17.57 0.114
Mississippi 24.37 22.78 0.150 24.70 23.41 0.454 13.64 14.76 0.390 26.13 24.04 0.133 24.34 22.72 0.182
Missouri 17.93a 14.95 0.002 21.05a 17.74 0.035 10.22 9.81 0.692 18.77a 15.42 0.005 17.61a 14.67 0.005
Montana 14.57 15.12 0.548 17.47b 20.15 0.076 7.88 9.22 0.156 15.27 15.46 0.865 14.29 14.65 0.719
Nebraska 20.36 19.46 0.376 20.47b 23.71 0.062 11.11 11.00 0.931 21.96 20.37 0.216 20.35 18.97 0.219
Nevada 20.49 19.17 0.203 17.05 18.74 0.252 10.67 9.96 0.505 22.21 20.43 0.162 20.83 19.21 0.152
New Hampshire 13.01 12.21 0.368 15.58 14.86 0.569 6.83 7.02 0.818 13.62 12.67 0.375 12.79 11.99 0.400
New Jersey 23.64 24.34 0.524 22.53 22.34 0.900 13.91 14.74 0.483 25.15 25.92 0.566 23.75 24.54 0.510
New Mexico 18.28 19.85 0.152 16.76 19.36 0.111 9.05a 11.41 0.044 19.93 21.23 0.334 18.44 19.90 0.221
New York 22.09 23.12 0.193 21.03 22.74 0.178 12.03a 14.63 0.007 23.70 24.41 0.456 22.18 23.15 0.254
North Carolina 21.38 21.62 0.807 20.31 22.62 0.120 12.56 14.38 0.144 22.88 22.63 0.836 21.49 21.52 0.976
North Dakota 17.26b 19.34 0.065 19.93a 24.68 0.012 9.61b 11.95 0.069 18.44 20.12 0.243 16.98 18.77 0.147
Ohio 15.65 15.10 0.420 18.98 18.38 0.587 8.07 8.35 0.700 16.42 15.74 0.421 15.32 14.77 0.465
Oklahoma 19.62 20.86 0.236 21.45b 24.36 0.095 11.74 13.05 0.258 20.74 21.74 0.445 19.41 20.47 0.353
Oregon 14.04 13.31 0.456 14.06 15.95 0.167 8.29 8.30 0.986 14.85 13.74 0.349 14.04 13.08 0.364
Pennsylvania 18.58 19.80 0.158 21.92 23.47 0.255 9.97a 12.02 0.033 19.51 20.56 0.317 18.27 19.46 0.201
Rhode Island 16.26b 14.48 0.062 17.09 17.78 0.619 7.87 7.46 0.645 17.55b 15.30 0.061 16.19b 14.22 0.057
South Carolina 22.61 21.23 0.241 22.84 24.59 0.325 12.72 12.78 0.960 24.06 22.10 0.176 22.59 20.90 0.193
South Dakota 18.87 18.62 0.815 18.53a 22.41 0.028 9.34a 11.63 0.041 20.50 19.29 0.362 18.91 18.20 0.545
Tennessee 19.00 18.66 0.761 18.43 20.11 0.293 9.02 9.93 0.340 20.58 19.82 0.576 19.05 18.52 0.657
Texas 25.12a 26.94 0.018 23.79a 26.53 0.038 13.26a 16.55 0.001 27.39 28.80 0.131 25.28a 26.99 0.039
Utah 24.56 24.75 0.861 29.63 30.52 0.641 17.11 16.57 0.754 25.42 25.66 0.862 23.86 23.96 0.928
Vermont 11.07a 13.46 0.007 14.22 16.29 0.123 5.01a 6.42 0.038 11.73a 14.29 0.018 10.81a 13.24 0.011
Virginia 18.72 18.01 0.399 19.09 20.22 0.355 9.16 9.64 0.565 20.16 19.03 0.281 18.68 17.79 0.330
Washington 14.88 14.91 0.970 16.91 16.79 0.936 8.54 9.30 0.478 15.56 15.49 0.953 14.69 14.73 0.959
West Virginia 17.59 17.90 0.778 21.96 21.36 0.719 9.46 10.17 0.479 18.32 18.64 0.810 17.19 17.58 0.740
Wisconsin 15.62 15.46 0.870 19.64 19.27 0.810 7.39 8.21 0.330 16.46 16.17 0.809 15.22 15.09 0.901
Wyoming 17.62 17.85 0.838 18.63b 22.44 0.054 9.82 10.60 0.509 18.71 18.40 0.824 17.51 17.37 0.905

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 5 – First Use of Marijuana in the Past Year: Among People Aged 12 or Older at Risk for Initiation of Marijuana Use; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 2.55a 2.38 0.006 4.71b 4.46 0.091 8.26b 7.81 0.089 1.15a 1.02 0.025 2.16a 2.01 0.016
Northeast 2.73a 2.54 0.030 4.95 4.69 0.288 9.32 8.88 0.281 1.27 1.12 0.105 2.35b 2.18 0.068
Midwest 2.70 2.64 0.398 4.72 4.58 0.501 8.56 8.51 0.890 1.27 1.17 0.184 2.32 2.26 0.495
South 2.19a 2.06 0.020 4.54 4.32 0.196 6.83b 6.36 0.057 0.95 0.87 0.185 1.78b 1.66 0.059
West 2.91a 2.63 0.003 4.85b 4.44 0.098 9.83 9.08 0.122 1.34a 1.11 0.009 2.54a 2.28 0.014
Alabama 2.03 2.05 0.888 4.37 5.26 0.133 5.38 5.03 0.528 0.88 0.80 0.454 1.62 1.50 0.385
Alaska 3.20a 2.58 0.001 4.30 3.69 0.263 10.94a 8.04 0.004 1.50b 1.22 0.090 2.93a 2.33 0.005
Arizona 2.82a 2.40 0.006 5.13 4.28 0.110 9.27a 7.15 0.006 1.23 1.05 0.216 2.40a 2.05 0.043
Arkansas 2.19 2.22 0.789 5.11 5.11 0.998 6.19 6.00 0.755 0.79 0.85 0.625 1.64 1.67 0.804
California 2.67a 2.39 0.031 4.84 4.24 0.107 9.68 8.98 0.353 1.14b 0.94 0.070 2.29 2.06 0.114
Colorado 4.29 3.89 0.109 6.18 5.51 0.282 13.36 12.56 0.526 2.13b 1.72 0.086 3.87 3.52 0.228
Connecticut 3.25 3.32 0.726 5.75 6.40 0.365 10.96 10.88 0.946 1.38 1.31 0.675 2.77 2.74 0.889
Delaware 2.38 2.57 0.213 4.53 5.21 0.260 6.87 7.58 0.322 1.25 1.19 0.725 2.00 2.09 0.587
District of Columbia 4.58b 4.02 0.087 6.23 6.63 0.584 14.59 14.63 0.974 2.35a 1.54 0.020 4.32b 3.60 0.059
Florida 2.12 2.10 0.890 5.07b 4.38 0.083 8.29 8.40 0.828 0.83 0.87 0.731 1.69 1.76 0.502
Georgia 2.45 2.31 0.290 5.08 4.91 0.748 7.13 7.18 0.935 1.07 0.95 0.332 1.95 1.82 0.336
Hawaii 2.40a 1.93 0.007 4.24 3.77 0.387 9.92a 7.72 0.049 1.08 0.84 0.101 2.11a 1.65 0.014
Idaho 2.60 2.41 0.193 4.50 4.30 0.710 7.63 7.04 0.375 1.13 1.02 0.412 2.20 2.01 0.229
Illinois 2.56 2.56 0.959 5.01 4.65 0.410 8.00 8.32 0.619 1.18 1.11 0.623 2.12 2.15 0.803
Indiana 2.47 2.59 0.357 4.75 4.81 0.901 8.03 8.54 0.463 0.98 0.97 0.923 2.05 2.15 0.491
Iowa 2.09b 2.37 0.054 3.97 4.58 0.261 6.58 6.87 0.665 0.85 0.98 0.310 1.76 1.95 0.206
Kansas 2.50 2.51 0.950 5.21 5.78 0.368 7.38 6.48 0.240 0.93 0.94 0.887 1.97 1.87 0.549
Kentucky 2.07 2.23 0.204 3.99 4.41 0.453 6.03 6.34 0.616 0.99 0.98 0.930 1.73 1.83 0.496
Louisiana 2.16 2.31 0.259 4.49 4.84 0.506 6.73 7.67 0.200 0.86 0.87 0.898 1.72 1.83 0.447
Maine 3.75 3.73 0.966 5.66 6.83 0.140 12.65 13.07 0.765 2.05b 1.62 0.083 3.36 3.14 0.449
Maryland 2.81 2.74 0.692 4.78a 5.97 0.044 9.25 7.96 0.140 1.49 1.28 0.207 2.45 2.17 0.116
Massachusetts 3.52 3.23 0.167 5.95 5.07 0.227 12.60 11.15 0.228 1.58 1.45 0.472 3.09 2.90 0.422
Michigan 3.02 2.78 0.106 4.53 4.61 0.826 9.45 9.05 0.569 1.57a 1.25 0.039 2.72b 2.42 0.085
Minnesota 3.01b 2.67 0.054 4.18 3.96 0.675 11.03a 8.63 0.011 1.50 1.30 0.249 2.78b 2.40 0.063
Mississippi 1.76 1.81 0.671 4.31 4.91 0.226 5.23 4.89 0.549 0.63 0.63 0.985 1.32 1.28 0.743
Missouri 2.96 2.99 0.878 4.43 4.20 0.684 8.35a 10.31 0.030 1.66 1.48 0.388 2.66 2.74 0.696
Montana 3.57 3.45 0.619 4.58 5.19 0.342 12.16 12.22 0.962 1.82 1.52 0.184 3.37 3.09 0.319
Nebraska 2.27 2.07 0.152 3.90 3.63 0.550 6.18 5.69 0.427 1.11 0.97 0.319 1.95 1.76 0.251
Nevada 3.29 3.27 0.909 4.78 4.93 0.821 13.41 14.68 0.362 1.58 1.34 0.263 2.99 2.92 0.795
New Hampshire 3.06 2.99 0.706 4.77 5.32 0.422 11.09 10.27 0.468 1.61 1.44 0.306 2.76 2.59 0.382
New Jersey 2.70a 2.34 0.016 5.14a 4.06 0.026 10.11 9.59 0.537 1.21 1.04 0.249 2.30 2.05 0.129
New Mexico 3.17 3.37 0.390 6.48 7.23 0.394 12.06 12.68 0.661 1.05 1.01 0.820 2.50 2.61 0.644
New York 2.48 2.32 0.208 4.76 4.66 0.821 8.88 8.21 0.324 1.07 1.00 0.534 2.11 1.95 0.229
North Carolina 2.02 1.95 0.540 4.02 3.81 0.650 6.38 6.27 0.859 0.90 0.84 0.600 1.68 1.63 0.694
North Dakota 2.50 2.22 0.106 4.01 3.59 0.478 7.43b 5.96 0.051 1.10 1.05 0.788 2.23 1.97 0.165
Ohio 2.81 2.81 0.980 5.37 5.36 0.979 9.45 9.53 0.915 1.22 1.18 0.781 2.32 2.32 0.991
Oklahoma 2.62 2.52 0.572 3.57 4.45 0.141 8.22 7.90 0.694 1.37b 1.05 0.057 2.42 2.13 0.115
Oregon 4.00b 3.61 0.089 5.21 5.70 0.431 12.23 11.95 0.798 2.22a 1.59 0.009 3.73a 3.17 0.037
Pennsylvania 2.41 2.27 0.257 4.28 4.23 0.900 6.93 6.96 0.956 1.27 1.06 0.110 2.09 1.93 0.247
Rhode Island 3.39 3.40 0.955 5.20 4.82 0.537 10.65 12.45 0.124 1.77 1.53 0.313 3.08 3.14 0.822
South Carolina 1.97 1.91 0.607 3.97 4.06 0.869 6.45 5.75 0.255 0.88 0.83 0.666 1.63 1.54 0.484
South Dakota 2.20 2.21 0.907 3.61 3.20 0.447 7.06 7.28 0.757 1.02 1.06 0.798 1.93 2.02 0.572
Tennessee 2.48a 2.16 0.016 4.89 4.47 0.434 8.21a 6.68 0.033 1.07 0.94 0.248 2.05a 1.75 0.035
Texas 1.96a 1.66 0.003 4.21b 3.54 0.055 5.45a 4.58 0.045 0.81 0.70 0.219 1.54a 1.32 0.029
Utah 2.24 1.99 0.204 2.73 2.50 0.570 6.20 5.29 0.171 1.13 1.06 0.730 2.14 1.89 0.258
Vermont 4.36 4.22 0.673 5.61 6.53 0.264 14.08 14.56 0.775 2.36b 1.88 0.097 4.10 3.76 0.366
Virginia 2.72a 2.37 0.006 5.23b 4.48 0.062 8.75a 7.50 0.048 1.23 1.09 0.266 2.29a 2.00 0.044
Washington 3.29 3.04 0.185 4.66 4.67 0.983 9.43 9.09 0.677 1.90b 1.54 0.067 3.01 2.71 0.159
West Virginia 1.97 1.84 0.336 4.42 3.93 0.334 5.80 5.80 0.996 0.87 0.78 0.472 1.56 1.50 0.644
Wisconsin 2.80b 2.53 0.087 4.68b 3.77 0.093 8.80 8.44 0.655 1.43 1.23 0.218 2.45 2.30 0.404
Wyoming 2.45 2.41 0.807 4.80b 3.74 0.094 8.17 8.98 0.371 0.96 1.07 0.447 1.99 2.14 0.368

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: First use of marijuana in the past year among those at risk of initiation (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana, and (0.5 × X1 + X2) denotes the at‑risk population. State and census region estimates are based on simultaneous modeling of X1 and X2 components using the survey‐weighted hierarchical Bayes small area estimation approach. The associated Markov Chain Monte Carlo chains were used to calculate the posterior variance. The age group shown is based on a respondent’s age at the time of the interview, not their age at first use. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

NOTE: These estimates include marijuana vaping.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 6 – Cocaine Use in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 1.82a 1.62 0.001 0.20 0.26 0.171 3.40a 2.69 0.000 1.76a 1.61 0.041 1.98a 1.76 0.001
Northeast 1.99 1.83 0.342 0.19 0.24 0.510 3.88b 3.18 0.087 1.89 1.80 0.631 2.15 1.98 0.326
Midwest 1.79a 1.54 0.039 0.20 0.26 0.460 3.40a 2.58 0.004 1.73 1.53 0.171 1.96a 1.68 0.033
South 1.58 1.42 0.134 0.18 0.25 0.320 2.81a 2.26 0.019 1.56 1.43 0.318 1.73 1.54 0.113
West 2.10 1.86 0.141 0.24 0.29 0.548 4.00a 3.12 0.030 2.03 1.84 0.348 2.29 2.01 0.130
Alabama 1.41 1.48 0.742 0.15 0.21 0.390 2.30 2.01 0.429 1.41 1.55 0.621 1.54 1.61 0.762
Alaska 1.30 1.33 0.868 0.18 0.22 0.618 2.75 2.23 0.287 1.23 1.35 0.659 1.42 1.46 0.886
Arizona 2.00 1.95 0.863 0.24 0.36 0.266 3.91 3.42 0.529 1.91 1.89 0.974 2.18 2.10 0.830
Arkansas 1.38 1.18 0.404 0.16 0.21 0.447 2.04 1.58 0.199 1.42 1.24 0.521 1.51 1.28 0.393
California 2.22 1.85 0.127 0.25 0.29 0.677 4.06a 2.93 0.045 2.17 1.86 0.293 2.42 2.00 0.122
Colorado 2.48 2.22 0.461 0.24 0.32 0.493 4.93 3.79 0.130 2.36 2.19 0.695 2.70 2.40 0.445
Connecticut 2.11a 1.54 0.038 0.24 0.25 0.913 4.29b 2.98 0.060 1.97 1.46 0.104 2.28a 1.66 0.038
Delaware 1.57 1.22 0.101 0.18 0.24 0.386 2.79 2.09 0.134 1.55 1.20 0.173 1.70b 1.31 0.097
District of Columbia 3.35 3.52 0.766 0.05 0.12 0.229 6.93 5.75 0.403 2.98 3.40 0.523 3.56 3.74 0.764
Florida 1.57 1.40 0.429 0.18 0.23 0.507 3.37 2.73 0.194 1.47 1.35 0.618 1.68 1.51 0.416
Georgia 1.59 1.66 0.801 0.16 0.25 0.262 3.07 2.73 0.528 1.54 1.66 0.678 1.75 1.81 0.833
Hawaii 1.50a 0.98 0.016 0.20 0.16 0.688 3.62a 1.93 0.004 1.38b 0.95 0.082 1.62a 1.05 0.017
Idaho 1.61 1.53 0.712 0.23 0.25 0.853 3.30 2.97 0.566 1.51 1.46 0.842 1.77 1.68 0.704
Illinois 2.34 2.06 0.358 0.25 0.32 0.447 4.04 3.22 0.180 2.32 2.08 0.508 2.55 2.23 0.344
Indiana 1.40 1.33 0.744 0.18 0.25 0.381 2.64 2.16 0.297 1.34 1.33 0.951 1.53 1.44 0.719
Iowa 1.55 1.46 0.658 0.20 0.26 0.470 3.17 2.60 0.253 1.44 1.41 0.903 1.70 1.58 0.636
Kansas 1.57 1.35 0.315 0.21 0.25 0.639 3.12 2.39 0.135 1.48 1.32 0.542 1.72 1.48 0.310
Kentucky 1.69 1.44 0.279 0.19 0.27 0.366 3.13 2.36 0.110 1.65 1.44 0.451 1.84 1.56 0.267
Louisiana 1.95a 1.38 0.032 0.15 0.19 0.576 2.63a 1.81 0.033 2.07b 1.46 0.068 2.14a 1.51 0.032
Maine 2.01 1.76 0.362 0.20 0.32 0.238 5.38 4.00 0.117 1.75 1.61 0.645 2.15 1.87 0.344
Maryland 1.43 1.18 0.223 0.16 0.20 0.616 2.75a 1.91 0.038 1.39 1.20 0.429 1.56 1.28 0.220
Massachusetts 2.27a 1.60 0.015 0.23 0.23 0.959 5.39a 3.40 0.013 1.97b 1.44 0.087 2.45a 1.71 0.015
Michigan 1.72 1.49 0.313 0.18 0.22 0.524 3.16 2.48 0.156 1.66 1.48 0.494 1.86 1.61 0.303
Minnesota 1.56b 1.22 0.094 0.20 0.24 0.644 3.59a 2.24 0.011 1.42 1.19 0.341 1.71b 1.32 0.093
Mississippi 1.43 1.25 0.398 0.14 0.21 0.390 2.18 1.61 0.106 1.48 1.33 0.577 1.58 1.37 0.381
Missouri 1.70 1.51 0.429 0.18 0.24 0.518 3.14 2.44 0.143 1.66 1.52 0.632 1.86 1.64 0.419
Montana 1.92 2.19 0.389 0.20 0.25 0.614 4.84 4.19 0.435 1.67 2.10 0.220 2.09 2.37 0.401
Nebraska 1.52 1.41 0.616 0.20 0.30 0.387 3.00 2.42 0.265 1.44 1.38 0.828 1.67 1.54 0.591
Nevada 1.76 1.76 0.989 0.23 0.34 0.355 3.23 2.69 0.294 1.73 1.80 0.842 1.91 1.90 0.978
New Hampshire 2.06 1.92 0.659 0.25 0.37 0.344 5.83 4.51 0.248 1.71 1.71 0.994 2.21 2.04 0.635
New Jersey 1.34 1.28 0.781 0.18 0.22 0.660 2.91 2.33 0.250 1.25 1.25 0.979 1.45 1.39 0.769
New Mexico 2.06 1.80 0.433 0.31 0.43 0.436 3.78 2.96 0.228 2.00 1.77 0.580 2.24 1.93 0.412
New York 2.27 2.22 0.881 0.18 0.24 0.472 3.58 3.18 0.463 2.28 2.28 0.996 2.45 2.40 0.868
North Carolina 1.77a 1.29 0.033 0.17 0.22 0.416 3.23a 2.27 0.030 1.73b 1.27 0.085 1.93a 1.40 0.032
North Dakota 1.50 1.41 0.709 0.16 0.19 0.665 3.15 2.68 0.426 1.34 1.32 0.936 1.64 1.54 0.699
Ohio 1.97b 1.55 0.093 0.19 0.25 0.436 3.59a 2.53 0.035 1.93 1.55 0.203 2.15b 1.68 0.088
Oklahoma 1.51 1.34 0.414 0.20 0.26 0.439 2.80 2.28 0.271 1.46 1.32 0.597 1.65 1.46 0.400
Oregon 2.80 2.93 0.774 0.24 0.29 0.603 5.50 5.73 0.836 2.69 2.82 0.802 3.03 3.17 0.787
Pennsylvania 1.77 1.80 0.908 0.17 0.25 0.365 3.38 3.15 0.684 1.70 1.77 0.829 1.92 1.95 0.928
Rhode Island 2.28 2.09 0.532 0.25 0.29 0.657 4.98 4.73 0.789 2.04 1.84 0.561 2.45 2.24 0.522
South Carolina 1.67 1.58 0.732 0.16 0.23 0.354 2.77 2.29 0.284 1.68 1.63 0.876 1.82 1.72 0.713
South Dakota 1.50 1.30 0.338 0.21 0.23 0.835 3.39b 2.36 0.071 1.36 1.26 0.708 1.64 1.42 0.337
Tennessee 1.61 1.33 0.187 0.16 0.22 0.382 2.86 2.22 0.148 1.59 1.32 0.303 1.75 1.44 0.180
Texas 1.52 1.45 0.711 0.21 0.30 0.360 2.18 1.88 0.437 1.59 1.53 0.811 1.68 1.58 0.670
Utah 1.21 1.14 0.732 0.21 0.23 0.822 2.31 1.99 0.518 1.13 1.10 0.895 1.35 1.26 0.718
Vermont 2.39 2.43 0.913 0.19 0.34 0.232 6.86 6.44 0.773 1.89 2.01 0.780 2.56 2.60 0.937
Virginia 1.48 1.40 0.702 0.16 0.23 0.343 3.33 2.65 0.196 1.34 1.35 0.985 1.61 1.52 0.678
Washington 1.83 1.58 0.298 0.22 0.26 0.667 3.86 2.92 0.101 1.72 1.54 0.507 1.98 1.70 0.293
West Virginia 1.74 1.54 0.454 0.15 0.26 0.226 3.69 2.73 0.150 1.63 1.50 0.700 1.89 1.65 0.436
Wisconsin 1.60 1.36 0.267 0.19 0.23 0.641 3.55 2.67 0.105 1.46 1.28 0.484 1.74 1.47 0.260
Wyoming 1.55 1.33 0.300 0.21 0.19 0.790 3.61 2.97 0.278 1.40 1.22 0.483 1.69 1.46 0.303

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 7 – Perceptions of Great Risk from Using Cocaine Once a Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 65.40 64.99 0.121 48.50 48.91 0.423 58.11 58.71 0.190 68.46a 67.78 0.027 67.07b 66.57 0.077
Northeast 64.50 64.12 0.436 47.47 47.07 0.683 57.70 59.00 0.143 67.27 66.62 0.274 66.02 65.63 0.466
Midwest 64.66 64.46 0.602 46.81 46.96 0.862 56.90 57.56 0.421 67.98 67.58 0.386 66.46 66.22 0.558
South 68.59a 67.85 0.026 50.96 51.00 0.963 60.71 60.44 0.712 71.89a 70.96 0.017 70.38a 69.56 0.021
West 61.53 61.42 0.805 46.60b 48.36 0.061 55.23 56.70 0.129 64.23 63.62 0.275 63.02 62.70 0.526
Alabama 69.85 68.85 0.303 53.71 54.23 0.798 63.73 61.89 0.340 72.70 71.65 0.382 71.46 70.31 0.275
Alaska 59.48b 61.69 0.084 43.07 43.20 0.955 53.57 56.83 0.142 62.38 64.69 0.136 61.29b 63.72 0.083
Arizona 62.47 61.57 0.425 45.57 46.80 0.572 56.17 56.66 0.820 65.42 64.00 0.317 64.15 62.99 0.356
Arkansas 69.67b 67.88 0.098 51.55 52.85 0.547 62.40 60.95 0.450 73.07b 70.82 0.093 71.59b 69.46 0.073
California 62.66 63.22 0.445 46.96a 50.53 0.019 55.80 58.07 0.110 65.53 65.44 0.923 64.22 64.46 0.763
Colorado 56.53a 53.69 0.016 43.03 44.68 0.453 49.34 50.45 0.625 59.12a 55.13 0.006 57.80a 54.51 0.010
Connecticut 62.58 60.77 0.149 41.44 44.69 0.166 54.71 53.64 0.625 66.07b 63.53 0.099 64.55b 62.22 0.089
Delaware 65.18 65.11 0.949 47.41 49.80 0.263 59.31 60.21 0.661 67.84 67.36 0.737 66.81 66.50 0.808
District of Columbia 53.72 53.52 0.874 46.99 48.17 0.612 53.35 55.21 0.413 54.28 53.64 0.674 54.15 53.87 0.833
Florida 69.92a 68.36 0.050 49.54 50.59 0.479 60.09 60.15 0.969 73.18a 71.12 0.030 71.66a 69.87 0.037
Georgia 69.36 68.29 0.245 52.34 52.31 0.989 62.81 62.08 0.663 72.58 71.29 0.256 71.22 70.01 0.236
Hawaii 64.90 63.91 0.458 45.70 47.88 0.342 57.07a 61.55 0.042 67.77 65.79 0.213 66.60 65.34 0.382
Idaho 62.85 62.99 0.904 47.09 45.93 0.575 56.40 54.65 0.380 66.07 66.69 0.673 64.65 64.93 0.827
Illinois 62.42 61.98 0.642 44.77 45.92 0.560 56.18 55.07 0.513 65.42 64.87 0.644 64.19 63.57 0.552
Indiana 69.12 67.67 0.141 49.47 50.05 0.790 60.21 60.32 0.952 73.07 71.08 0.105 71.21 69.54 0.121
Iowa 63.41 62.91 0.660 46.35 46.64 0.892 56.91 57.79 0.673 66.63 65.77 0.558 65.19 64.60 0.639
Kansas 65.91 66.26 0.729 47.39 48.11 0.739 55.75 57.48 0.369 70.12 70.18 0.962 67.97 68.29 0.781
Kentucky 68.38 67.68 0.491 53.49 52.09 0.529 60.18 60.00 0.924 71.38 70.69 0.580 69.89 69.27 0.578
Louisiana 70.17 71.14 0.323 55.77 53.45 0.260 65.64 65.41 0.908 72.64 74.22 0.204 71.69 73.03 0.225
Maine 63.56 62.01 0.250 48.23 49.94 0.474 54.52 52.61 0.427 66.07 64.25 0.255 64.78 62.96 0.208
Maryland 64.52 64.23 0.783 46.61 48.17 0.451 55.72 57.45 0.370 67.81 67.02 0.540 66.30 65.83 0.684
Massachusetts 60.20 59.82 0.761 46.83 45.84 0.655 54.43 57.07 0.186 62.44 61.62 0.594 61.33 60.98 0.802
Michigan 66.65 66.15 0.571 47.62 45.38 0.180 61.04 60.89 0.924 69.61 69.22 0.713 68.46 68.11 0.720
Minnesota 60.14 60.58 0.725 40.84 43.66 0.208 50.94 54.31 0.134 63.85 63.53 0.838 62.14 62.32 0.897
Mississippi 73.65 74.40 0.428 58.50b 54.70 0.096 65.93 66.82 0.649 76.89 78.18 0.261 75.33 76.57 0.233
Missouri 65.56 66.39 0.441 48.78 49.61 0.690 58.74 59.76 0.612 68.58 69.36 0.551 67.25 68.08 0.483
Montana 60.82 62.57 0.182 46.05b 50.30 0.068 49.99 53.30 0.133 64.07 65.25 0.462 62.21 63.70 0.297
Nebraska 63.38 64.84 0.197 41.85 43.57 0.411 51.73b 55.66 0.067 68.22 69.23 0.473 65.79 67.23 0.253
Nevada 63.36 63.97 0.581 44.94 45.12 0.938 59.14 60.03 0.656 66.00 66.56 0.678 65.17 65.80 0.605
New Hampshire 61.07 59.30 0.182 44.64 46.85 0.300 53.59 53.18 0.855 63.61 61.25 0.134 62.40 60.29 0.140
New Jersey 66.86 67.59 0.474 48.10 45.50 0.144 59.01 60.06 0.570 70.06 71.10 0.414 68.69 69.74 0.353
New Mexico 64.48 65.90 0.239 48.74 47.85 0.715 57.77 59.65 0.372 67.40 68.98 0.292 66.09 67.72 0.220
New York 64.19 64.21 0.980 47.81 48.64 0.621 58.58 60.26 0.267 66.67 66.35 0.744 65.62 65.56 0.949
North Carolina 66.63 66.03 0.542 47.85 47.71 0.944 58.25 59.47 0.507 70.07 69.11 0.425 68.48 67.82 0.534
North Dakota 64.19 64.41 0.855 45.27 46.57 0.573 57.38 58.20 0.716 67.88 67.86 0.988 66.17 66.28 0.932
Ohio 66.17 65.81 0.640 49.41 48.00 0.379 57.43 58.42 0.503 69.41 68.94 0.624 67.83 67.56 0.753
Oklahoma 66.35 66.80 0.663 51.35 50.91 0.845 59.75 59.32 0.837 69.42 70.13 0.586 68.00 68.56 0.630
Oregon 56.32 54.33 0.129 45.97 47.48 0.509 52.29 51.00 0.561 57.94 55.47 0.116 57.24 54.92 0.103
Pennsylvania 67.36 66.23 0.226 49.13 47.17 0.251 59.74 61.01 0.444 70.40 68.98 0.212 69.02 67.95 0.296
Rhode Island 61.09 61.25 0.910 43.72 45.30 0.488 54.40 56.53 0.346 63.82 63.49 0.847 62.51 62.53 0.987
South Carolina 69.53 67.89 0.130 55.97a 50.40 0.011 62.87 61.22 0.399 72.04 70.81 0.360 70.85 69.58 0.286
South Dakota 64.45b 66.72 0.054 45.02 47.79 0.260 53.74 56.84 0.126 68.71 70.76 0.160 66.59b 68.80 0.086
Tennessee 68.19 67.63 0.594 48.43 50.58 0.325 57.39 57.56 0.930 72.08 71.08 0.429 70.15 69.31 0.463
Texas 69.04 68.78 0.694 50.98 51.31 0.831 61.57 60.74 0.575 72.82 72.53 0.720 71.15 70.80 0.620
Utah 65.08 64.23 0.377 51.58 50.81 0.675 59.58 58.48 0.585 68.57 67.74 0.515 66.91 66.03 0.416
Vermont 56.92 56.52 0.797 45.46 46.67 0.616 49.89 49.46 0.866 59.06 58.49 0.755 57.82 57.29 0.747
Virginia 66.36 65.28 0.269 49.88 50.40 0.764 58.14 58.16 0.991 69.48 68.02 0.216 67.97 66.72 0.235
Washington 57.77 57.56 0.857 46.07 42.67 0.111 52.98 54.71 0.405 59.69 59.53 0.912 58.86 58.94 0.948
West Virginia 70.09b 67.91 0.078 51.61 49.74 0.413 63.18 60.92 0.315 73.00 70.79 0.130 71.75b 69.55 0.096
Wisconsin 61.90 61.80 0.931 47.60 47.13 0.828 52.85 53.64 0.704 64.93 64.71 0.877 63.29 63.21 0.951
Wyoming 64.48a 61.94 0.046 50.37 50.45 0.974 55.69 55.59 0.967 67.58a 64.28 0.037 65.98a 63.13 0.043

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 8 – Heroin Use in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.12 0.11 0.841 0.36a 0.25 0.000 0.33a 0.23 0.000
Northeast ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.13 0.15 0.847 0.45a 0.27 0.010 0.41a 0.25 0.011
Midwest ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.21 0.17 0.583 0.34b 0.24 0.077 0.32b 0.23 0.069
South ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.07 0.09 0.825 0.36a 0.24 0.029 0.32a 0.22 0.037
West ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.10 0.09 0.811 0.33 0.25 0.156 0.29 0.23 0.159
Alabama ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.05 0.05 0.935 0.27 0.19 0.213 0.24 0.17 0.218
Alaska ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.23 0.12 0.279 0.88 0.39 0.315 0.80 0.36 0.290
Arizona ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.11 0.07 0.545 0.37 0.25 0.179 0.34 0.23 0.157
Arkansas ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.08 0.06 0.687 0.21 0.18 0.619 0.19 0.17 0.580
California ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.06 0.07 0.801 0.28 0.22 0.381 0.25 0.20 0.395
Colorado ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.16 0.15 0.924 0.28 0.28 0.997 0.26 0.26 0.987
Connecticut ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.17 0.16 0.913 0.46a 0.23 0.009 0.42a 0.22 0.008
Delaware ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.06 0.09 0.671 0.63a 0.32 0.023 0.56a 0.29 0.024
District of Columbia ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.06 0.21 0.192 0.66 0.35 0.134 0.57 0.33 0.171
Florida ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.07 0.11 0.598 0.28 0.21 0.375 0.25 0.20 0.411
Georgia ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.03 0.07 0.428 0.40a 0.21 0.025 0.34a 0.19 0.031
Hawaii ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.04 0.09 0.433 0.25a 0.13 0.050 0.23b 0.12 0.068
Idaho ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.18 0.08 0.176 0.30 0.28 0.782 0.29 0.25 0.663
Illinois ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.07 0.11 0.510 0.36 0.30 0.487 0.33 0.27 0.526
Indiana ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.21 0.14 0.382 0.46a 0.24 0.020 0.43a 0.23 0.013
Iowa ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.31 0.24 0.628 0.24 0.19 0.380 0.25 0.20 0.317
Kansas ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.13 0.14 0.905 0.25 0.20 0.429 0.23 0.19 0.455
Kentucky ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.26 0.13 0.233 0.53a 0.25 0.030 0.49a 0.24 0.020
Louisiana ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.05 0.07 0.793 0.63a 0.24 0.000 0.55a 0.21 0.000
Maine ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.55 0.39 0.571 0.34 0.22 0.130 0.36 0.24 0.108
Maryland ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.08 0.16 0.317 0.87 0.47 0.237 0.77 0.44 0.241
Massachusetts ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.17 0.18 0.979 0.66a 0.33 0.020 0.59a 0.31 0.017
Michigan ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.18 0.11 0.363 0.35b 0.22 0.082 0.32b 0.20 0.061
Minnesota ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.33 0.27 0.708 0.36 0.26 0.179 0.35 0.26 0.158
Mississippi ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.04 0.05 0.830 0.25 0.18 0.367 0.22 0.17 0.368
Missouri ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.15 0.15 0.966 0.31 0.25 0.445 0.29 0.24 0.443
Montana ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.42 0.20 0.180 0.26 0.22 0.519 0.28 0.22 0.283
Nebraska ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.21 0.20 0.942 0.31b 0.19 0.067 0.29b 0.19 0.072
Nevada ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.10 0.11 0.847 0.38 0.24 0.126 0.35 0.22 0.135
New Hampshire ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.57 0.39 0.488 0.46a 0.25 0.017 0.47a 0.26 0.013
New Jersey ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.06 0.12 0.271 0.56a 0.27 0.012 0.50a 0.25 0.014
New Mexico ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.15 0.07 0.301 0.34b 0.18 0.051 0.31a 0.17 0.036
New York ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.07 0.11 0.549 0.42b 0.25 0.075 0.37b 0.23 0.082
North Carolina ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.07 0.08 0.740 0.37a 0.22 0.027 0.33a 0.20 0.031
North Dakota ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.37 0.22 0.387 0.25 0.20 0.463 0.27 0.21 0.283
Ohio ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.22 0.17 0.650 0.33 0.26 0.373 0.32 0.25 0.325
Oklahoma ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.10 0.06 0.511 0.32 0.22 0.157 0.29 0.20 0.130
Oregon ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.17 0.11 0.553 0.48 0.33 0.330 0.44 0.30 0.306
Pennsylvania ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.11 0.13 0.772 0.33 0.29 0.613 0.30 0.27 0.640
Rhode Island ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.31 0.19 0.453 0.37 0.26 0.199 0.36 0.25 0.150
South Carolina ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.08 0.09 0.835 0.30b 0.19 0.092 0.28b 0.18 0.098
South Dakota ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.35 0.27 0.597 0.32 0.22 0.252 0.33 0.23 0.207
Tennessee ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.18 0.12 0.446 0.34 0.24 0.154 0.32 0.22 0.119
Texas ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.03 0.06 0.506 0.29 0.28 0.849 0.26 0.24 0.892
Utah ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.08 0.08 0.955 0.40 0.32 0.502 0.34 0.28 0.497
Vermont ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.73 0.36 0.285 0.40 0.27 0.218 0.44 0.28 0.104
Virginia ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.05 0.10 0.325 0.29 0.22 0.314 0.25 0.20 0.385
Washington ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.11 0.09 0.729 0.35 0.29 0.558 0.32 0.26 0.537
West Virginia ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.64a 0.12 0.017 0.62a 0.30 0.041 0.62a 0.28 0.014
Wisconsin ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.42 0.27 0.428 0.25 0.19 0.416 0.27 0.21 0.282
Wyoming ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ ‑‑ 0.30 0.15 0.228 0.41 0.26 0.250 0.40 0.24 0.184
‑‑ = not available.

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Estimates for youths aged 12 to 17 are not available for past year heroin use because this outcome was extremely rare among youths aged 12 to 17 in the 2023 and 2024 National Surveys on Drug Use and Health. As a result, estimates for people aged 12 or older are also not produced.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 9 – Perceptions of Great Risk from Trying Heroin Once or Twice: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 81.47 81.16 0.109 55.18 55.53 0.488 76.54a 75.52 0.009 85.22 84.90 0.161 84.05b 83.65 0.053
Northeast 81.63 81.76 0.734 54.56 55.25 0.496 77.73 77.54 0.785 84.96 85.05 0.834 84.02 84.08 0.875
Midwest 81.12 80.75 0.217 53.33 53.40 0.930 75.82 74.90 0.136 85.19 84.83 0.318 83.91 83.48 0.191
South 82.93a 82.41 0.040 56.71 56.74 0.968 77.61a 76.51 0.048 86.82b 86.30 0.079 85.58a 85.00 0.032
West 79.31 79.02 0.425 54.70 55.60 0.335 74.56a 72.98 0.046 82.85 82.58 0.527 81.74 81.30 0.267
Alabama 83.31 82.38 0.232 59.20 58.77 0.831 78.51 77.12 0.403 86.85 85.93 0.327 85.70 84.72 0.244
Alaska 76.17 75.57 0.589 51.05 50.89 0.946 71.91 71.53 0.849 79.91 79.20 0.594 78.92 78.25 0.578
Arizona 80.57 79.80 0.368 53.86 53.75 0.959 73.76 72.02 0.312 84.70 83.93 0.461 83.19 82.30 0.336
Arkansas 82.06 82.15 0.910 56.61 57.42 0.714 78.08 78.06 0.985 85.81 85.81 1.000 84.73 84.74 0.998
California 79.34 79.73 0.513 55.31b 58.19 0.052 74.36 73.00 0.273 82.85 83.18 0.640 81.71 81.82 0.855
Colorado 78.76a 76.65 0.032 53.40 52.84 0.810 74.93 71.56 0.101 82.09b 79.95 0.065 81.13a 78.84 0.029
Connecticut 80.37 81.08 0.460 51.24b 55.65 0.055 76.38 76.39 0.993 84.07 84.43 0.760 83.04 83.36 0.759
Delaware 82.57 83.13 0.483 55.77 56.81 0.609 77.51 75.89 0.351 86.03 86.82 0.393 85.00 85.51 0.552
District of Columbia 76.92 75.59 0.216 52.55 54.51 0.426 75.97 73.59 0.185 78.89 77.53 0.298 78.46 76.95 0.187
Florida 84.47 83.86 0.285 55.26 56.87 0.301 75.21 75.28 0.956 88.46 87.53 0.152 86.93 86.13 0.177
Georgia 82.15 82.41 0.714 55.45 56.62 0.545 77.72 77.22 0.715 86.24 86.45 0.808 85.05 85.17 0.868
Hawaii 78.63 79.37 0.497 50.78 53.30 0.272 72.54 74.73 0.250 82.11 82.50 0.766 81.07 81.67 0.609
Idaho 79.58 79.56 0.987 52.51 54.20 0.425 76.25b 73.06 0.051 83.76 84.02 0.823 82.65 82.41 0.821
Illinois 80.22 79.64 0.395 52.76 54.20 0.433 75.36 73.96 0.319 84.13 83.40 0.371 82.96 82.14 0.266
Indiana 82.64 81.98 0.409 55.45 56.08 0.764 77.24 76.06 0.433 86.90 86.15 0.439 85.51 84.70 0.347
Iowa 79.15 78.65 0.607 52.96 52.68 0.905 73.86 71.35 0.202 83.26 83.05 0.858 81.87 81.33 0.604
Kansas 80.24 80.19 0.955 55.00 56.77 0.414 76.45 74.97 0.362 84.19 84.14 0.966 83.03 82.77 0.793
Kentucky 83.21 83.05 0.831 58.96 56.48 0.241 80.20 78.96 0.458 86.50 86.78 0.760 85.66 85.74 0.922
Louisiana 83.73 84.25 0.481 58.28 59.35 0.611 80.44 80.00 0.801 87.35 87.95 0.489 86.41 86.88 0.560
Maine 81.42 82.24 0.340 54.99 56.56 0.510 78.50 77.49 0.557 84.13 85.08 0.358 83.50 84.23 0.429
Maryland 81.88b 80.46 0.099 54.97 57.14 0.291 75.49 72.98 0.146 85.82 84.14 0.109 84.54b 82.76 0.059
Massachusetts 79.58 78.88 0.502 54.73 54.73 0.999 77.20 75.28 0.239 82.37 81.79 0.639 81.65 80.88 0.487
Michigan 81.51 81.31 0.749 51.68 50.61 0.518 75.81 74.97 0.555 85.66 85.61 0.946 84.33 84.19 0.839
Minnesota 77.24 78.30 0.285 47.47 49.38 0.412 72.49 71.79 0.716 81.49 82.70 0.331 80.30 81.26 0.376
Mississippi 83.57 83.92 0.610 59.75 57.62 0.333 80.85 79.12 0.272 87.07 88.05 0.243 86.18 86.78 0.427
Missouri 83.91 83.12 0.291 58.15 55.71 0.293 79.91 79.36 0.741 87.52 86.85 0.457 86.49 85.85 0.426
Montana 80.40 79.98 0.648 53.59 55.41 0.428 74.74 74.93 0.918 84.15 83.33 0.467 82.90 82.24 0.512
Nebraska 78.86 78.77 0.916 49.47 51.45 0.392 69.01 71.91 0.139 84.40 83.53 0.405 82.13 81.81 0.722
Nevada 82.35 81.97 0.635 54.77 53.56 0.580 73.64 74.60 0.622 86.59 86.03 0.563 85.04 84.70 0.695
New Hampshire 82.00 82.07 0.932 53.73 54.21 0.836 77.89 76.87 0.567 85.15 85.28 0.892 84.27 84.27 0.998
New Jersey 83.36b 84.62 0.093 55.50 56.05 0.783 79.90 79.12 0.611 86.92b 88.53 0.077 86.05 87.37 0.105
New Mexico 81.73 80.39 0.162 61.01 58.86 0.367 80.34a 76.80 0.042 84.38 83.43 0.407 83.83 82.53 0.212
New York 80.58 80.82 0.709 53.44 56.38 0.103 75.96 76.92 0.480 83.98 83.81 0.823 82.93 82.92 0.985
North Carolina 82.04b 80.80 0.092 56.85 54.07 0.191 79.59 78.43 0.440 85.26 84.15 0.211 84.50 83.39 0.161
North Dakota 79.16 78.26 0.303 49.41 51.20 0.473 73.14 73.65 0.781 84.04 82.53 0.170 82.25 81.08 0.218
Ohio 82.67 82.09 0.343 55.57 54.15 0.372 77.91 77.43 0.692 86.45 85.93 0.473 85.33 84.82 0.441
Oklahoma 80.62 80.97 0.664 54.12 55.85 0.446 76.38 76.25 0.942 84.77 85.02 0.805 83.54 83.74 0.820
Oregon 77.69 76.88 0.429 53.71 54.14 0.847 74.30 72.14 0.195 80.57 79.78 0.520 79.79 78.85 0.390
Pennsylvania 83.71 83.01 0.294 56.62b 53.25 0.067 80.01 79.57 0.723 87.06 86.59 0.553 86.14 85.68 0.516
Rhode Island 81.01 81.48 0.640 52.91 53.97 0.659 75.38 75.23 0.934 84.55 85.03 0.692 83.27 83.67 0.710
South Carolina 84.73 83.49 0.105 59.63 55.87 0.132 79.58a 76.11 0.044 88.27 87.61 0.463 87.14 86.14 0.215
South Dakota 79.01 79.39 0.677 51.26 53.88 0.268 72.43 72.49 0.970 83.63 83.75 0.918 82.04 82.16 0.902
Tennessee 82.36 82.42 0.946 52.59 54.41 0.415 75.10 76.12 0.549 86.83 86.52 0.753 85.29 85.16 0.889
Texas 82.62 82.02 0.246 57.78 57.42 0.818 78.01 76.19 0.124 86.81 86.32 0.433 85.50 84.83 0.232
Utah 78.24 78.02 0.779 55.73 53.80 0.319 77.21b 74.12 0.070 82.20 82.87 0.494 81.28 81.25 0.975
Vermont 77.57 78.25 0.531 52.24 54.05 0.439 74.13 74.44 0.862 80.39 81.00 0.648 79.54 80.13 0.620
Virginia 82.83 82.02 0.233 56.62 56.42 0.901 77.02 75.45 0.282 86.65 85.87 0.330 85.37 84.49 0.234
Washington 77.95 76.47 0.115 53.15b 48.90 0.060 73.23 72.58 0.715 81.23 79.91 0.239 80.24 79.01 0.224
West Virginia 83.33 82.81 0.566 59.61 58.57 0.646 79.71 77.94 0.274 86.27 85.98 0.786 85.43 84.97 0.632
Wisconsin 81.15 80.57 0.491 52.58 52.58 0.998 74.12 72.52 0.367 85.46 84.93 0.604 83.91 83.25 0.465
Wyoming 80.19 79.61 0.526 54.93 56.50 0.508 76.06b 72.59 0.069 83.92 83.43 0.666 82.87 82.00 0.391

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 10 – Hallucinogen Use in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 3.06a 3.36 0.001 1.44 1.53 0.435 7.20b 6.73 0.059 2.61a 3.06 0.000 3.22a 3.54 0.001
Northeast 3.32a 3.81 0.021 1.37 1.53 0.382 8.25 8.13 0.848 2.79a 3.40 0.011 3.50a 4.01 0.025
Midwest 2.57 2.69 0.391 1.23 1.33 0.549 6.99a 5.92 0.018 2.03b 2.35 0.052 2.71 2.83 0.430
South 2.44a 2.77 0.006 1.31 1.43 0.454 5.82 5.71 0.799 2.05a 2.48 0.002 2.55a 2.91 0.007
West 4.31 4.58 0.273 1.90 1.85 0.859 8.87 8.10 0.261 3.88 4.36 0.110 4.55 4.86 0.266
Alabama 1.81b 2.29 0.070 0.99 1.28 0.322 4.32 4.94 0.454 1.50 1.98 0.101 1.89b 2.39 0.084
Alaska 3.03 3.37 0.479 1.99 1.64 0.503 6.70 6.21 0.689 2.65 3.19 0.320 3.15 3.57 0.432
Arizona 4.25 3.48 0.114 2.16 1.81 0.432 10.61a 6.34 0.001 3.47 3.22 0.654 4.46 3.65 0.126
Arkansas 2.23b 2.83 0.054 1.37 1.59 0.506 5.03 5.48 0.614 1.89b 2.56 0.065 2.33b 2.96 0.061
California 4.23 4.45 0.550 1.83 1.72 0.759 7.54 7.59 0.959 3.99 4.29 0.513 4.47 4.73 0.533
Colorado 5.66a 7.29 0.027 2.19 2.61 0.483 12.09 13.36 0.519 5.06a 6.87 0.028 6.00a 7.73 0.031
Connecticut 3.12 3.29 0.671 1.51 1.59 0.821 8.38 7.51 0.476 2.48 2.83 0.431 3.27 3.45 0.687
Delaware 2.73 2.32 0.214 1.70 1.46 0.551 8.08b 5.78 0.061 2.11 1.94 0.632 2.82 2.40 0.235
District of Columbia 7.09 8.32 0.252 0.86 1.09 0.471 8.47 9.73 0.458 7.32 8.65 0.297 7.49 8.80 0.252
Florida 2.38b 2.83 0.098 1.71 1.58 0.709 6.30 6.45 0.861 1.94b 2.49 0.071 2.44b 2.94 0.087
Georgia 2.38a 3.36 0.005 1.02 1.44 0.123 5.06a 7.34 0.019 2.12a 2.97 0.036 2.53a 3.57 0.007
Hawaii 3.22 2.86 0.418 1.06 0.95 0.732 7.02b 5.07 0.100 2.98 2.80 0.728 3.41 3.04 0.432
Idaho 3.71 3.76 0.917 1.37 1.74 0.341 8.40 8.04 0.786 3.21 3.29 0.886 3.98 3.99 0.983
Illinois 2.71 3.08 0.226 1.33 1.47 0.628 6.75 6.47 0.760 2.25 2.75 0.159 2.85 3.24 0.244
Indiana 2.24 2.71 0.109 1.14 1.45 0.287 6.58 5.83 0.448 1.64a 2.34 0.030 2.36 2.84 0.131
Iowa 2.15 2.14 0.977 1.17 1.31 0.670 6.12 4.99 0.276 1.58 1.75 0.574 2.25 2.23 0.938
Kansas 2.48 2.31 0.568 1.34 1.29 0.888 6.69 5.11 0.107 1.89 1.95 0.848 2.61 2.42 0.575
Kentucky 2.40 2.44 0.879 1.09 1.26 0.530 6.10 5.20 0.324 1.98 2.16 0.601 2.53 2.56 0.921
Louisiana 3.28 3.14 0.739 1.44 1.36 0.819 6.47 5.90 0.602 3.01 2.94 0.875 3.48 3.34 0.752
Maine 4.52 5.45 0.185 1.56 2.40 0.163 14.18 14.29 0.961 3.59 4.63 0.170 4.76 5.70 0.215
Maryland 2.71 3.28 0.135 1.62 1.67 0.882 7.67 7.79 0.927 2.13b 2.83 0.097 2.82 3.44 0.136
Massachusetts 3.84 4.29 0.351 1.45 1.67 0.569 9.29 8.45 0.552 3.20 3.88 0.200 4.05 4.51 0.370
Michigan 2.96 3.18 0.481 1.13 1.26 0.598 7.13 6.77 0.691 2.51 2.84 0.362 3.13 3.36 0.506
Minnesota 3.08b 2.46 0.062 1.48 1.24 0.430 9.95a 5.58 0.001 2.23 2.13 0.790 3.24b 2.59 0.071
Mississippi 2.06 2.06 0.975 1.04 1.07 0.890 4.93 4.42 0.562 1.71 1.80 0.752 2.17 2.17 0.990
Missouri 2.36 2.67 0.335 1.34 1.42 0.800 5.69 5.79 0.920 1.96 2.33 0.317 2.47 2.79 0.347
Montana 4.18a 5.48 0.036 1.65 2.28 0.158 10.61 11.00 0.827 3.48a 5.01 0.028 4.42a 5.79 0.044
Nebraska 1.84b 2.34 0.083 1.20 1.48 0.425 4.86 5.30 0.664 1.40b 1.94 0.087 1.91 2.44 0.101
Nevada 3.67 3.87 0.687 1.95 1.76 0.658 9.85 7.53 0.125 3.03 3.62 0.276 3.84 4.07 0.664
New Hampshire 3.24 3.82 0.195 1.16 1.77 0.113 10.25 10.09 0.923 2.48 3.16 0.153 3.41 3.98 0.233
New Jersey 2.26a 2.94 0.025 1.15 1.42 0.377 5.84 6.98 0.239 1.89b 2.54 0.060 2.37a 3.09 0.031
New Mexico 3.55 3.74 0.674 1.85 2.19 0.492 10.00 8.46 0.347 2.74 3.19 0.340 3.73 3.90 0.729
New York 3.70 4.24 0.164 1.45 1.50 0.845 8.54 8.10 0.667 3.21 3.95 0.104 3.90 4.48 0.167
North Carolina 1.99b 2.48 0.066 1.27 1.42 0.647 5.29 5.60 0.739 1.57b 2.12 0.057 2.07b 2.59 0.070
North Dakota 2.08 2.46 0.304 1.04 1.13 0.801 4.76 5.07 0.755 1.68 2.11 0.320 2.19 2.60 0.313
Ohio 2.40 2.35 0.818 1.03 1.14 0.655 7.10a 5.40 0.042 1.85 2.03 0.528 2.54 2.47 0.783
Oklahoma 2.72 3.04 0.351 1.69 1.59 0.802 6.78 6.35 0.686 2.15 2.67 0.192 2.83 3.20 0.328
Oregon 6.15 6.62 0.532 2.66 2.50 0.803 15.11 12.30 0.174 5.25 6.25 0.241 6.46 6.98 0.522
Pennsylvania 2.98 3.31 0.307 1.33 1.45 0.674 7.27 7.54 0.792 2.51 2.88 0.303 3.13 3.48 0.319
Rhode Island 4.04 3.38 0.159 1.37 1.37 0.998 9.77 7.92 0.188 3.36 2.85 0.320 4.26 3.55 0.157
South Carolina 2.61 2.73 0.737 1.13 1.32 0.517 6.76 5.71 0.346 2.16 2.45 0.466 2.76 2.87 0.775
South Dakota 1.94 2.24 0.265 1.19 1.28 0.777 5.80 5.46 0.736 1.39 1.83 0.147 2.02 2.34 0.276
Tennessee 4.04a 3.14 0.045 1.68 1.62 0.882 8.54a 5.73 0.010 3.63 2.93 0.179 4.27a 3.29 0.046
Texas 2.04a 2.53 0.035 1.10 1.39 0.272 4.55 4.63 0.904 1.74a 2.32 0.031 2.16a 2.66 0.049
Utah 3.27 3.79 0.247 1.59 1.70 0.737 6.22 5.95 0.793 2.87 3.64 0.157 3.50 4.07 0.259
Vermont 5.59a 7.65 0.010 1.44 2.42 0.101 19.12 20.03 0.768 3.85a 6.23 0.004 5.92a 8.06 0.013
Virginia 2.65 2.52 0.673 1.38 1.29 0.742 7.32a 5.37 0.046 2.08 2.23 0.634 2.77 2.64 0.691
Washington 4.22 4.55 0.504 1.96 1.86 0.812 9.39 7.76 0.222 3.74 4.39 0.250 4.44 4.80 0.494
West Virginia 1.96 1.96 0.998 1.00 1.13 0.659 4.96 4.54 0.665 1.63 1.68 0.878 2.05 2.04 0.969
Wisconsin 2.69 2.65 0.886 1.34 1.46 0.699 8.02 6.24 0.121 2.01 2.22 0.539 2.83 2.76 0.856
Wyoming 2.77a 3.64 0.023 1.19 1.63 0.171 8.41 9.19 0.584 2.10a 3.04 0.027 2.95a 3.85 0.031

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 11 – Methamphetamine Use in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 0.94 0.88 0.183 0.11 0.19 0.125 0.39 0.39 0.991 1.12 1.03 0.126 1.03 0.94 0.137
Northeast 0.61 0.64 0.700 0.11 0.18 0.532 0.27 0.34 0.461 0.71 0.74 0.809 0.65 0.68 0.740
Midwest 0.95 0.81 0.152 0.13 0.22 0.513 0.65 0.50 0.299 1.09 0.93 0.153 1.03 0.87 0.117
South 0.95 0.94 0.873 0.11 0.19 0.499 0.36 0.35 0.898 1.14 1.12 0.806 1.04 1.01 0.807
West 1.17 1.00 0.170 0.09 0.16 0.484 0.31 0.40 0.354 1.43 1.19 0.116 1.28 1.08 0.146
Alabama 1.09 0.96 0.543 0.10 0.19 0.478 0.39 0.31 0.545 1.33 1.16 0.542 1.20 1.04 0.517
Alaska 1.42 1.62 0.580 0.05 0.19 0.166 0.88 0.64 0.451 1.67 1.94 0.559 1.57 1.78 0.611
Arizona 1.33 1.31 0.946 0.11 0.19 0.449 0.35 0.46 0.560 1.63 1.57 0.875 1.45 1.42 0.917
Arkansas 1.41 1.04 0.140 0.12 0.21 0.514 0.59 0.39 0.287 1.70 1.24 0.153 1.55 1.12 0.128
California 0.98 0.72 0.128 0.07 0.11 0.661 0.19 0.31 0.242 1.20 0.85 0.101 1.07 0.78 0.120
Colorado 0.98 1.04 0.790 0.11 0.18 0.588 0.38 0.51 0.457 1.17 1.21 0.873 1.06 1.12 0.815
Connecticut 0.50 0.49 0.928 0.12 0.13 0.915 0.17 0.37 0.163 0.59 0.55 0.751 0.54 0.52 0.918
Delaware 0.65 0.77 0.497 0.11 0.16 0.692 0.35 0.43 0.604 0.75 0.88 0.544 0.70 0.82 0.512
District of Columbia 0.32 0.38 0.470 0.01 0.07 0.331 0.26 0.31 0.757 0.35 0.42 0.523 0.34 0.40 0.486
Florida 0.71 0.73 0.921 0.14 0.18 0.726 0.21 0.35 0.264 0.84 0.83 0.987 0.76 0.78 0.937
Georgia 1.16 1.34 0.557 0.09 0.17 0.482 0.31 0.29 0.911 1.44 1.65 0.577 1.28 1.47 0.577
Hawaii 1.06 0.86 0.357 0.13 0.39 0.259 0.15 0.17 0.729 1.26 0.99 0.306 1.14 0.90 0.312
Idaho 1.31 1.24 0.801 0.15 0.27 0.511 0.62 0.62 0.989 1.59 1.48 0.759 1.44 1.35 0.761
Illinois 0.88 0.75 0.418 0.14 0.26 0.564 0.31 0.30 0.942 1.06 0.88 0.377 0.96 0.80 0.376
Indiana 1.04 0.77 0.145 0.12 0.16 0.666 0.62 0.51 0.557 1.23 0.89 0.152 1.14 0.83 0.137
Iowa 0.99 1.28 0.229 0.17 0.31 0.524 0.91 0.74 0.603 1.10 1.49 0.209 1.07 1.38 0.251
Kansas 0.95 1.12 0.424 0.15 0.25 0.514 0.54 0.46 0.693 1.13 1.35 0.423 1.04 1.21 0.450
Kentucky 1.71 1.54 0.584 0.13 0.21 0.496 0.98 0.65 0.311 2.01 1.83 0.652 1.88 1.67 0.566
Louisiana 1.48 1.29 0.509 0.07 0.15 0.397 0.55 0.36 0.310 1.81 1.58 0.539 1.64 1.41 0.491
Maine 1.14 0.96 0.435 0.17 0.24 0.653 0.85 0.79 0.849 1.26 1.05 0.438 1.22 1.02 0.422
Maryland 0.45 0.43 0.838 0.09 0.15 0.534 0.27 0.28 0.945 0.51 0.48 0.786 0.48 0.45 0.793
Massachusetts 0.50 0.58 0.529 0.10 0.23 0.294 0.21 0.37 0.220 0.58 0.64 0.706 0.53 0.61 0.582
Michigan 0.73 0.66 0.619 0.10 0.17 0.523 0.45 0.42 0.862 0.85 0.76 0.597 0.79 0.71 0.586
Minnesota 0.85 0.67 0.270 0.14 0.24 0.585 0.96 0.61 0.248 0.92 0.73 0.349 0.93 0.71 0.245
Mississippi 1.16 1.20 0.871 0.07 0.17 0.285 0.83 0.48 0.268 1.36 1.45 0.779 1.28 1.31 0.908
Missouri 1.53 1.18 0.185 0.13 0.22 0.518 0.70 0.53 0.480 1.83 1.39 0.191 1.68 1.28 0.173
Montana 1.37 1.99 0.103 0.18 0.40 0.483 0.86 0.62 0.405 1.58b 2.37 0.100 1.49 2.14 0.114
Nebraska 0.96 0.96 0.992 0.16 0.24 0.604 0.60 0.52 0.735 1.13 1.13 0.984 1.05 1.04 0.978
Nevada 1.63 1.35 0.380 0.10 0.18 0.451 0.26b 0.53 0.096 1.98 1.58 0.318 1.78 1.46 0.366
New Hampshire 0.82 0.71 0.519 0.13 0.14 0.947 0.53 0.58 0.837 0.92 0.78 0.494 0.87 0.75 0.513
New Jersey 0.46 0.48 0.853 0.13 0.14 0.929 0.16 0.25 0.333 0.53 0.55 0.934 0.49 0.51 0.860
New Mexico 1.78 1.75 0.948 0.20 0.26 0.701 0.31 0.48 0.378 2.20 2.12 0.882 1.94 1.90 0.930
New York 0.49 0.59 0.421 0.08 0.17 0.467 0.20 0.26 0.554 0.58 0.69 0.482 0.53 0.63 0.451
North Carolina 0.65 0.61 0.775 0.11 0.19 0.562 0.27 0.30 0.836 0.77 0.71 0.715 0.70 0.65 0.734
North Dakota 1.15 1.08 0.780 0.08 0.18 0.369 1.08 0.68 0.305 1.30 1.27 0.936 1.26 1.18 0.746
Ohio 0.92 0.72 0.195 0.11 0.20 0.543 0.88 0.62 0.317 1.02 0.79 0.239 1.00 0.77 0.177
Oklahoma 1.46 1.37 0.764 0.11 0.24 0.306 0.67 0.54 0.600 1.77 1.67 0.768 1.61 1.50 0.730
Oregon 1.47 1.19 0.322 0.13 0.25 0.515 0.42 0.52 0.592 1.75 1.38 0.283 1.59 1.27 0.304
Pennsylvania 0.88 0.86 0.933 0.13 0.19 0.621 0.40 0.38 0.869 1.03 1.01 0.918 0.94 0.92 0.909
Rhode Island 0.61 0.55 0.613 0.08 0.13 0.611 0.35 0.52 0.376 0.71 0.59 0.475 0.66 0.58 0.592
South Carolina 1.10 0.90 0.358 0.09 0.15 0.544 0.45 0.38 0.634 1.31 1.07 0.365 1.20 0.98 0.345
South Dakota 1.18 1.40 0.442 0.15 0.35 0.329 1.34 0.76 0.266 1.29 1.65 0.324 1.30 1.52 0.483
Tennessee 1.19 1.16 0.913 0.11 0.15 0.716 0.57 0.51 0.760 1.41 1.38 0.921 1.30 1.26 0.901
Texas 0.88 0.97 0.583 0.13 0.21 0.526 0.20 0.26 0.578 1.10 1.20 0.660 0.97 1.06 0.621
Utah 1.09 0.93 0.473 0.06 0.10 0.562 0.37 0.36 0.957 1.43 1.19 0.450 1.23 1.04 0.453
Vermont 1.06 1.01 0.832 0.19 0.30 0.637 0.72 0.74 0.950 1.19 1.12 0.786 1.13 1.07 0.800
Virginia 0.56 0.52 0.767 0.11 0.17 0.593 0.32 0.31 0.924 0.65 0.60 0.735 0.60 0.56 0.729
Washington 1.56 1.42 0.678 0.09 0.22 0.376 0.54 0.52 0.895 1.87 1.68 0.658 1.70 1.53 0.654
West Virginia 2.48 1.77 0.131 0.21 0.32 0.613 0.89 0.75 0.659 2.95 2.07 0.135 2.69 1.91 0.126
Wisconsin 0.77 0.62 0.283 0.15 0.20 0.667 0.66 0.53 0.529 0.86 0.69 0.303 0.83 0.67 0.259
Wyoming 1.20 1.10 0.729 0.15 0.23 0.596 0.81 0.67 0.624 1.39 1.28 0.748 1.31 1.20 0.701

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 12 – Alcohol Use in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 48.13a 47.06 0.000 6.88 6.80 0.728 49.91a 48.52 0.006 52.65a 51.47 0.001 52.28a 51.08 0.000
Northeast 51.55a 50.27 0.019 6.98 6.97 0.987 54.40b 52.40 0.056 55.76a 54.42 0.043 55.58a 54.16 0.017
Midwest 50.73a 49.70 0.017 7.16 6.82 0.323 53.08a 51.19 0.022 55.54a 54.52 0.047 55.20a 54.07 0.017
South 45.47a 44.22 0.001 6.39 6.31 0.784 47.85 46.86 0.195 49.78a 48.31 0.001 49.52a 48.11 0.001
West 47.69 47.09 0.224 7.38 7.47 0.834 47.21 46.08 0.259 52.48 51.81 0.263 51.77 51.06 0.185
Alabama 41.79 40.95 0.428 6.11 6.51 0.529 45.73 45.87 0.943 45.37 44.22 0.398 45.42 44.45 0.409
Alaska 46.96 46.01 0.452 6.40 6.00 0.604 42.11 42.30 0.930 52.82 51.60 0.434 51.50 50.45 0.453
Arizona 43.42 43.51 0.947 5.83 5.76 0.923 46.21a 41.55 0.037 47.36 48.12 0.634 47.20 47.22 0.989
Arkansas 42.43a 39.62 0.030 6.94 6.11 0.275 43.13 42.37 0.705 46.76a 43.34 0.038 46.26a 43.21 0.034
California 48.15 47.53 0.419 7.67 8.14 0.514 47.21 46.38 0.593 53.03 52.26 0.411 52.25 51.48 0.361
Colorado 54.24 53.97 0.810 8.43 8.83 0.658 51.09 52.95 0.399 59.80 59.03 0.589 58.64 58.22 0.741
Connecticut 53.30 52.61 0.620 7.19 7.87 0.482 58.60 57.20 0.547 57.49 56.66 0.633 57.64 56.73 0.550
Delaware 53.10 53.02 0.946 7.36 7.48 0.881 51.73 49.19 0.234 58.11 58.33 0.878 57.35 57.24 0.934
District of Columbia 62.47 60.71 0.172 8.58 9.75 0.292 66.50 65.43 0.646 65.91 63.93 0.203 65.99 64.14 0.177
Florida 48.98 47.77 0.172 6.89 6.52 0.522 48.89b 45.78 0.053 53.09 52.02 0.317 52.62 51.31 0.177
Georgia 45.68 44.55 0.287 6.67 6.28 0.573 47.74 47.95 0.909 50.37 48.87 0.264 50.00 48.74 0.286
Hawaii 42.11 41.68 0.766 6.54 5.35 0.164 40.91 38.40 0.273 45.83 45.74 0.959 45.30 44.97 0.832
Idaho 44.22a 41.28 0.018 7.20 6.38 0.251 45.38 45.67 0.887 49.05a 45.24 0.019 48.51a 45.30 0.020
Illinois 52.99a 50.26 0.004 8.79 7.64 0.108 53.24 52.25 0.540 58.14a 54.89 0.007 57.49a 54.54 0.005
Indiana 46.24a 43.03 0.004 5.93 5.70 0.750 49.36 48.10 0.479 50.79a 46.86 0.005 50.58a 47.04 0.004
Iowa 51.39a 48.77 0.034 6.62 7.15 0.548 55.33a 50.43 0.029 56.28b 53.63 0.093 56.14a 53.16 0.030
Kansas 52.29a 49.33 0.012 8.87 9.15 0.774 54.35 56.14 0.398 57.70a 53.47 0.005 57.19a 53.87 0.011
Kentucky 42.41 41.24 0.309 5.25 5.65 0.601 43.35 41.28 0.299 46.70 45.47 0.392 46.26 44.92 0.293
Louisiana 47.31 45.39 0.111 8.10 7.29 0.301 46.94 47.75 0.707 52.26 49.77 0.105 51.54 49.50 0.128
Maine 52.82 52.83 0.993 8.24 8.58 0.707 57.18a 52.41 0.046 56.32 56.85 0.764 56.42 56.37 0.972
Maryland 48.46 47.75 0.586 6.21 6.72 0.490 51.22 48.41 0.185 52.93 52.40 0.741 52.72 51.91 0.569
Massachusetts 55.05a 52.31 0.042 8.64 7.23 0.124 62.28a 55.61 0.003 58.51 56.24 0.177 59.03a 56.15 0.048
Michigan 49.57 50.45 0.358 6.30 6.19 0.861 51.69 49.78 0.249 54.07 55.45 0.245 53.75 54.69 0.367
Minnesota 51.95 52.65 0.576 6.45 6.44 0.987 54.76 51.18 0.119 57.03 58.44 0.373 56.73 57.49 0.582
Mississippi 38.49 36.97 0.191 5.50 5.41 0.890 45.53 44.71 0.693 41.64 39.79 0.204 42.19 40.48 0.183
Missouri 48.48 47.86 0.617 6.82 6.38 0.565 50.64 49.77 0.684 53.08 52.45 0.686 52.75 52.10 0.632
Montana 51.75 52.78 0.422 7.86 8.00 0.865 55.96 54.97 0.646 55.93 57.32 0.390 55.94 57.01 0.443
Nebraska 50.79 51.11 0.786 6.32 6.22 0.896 50.46 49.21 0.570 56.78 57.42 0.663 55.84 56.20 0.780
Nevada 47.42 47.17 0.835 8.37 8.14 0.799 52.78 49.06 0.106 51.11 51.25 0.927 51.32 51.00 0.813
New Hampshire 58.87 57.90 0.453 8.75 9.52 0.456 62.91 60.49 0.314 63.00 61.99 0.518 62.99 61.81 0.400
New Jersey 50.02 49.56 0.661 6.18 6.62 0.530 50.05 50.14 0.967 54.96 54.29 0.613 54.35 53.79 0.621
New Mexico 44.81 45.57 0.558 7.81 8.37 0.536 46.60 47.90 0.563 48.99 49.60 0.709 48.66 49.37 0.621
New York 49.59b 47.93 0.052 6.63 6.90 0.695 52.72 50.44 0.152 53.51b 51.73 0.091 53.41a 51.57 0.046
North Carolina 45.27 45.09 0.872 5.72 5.89 0.778 48.67 49.94 0.518 49.31 48.82 0.721 49.22 48.97 0.835
North Dakota 54.77 55.71 0.446 8.19 8.21 0.979 56.39 57.84 0.524 60.36 61.34 0.542 59.70 60.76 0.439
Ohio 48.51 48.92 0.639 6.60 6.56 0.948 53.77 51.44 0.155 52.56 53.41 0.430 52.72 53.15 0.652
Oklahoma 40.53 40.78 0.823 4.98 5.45 0.484 46.02 45.01 0.677 44.28 44.73 0.749 44.53 44.77 0.853
Oregon 52.16 52.14 0.990 9.12 8.84 0.754 54.70 54.79 0.969 56.23 56.16 0.966 56.05 56.00 0.974
Pennsylvania 51.58 50.61 0.328 6.66 6.29 0.571 52.06 51.68 0.825 56.26 55.12 0.349 55.71 54.68 0.335
Rhode Island 54.92 55.11 0.891 8.36 8.89 0.523 58.02 59.24 0.631 58.89 58.84 0.977 58.76 58.89 0.931
South Carolina 47.86 48.87 0.445 7.01 7.44 0.610 51.54 52.05 0.808 51.95 53.06 0.498 51.89 52.93 0.473
South Dakota 49.84 49.66 0.884 6.25 6.92 0.387 54.73 51.48 0.118 54.70 54.89 0.906 54.70 54.41 0.836
Tennessee 44.61a 41.27 0.011 5.74 5.99 0.739 47.66 51.08 0.129 48.63a 43.86 0.004 48.50a 44.80 0.010
Texas 42.86a 41.30 0.029 6.15 6.09 0.908 45.20 43.73 0.337 47.57a 45.72 0.039 47.21a 45.43 0.024
Utah 27.71 27.71 0.997 2.89 3.40 0.492 31.33 31.32 0.996 31.11 30.97 0.929 31.14 31.02 0.926
Vermont 59.07 57.58 0.284 9.56 9.41 0.886 63.15 60.46 0.237 63.03 61.57 0.385 63.04 61.42 0.279
Virginia 50.02a 47.57 0.026 7.77 7.11 0.369 55.73 52.87 0.106 53.97a 51.38 0.050 54.20a 51.57 0.027
Washington 52.34b 50.32 0.100 7.88b 6.48 0.084 49.00 46.35 0.198 57.61 55.57 0.171 56.55 54.45 0.117
West Virginia 37.76 37.89 0.924 4.55 4.72 0.802 47.24 46.39 0.699 39.85 40.13 0.864 40.79 40.92 0.930
Wisconsin 57.04b 54.86 0.068 8.46 7.43 0.228 57.37b 53.47 0.057 62.54 60.44 0.162 61.84b 59.50 0.073
Wyoming 51.73 51.31 0.748 8.18 7.51 0.461 50.05 50.29 0.915 57.44 56.81 0.705 56.45 55.95 0.730

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 13 – Binge Alcohol Use in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 21.68a 20.87 0.000 3.58 3.69 0.489 29.10a 27.68 0.002 22.63a 21.80 0.001 23.50a 22.58 0.000
Northeast 22.66a 20.87 0.000 3.83 3.77 0.827 31.90a 29.47 0.001 23.24a 21.37 0.000 24.37a 22.41 0.000
Midwest 23.57b 22.89 0.055 3.69 3.76 0.797 32.10a 30.71 0.031 24.58 23.92 0.131 25.61a 24.84 0.049
South 20.77a 20.16 0.027 3.28b 3.63 0.097 27.50 26.71 0.166 21.82a 21.11 0.038 22.58a 21.86 0.017
West 20.79 20.26 0.179 3.82 3.69 0.635 27.03a 25.30 0.020 21.80 21.40 0.404 22.50 21.92 0.174
Alabama 20.69 20.93 0.784 3.98 4.22 0.634 27.51 26.71 0.591 21.56 21.98 0.708 22.38 22.63 0.802
Alaska 19.26 17.95 0.223 3.16 2.91 0.656 23.55 22.48 0.484 20.71 19.21 0.262 21.06 19.62 0.226
Arizona 21.54a 19.57 0.044 3.26 3.26 0.997 28.66b 25.32 0.069 22.53b 20.51 0.096 23.38a 21.17 0.041
Arkansas 19.41 18.23 0.213 3.62 4.07 0.471 26.26 24.90 0.401 20.27 18.92 0.247 21.11 19.75 0.193
California 21.17 21.15 0.979 4.29 3.83 0.276 27.36a 24.77 0.035 22.19 22.60 0.595 22.88 22.89 0.987
Colorado 22.99 21.97 0.304 4.26 4.50 0.706 28.44 29.85 0.457 24.22 22.67 0.198 24.79 23.62 0.280
Connecticut 23.50a 20.51 0.013 4.37 4.66 0.690 37.29a 32.46 0.042 23.45a 20.37 0.035 25.30a 21.97 0.012
Delaware 22.89 21.84 0.279 3.36 3.59 0.643 29.53 28.03 0.385 24.05 22.92 0.345 24.71 23.54 0.270
District of Columbia 31.36 29.94 0.309 5.52 5.19 0.694 43.40 41.87 0.510 31.27 29.85 0.398 33.05 31.61 0.331
Florida 21.02 20.39 0.360 3.03 3.43 0.299 26.38 25.16 0.324 22.07 21.43 0.426 22.57 21.85 0.332
Georgia 20.91 20.67 0.769 3.20 3.47 0.568 27.69 26.76 0.534 22.09 21.88 0.840 22.87 22.56 0.727
Hawaii 20.69b 18.85 0.078 3.70b 2.68 0.066 25.97b 22.94 0.082 21.75 20.01 0.155 22.21b 20.32 0.094
Idaho 20.46a 18.53 0.041 3.70 3.61 0.879 27.49 27.07 0.792 21.52a 19.08 0.044 22.40a 20.25 0.041
Illinois 25.50 24.41 0.204 4.56 4.05 0.299 30.96 31.05 0.954 27.12 25.75 0.197 27.63 26.45 0.214
Indiana 19.67 18.99 0.438 2.79 3.18 0.427 27.03 25.06 0.197 20.55 19.96 0.587 21.49 20.69 0.411
Iowa 23.54 23.96 0.712 3.35 4.19 0.196 34.05 33.23 0.676 24.23 24.81 0.685 25.68 26.04 0.772
Kansas 23.87b 22.09 0.079 4.58 5.07 0.498 35.43 34.75 0.722 24.39b 22.12 0.075 26.04b 24.01 0.071
Kentucky 18.62 18.05 0.517 2.84 3.45 0.308 26.00 24.53 0.386 19.37 18.80 0.600 20.26 19.56 0.475
Louisiana 25.22b 23.36 0.077 3.88 3.85 0.952 29.73 29.88 0.937 27.18b 24.78 0.070 27.52b 25.47 0.077
Maine 19.96 19.83 0.899 3.62 4.07 0.510 33.62 30.15 0.103 19.74 19.96 0.858 21.28 21.09 0.862
Maryland 20.04 20.18 0.882 2.92 3.54 0.216 25.92 25.23 0.688 21.17 21.39 0.851 21.77 21.86 0.925
Massachusetts 23.46a 21.07 0.025 4.10 3.69 0.478 34.16a 28.57 0.003 23.66 21.59 0.109 25.12a 22.55 0.027
Michigan 21.74 22.64 0.221 2.98 3.45 0.242 29.54 29.32 0.880 22.62 23.74 0.219 23.56 24.48 0.250
Minnesota 23.32 21.91 0.182 3.49 3.52 0.962 34.25 31.53 0.182 24.07 22.68 0.290 25.41 23.84 0.181
Mississippi 19.54 19.89 0.670 3.51 3.85 0.527 27.28 26.46 0.642 20.35 20.88 0.604 21.34 21.67 0.715
Missouri 22.16 22.97 0.444 3.41 4.01 0.295 29.48 32.35 0.113 23.23 23.76 0.686 24.07 24.91 0.478
Montana 22.94 22.68 0.824 3.96 4.35 0.558 34.67 33.83 0.683 23.24 23.02 0.873 24.75 24.42 0.789
Nebraska 23.63 23.99 0.723 3.36 3.86 0.363 31.91 31.32 0.761 24.90 25.40 0.697 25.94 26.27 0.762
Nevada 22.67 23.15 0.653 3.74 4.25 0.429 27.94 27.16 0.673 24.09 24.72 0.634 24.55 25.01 0.703
New Hampshire 23.95a 21.29 0.013 3.74 4.23 0.458 37.03b 33.33 0.073 24.05a 21.23 0.026 25.61a 22.68 0.011
New Jersey 22.02 20.90 0.213 3.06 3.54 0.304 28.57 27.68 0.585 23.24 21.89 0.226 23.90 22.60 0.194
New Mexico 21.10 19.59 0.119 3.76 4.38 0.366 27.91 26.39 0.405 22.12 20.32 0.135 22.90b 21.14 0.100
New York 22.57a 19.63 0.000 4.26 3.76 0.291 31.03 29.30 0.183 23.18a 19.82 0.000 24.20a 21.04 0.000
North Carolina 20.80b 19.39 0.088 3.07 3.39 0.508 27.56 28.31 0.654 21.80a 19.85 0.049 22.57b 20.98 0.078
North Dakota 25.14 24.84 0.798 3.91 3.72 0.749 38.01 35.76 0.304 25.30 25.38 0.959 27.38 27.08 0.814
Ohio 23.74 22.98 0.341 3.67 3.32 0.461 32.91a 28.98 0.005 24.67 24.34 0.736 25.76 24.95 0.355
Oklahoma 18.97 18.69 0.742 2.99 3.39 0.447 27.38 27.49 0.945 19.63 19.20 0.693 20.76 20.41 0.709
Oregon 20.23 19.92 0.754 3.33 3.82 0.374 29.75 30.42 0.729 20.63 20.11 0.657 21.75 21.35 0.709
Pennsylvania 22.33 22.60 0.734 3.51 3.64 0.781 30.92 29.36 0.289 23.04 23.60 0.553 24.07 24.34 0.749
Rhode Island 25.67a 22.00 0.001 3.79 3.80 0.994 37.28 34.00 0.106 25.88a 21.80 0.002 27.47a 23.49 0.001
South Carolina 20.52a 23.76 0.004 3.15 3.96 0.132 29.17 31.46 0.241 21.21a 24.86 0.008 22.24a 25.71 0.005
South Dakota 23.30 22.29 0.333 3.51 4.11 0.344 35.10 32.36 0.111 23.92 22.99 0.489 25.51 24.31 0.304
Tennessee 19.65 19.10 0.579 3.07 3.58 0.373 27.64 27.13 0.759 20.36 19.69 0.577 21.31 20.66 0.545
Texas 20.93a 19.78 0.046 3.35 3.67 0.432 26.55 25.83 0.553 22.40a 20.95 0.046 23.01a 21.66 0.036
Utah 13.03 13.24 0.799 2.13 2.73 0.270 17.79 18.25 0.779 13.80 13.85 0.959 14.54 14.67 0.886
Vermont 25.43a 22.67 0.018 4.11 4.26 0.826 40.10 36.69 0.117 25.12a 22.21 0.038 27.15a 24.13 0.017
Virginia 20.75 19.48 0.126 3.75 3.85 0.827 31.46a 27.67 0.017 21.04 20.02 0.306 22.43 21.03 0.123
Washington 18.99 17.80 0.198 2.95 3.00 0.921 24.64 23.34 0.439 19.93 18.62 0.249 20.51 19.19 0.194
West Virginia 19.24 18.80 0.666 3.36 3.40 0.943 29.44 26.51 0.125 19.42 19.31 0.929 20.69 20.21 0.665
Wisconsin 28.10a 24.51 0.002 4.49 4.12 0.569 39.77a 35.07 0.013 28.96a 25.17 0.008 30.43a 26.51 0.002
Wyoming 22.81 21.90 0.417 3.94 3.93 0.991 31.73 30.45 0.481 23.80 22.80 0.472 24.86 23.80 0.397

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Binge alcohol use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 14 – Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 44.58a 45.97 0.000 41.16a 43.19 0.000 38.92a 40.20 0.006 45.85a 47.18 0.000 44.92a 46.25 0.000
Northeast 44.15a 46.12 0.000 41.64b 43.12 0.076 37.60a 40.57 0.000 45.38a 47.25 0.004 44.37a 46.39 0.000
Midwest 39.93a 41.31 0.001 38.15a 40.30 0.003 35.08 35.81 0.267 40.91a 42.30 0.008 40.11a 41.41 0.004
South 45.97a 47.18 0.001 42.59a 44.32 0.004 40.38a 41.70 0.038 47.24a 48.36 0.009 46.32a 47.47 0.002
West 46.68a 47.93 0.007 41.13a 43.88 0.001 40.91 41.38 0.574 48.22a 49.40 0.038 47.24a 48.33 0.029
Alabama 43.57 44.64 0.347 40.94 43.17 0.217 39.09 38.91 0.918 44.60 45.72 0.421 43.84 44.78 0.439
Alaska 42.22 44.03 0.135 39.28 41.60 0.270 37.24 37.43 0.918 43.29 45.27 0.178 42.55 44.30 0.180
Arizona 43.41b 45.67 0.075 38.33 41.39 0.125 37.64 40.20 0.204 44.92 47.03 0.177 43.91 46.09 0.118
Arkansas 42.89b 44.89 0.100 41.12 42.63 0.443 39.80 39.95 0.934 43.61 45.97 0.119 43.08 45.13 0.121
California 49.80 50.79 0.201 42.55a 45.76 0.019 43.84 43.96 0.931 51.57 52.42 0.369 50.54 51.30 0.365
Colorado 43.98 43.55 0.695 38.28 40.91 0.184 37.69 36.24 0.426 45.58 44.95 0.637 44.53 43.80 0.540
Connecticut 41.72a 44.45 0.034 38.76 41.67 0.151 35.76 37.26 0.476 42.95b 45.83 0.069 41.99a 44.70 0.049
Delaware 42.53 44.43 0.106 40.94 43.12 0.245 37.00 39.19 0.276 43.44 45.28 0.196 42.67 44.55 0.135
District of Columbia 41.56a 44.80 0.011 39.67a 44.37 0.020 38.00 40.17 0.309 42.33a 45.63 0.033 41.68a 44.83 0.020
Florida 48.39 48.81 0.618 42.94 44.41 0.252 42.32 42.44 0.931 49.70 50.05 0.728 48.86 49.18 0.717
Georgia 47.07 48.70 0.123 43.55 45.55 0.241 44.23 44.36 0.940 47.99 49.80 0.158 47.46 49.04 0.166
Hawaii 43.94a 46.91 0.036 40.99 44.09 0.172 41.73 41.51 0.921 44.49a 47.83 0.044 44.20a 47.16 0.050
Idaho 43.69 44.71 0.402 37.58b 41.20 0.056 36.85 36.99 0.941 45.71 46.51 0.602 44.39 45.12 0.590
Illinois 40.81b 42.65 0.061 39.04b 41.79 0.089 38.02 38.36 0.829 41.45 43.40 0.103 40.99b 42.73 0.099
Indiana 41.01 42.36 0.207 36.75a 41.21 0.026 34.74 36.56 0.283 42.60 43.47 0.510 41.46 42.48 0.376
Iowa 36.94b 38.88 0.093 36.48 38.41 0.334 30.77 33.27 0.178 38.07 39.90 0.203 36.98 38.92 0.120
Kansas 38.87 40.31 0.173 37.66 40.26 0.202 34.13 34.34 0.910 39.87 41.38 0.261 39.00 40.32 0.255
Kentucky 42.32 42.27 0.969 41.15 41.89 0.720 33.82 36.66 0.131 43.76 43.18 0.680 42.44 42.31 0.921
Louisiana 45.95 46.54 0.582 42.73 44.69 0.293 43.46 42.78 0.724 46.74 47.36 0.647 46.29 46.74 0.704
Maine 39.23 41.45 0.110 38.22 39.72 0.454 30.36b 34.36 0.055 40.41 42.48 0.207 39.31 41.59 0.125
Maryland 48.30 49.27 0.406 45.98 46.62 0.734 43.05 45.33 0.250 49.30 50.13 0.570 48.53 49.54 0.427
Massachusetts 41.96a 44.49 0.037 39.53 42.13 0.199 33.16a 38.52 0.009 43.62 45.69 0.161 42.16b 44.69 0.053
Michigan 42.15 43.42 0.170 38.31b 40.95 0.072 37.72 38.45 0.615 43.26 44.45 0.289 42.51 43.65 0.259
Minnesota 37.45a 40.15 0.030 35.82b 39.45 0.077 32.98 34.02 0.616 38.32b 41.15 0.067 37.62b 40.22 0.055
Mississippi 46.33 45.03 0.280 44.71 43.45 0.515 40.25 40.97 0.723 47.56 45.91 0.268 46.51 45.20 0.318
Missouri 40.01 39.45 0.615 41.11 39.09 0.313 34.98 34.13 0.651 40.66 40.32 0.802 39.89 39.49 0.738
Montana 38.59 39.52 0.466 36.27 39.02 0.175 33.76 33.18 0.770 39.58 40.51 0.547 38.81 39.56 0.581
Nebraska 38.64 40.05 0.201 36.51 39.26 0.138 32.73 34.56 0.354 39.95 41.10 0.393 38.88 40.13 0.293
Nevada 46.55 47.31 0.528 39.68b 43.24 0.071 42.51 41.66 0.674 47.87 48.50 0.664 47.24 47.71 0.716
New Hampshire 38.60 40.48 0.151 34.08a 38.25 0.031 31.06 33.20 0.290 40.05 41.67 0.295 38.97 40.66 0.226
New Jersey 46.11b 48.29 0.054 43.77 44.19 0.806 41.52 41.58 0.972 47.01b 49.68 0.051 46.33b 48.69 0.054
New Mexico 50.50 50.69 0.870 43.38 44.73 0.540 43.71 44.22 0.805 52.43 52.41 0.988 51.24 51.30 0.960
New York 46.53a 48.80 0.010 41.81a 44.73 0.043 40.38a 44.01 0.016 47.93b 49.92 0.064 46.95a 49.16 0.020
North Carolina 45.87 46.71 0.415 40.98 43.81 0.118 42.24 41.88 0.844 46.99 47.79 0.530 46.35 47.00 0.564
North Dakota 38.74 39.24 0.687 39.35 39.89 0.804 33.66 33.45 0.912 39.67 40.30 0.691 38.67 39.17 0.711
Ohio 39.70 40.71 0.237 38.60 39.87 0.368 34.40 34.74 0.805 40.62 41.70 0.309 39.80 40.80 0.285
Oklahoma 43.39 44.31 0.403 41.76 43.33 0.409 36.97 38.06 0.579 44.72 45.51 0.567 43.57 44.42 0.480
Oregon 41.39a 43.86 0.043 37.62b 41.25 0.065 36.92 37.62 0.696 42.39b 44.98 0.083 41.72b 44.09 0.073
Pennsylvania 42.38 43.58 0.254 43.17 42.06 0.480 35.39a 38.97 0.022 43.33 44.42 0.398 42.30 43.72 0.208
Rhode Island 46.11 44.03 0.144 41.68 41.44 0.907 40.45 37.51 0.168 47.45 45.32 0.219 46.47 44.24 0.138
South Carolina 44.64 46.48 0.130 43.56 44.50 0.676 39.05 41.27 0.263 45.59 47.47 0.213 44.75 46.67 0.143
South Dakota 38.59 39.31 0.538 37.41 39.39 0.326 32.22 33.54 0.474 39.80 40.24 0.765 38.72 39.29 0.648
Tennessee 43.83 44.59 0.547 40.70 42.28 0.429 35.64 38.06 0.220 45.43 45.83 0.791 44.14 44.82 0.618
Texas 46.70a 48.86 0.002 43.19b 45.34 0.096 40.40a 43.16 0.034 48.30a 50.33 0.021 47.11a 49.27 0.005
Utah 48.14 48.98 0.446 49.17 46.19 0.129 39.33 42.65 0.138 50.01 50.90 0.520 48.00 49.36 0.256
Vermont 36.76 38.48 0.194 32.88a 37.50 0.020 29.62 31.26 0.416 38.24 39.67 0.367 37.07 38.55 0.292
Virginia 43.41a 45.34 0.030 40.93 42.86 0.191 37.02 39.29 0.130 44.67b 46.53 0.080 43.65a 45.58 0.042
Washington 40.83a 43.43 0.016 37.94 40.73 0.142 35.60 36.63 0.587 41.87a 44.66 0.034 41.10a 43.68 0.027
West Virginia 43.51 42.81 0.601 41.48 41.07 0.852 37.21 36.70 0.815 44.64 43.86 0.632 43.70 42.96 0.615
Wisconsin 38.74 40.70 0.106 37.79 39.61 0.337 32.77 33.96 0.514 39.79 41.87 0.161 38.83 40.80 0.128
Wyoming 40.50 41.99 0.216 36.94 40.14 0.127 37.68 34.79 0.145 41.37 43.30 0.201 40.88 42.18 0.320

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 15 – Alcohol Use in the Past Month, Binge Alcohol Use in the Past Month, and Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week: Among People Aged 12 to 20; by State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State Alcohol Use in Past Month (2022‑2023) Alcohol Use in Past Month (2023‑2024) Alcohol Use in Past Month (P Value) Binge Alcohol Use in Past Month1 (2022‑2023) Binge Alcohol Use in Past Month1 (2023‑2024) Binge Alcohol Use in Past Month1 (P Value) Perceptions of Great Risk2 (2022‑2023) Perceptions of Great Risk2 (2023‑2024) Perceptions of Great Risk2 (P Value)
Total U.S. 14.88a 13.99 0.007 8.39 8.13 0.306 40.63a 42.53 0.000
Northeast 16.72a 15.09 0.042 9.36 8.79 0.308 40.62a 43.06 0.001
Midwest 16.28 15.41 0.229 9.53 9.14 0.497 37.68b 38.86 0.052
South 13.70 12.89 0.244 7.71 7.71 0.994 42.08a 44.18 0.000
West 14.36 13.81 0.459 7.86 7.49 0.478 40.85a 42.76 0.006
Alabama 14.81b 12.93 0.075 9.71 8.78 0.224 40.13 42.10 0.203
Alaska 12.52 11.32 0.207 6.72 5.91 0.196 38.74 40.02 0.447
Arizona 14.24b 12.22 0.060 8.55a 7.02 0.032 38.10b 40.95 0.082
Arkansas 13.40 12.34 0.348 8.08 7.93 0.854 41.39 41.85 0.778
California 13.71 13.31 0.677 7.65 6.78 0.124 42.33a 44.84 0.025
Colorado 17.50 18.92 0.241 9.53b 10.98 0.090 38.24 37.54 0.672
Connecticut 18.14 16.32 0.110 10.67 10.84 0.844 39.62 41.98 0.191
Delaware 14.82 15.43 0.575 8.13 8.70 0.472 40.03b 43.05 0.078
District of Columbia 18.78 19.02 0.866 9.65 9.89 0.830 40.93b 44.59 0.064
Florida 14.47 13.19 0.156 7.20 7.21 0.991 42.90b 45.04 0.071
Georgia 12.42 12.01 0.645 7.25 7.18 0.903 44.40 46.49 0.177
Hawaii 12.35 11.13 0.252 7.15 6.09 0.158 41.00b 44.21 0.096
Idaho 15.58 14.29 0.229 9.78 9.22 0.489 38.29 38.91 0.730
Illinois 17.04a 14.90 0.034 9.91 9.14 0.295 38.20a 41.00 0.042
Indiana 13.04 12.57 0.636 6.99 6.54 0.514 37.91a 41.32 0.033
Iowa 17.57 17.84 0.837 10.52 11.98 0.134 34.83 36.08 0.425
Kansas 15.68 16.46 0.511 10.04 11.20 0.208 37.64 40.32 0.116
Kentucky 12.15 13.02 0.449 7.23 7.93 0.384 39.58 41.65 0.194
Louisiana 15.32 14.62 0.581 9.19 8.58 0.515 42.09 44.50 0.147
Maine 18.25 17.38 0.478 9.92 10.29 0.683 36.61 36.52 0.961
Maryland 13.26 13.31 0.969 6.62 7.42 0.270 45.50 46.84 0.454
Massachusetts 20.14a 16.70 0.016 10.66b 8.76 0.051 39.03b 42.54 0.074
Michigan 14.38 15.33 0.318 8.05 8.53 0.480 39.04 39.43 0.751
Minnesota 18.15a 15.53 0.039 10.21b 8.65 0.071 35.34 37.48 0.207
Mississippi 12.51 11.37 0.295 7.56 7.28 0.723 45.17 44.55 0.732
Missouri 14.87 14.95 0.942 8.32 9.03 0.363 39.88 37.58 0.174
Montana 17.40 18.00 0.628 10.52 12.09 0.123 34.84 36.00 0.503
Nebraska 14.73 13.87 0.450 9.00 8.31 0.368 35.48 37.40 0.235
Nevada 14.93 13.65 0.256 7.89 7.75 0.856 40.62 41.24 0.716
New Hampshire 19.34 19.00 0.806 11.23 11.45 0.832 33.84 34.56 0.673
New Jersey 14.33 13.63 0.464 7.76 8.21 0.501 42.31 43.44 0.406
New Mexico 14.26 15.08 0.509 8.50 8.47 0.969 43.80 43.72 0.967
New York 16.57a 13.83 0.007 9.46a 7.99 0.030 41.83a 45.50 0.004
North Carolina 13.53 12.92 0.565 8.10 7.83 0.721 41.97 43.43 0.346
North Dakota 17.46 18.01 0.680 10.65 10.99 0.753 37.02 37.50 0.778
Ohio 17.13 15.74 0.152 10.37 9.30 0.137 37.93 37.57 0.763
Oklahoma 11.49 11.36 0.900 6.88 7.15 0.686 40.76b 43.91 0.061
Oregon 17.39 17.20 0.888 8.62 9.52 0.354 38.63 41.05 0.154
Pennsylvania 15.72 15.79 0.950 8.85 9.31 0.539 39.91 41.72 0.197
Rhode Island 20.10 18.53 0.209 11.20 9.95 0.196 41.83 40.91 0.604
South Carolina 14.37 15.12 0.491 8.29 9.17 0.266 42.38 44.29 0.263
South Dakota 13.16 13.77 0.564 8.15 8.36 0.807 37.38 37.48 0.956
Tennessee 13.30 12.15 0.293 7.35 7.81 0.587 39.54 40.81 0.456
Texas 13.00 11.91 0.225 7.33 7.33 0.992 41.73a 44.98 0.010
Utah 10.07 9.80 0.835 5.74 6.48 0.414 45.22 47.11 0.315
Vermont 20.14 18.63 0.261 11.50 9.97 0.150 32.86b 35.63 0.098
Virginia 17.28 15.75 0.161 9.30 8.83 0.520 41.02 41.91 0.530
Washington 15.65 13.81 0.139 6.71 6.96 0.745 38.02 39.31 0.422
West Virginia 13.15 13.20 0.966 8.59 8.88 0.740 40.54 39.73 0.650
Wisconsin 19.58 17.88 0.201 12.18 10.84 0.227 36.49 37.74 0.444
Wyoming 15.36 15.96 0.584 9.12 9.95 0.293 37.92 38.90 0.570

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

1 Binge alcohol use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
2 Perceptions of great risk from having five or more drinks of an alcoholic beverage once or twice a week.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 16 – Tobacco Product Use in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 17.83a 17.13 0.002 1.91 1.87 0.720 15.56 15.04 0.130 20.03a 19.20 0.003 19.43a 18.65 0.002
Northeast 16.24b 15.51 0.074 1.75 1.75 0.998 15.03 14.66 0.502 17.92b 17.06 0.083 17.55b 16.75 0.071
Midwest 20.01b 19.46 0.086 1.98 2.07 0.620 17.11b 16.21 0.083 22.62 22.03 0.144 21.86b 21.24 0.074
South 19.93a 18.95 0.001 1.99 1.98 0.985 16.33 16.13 0.670 22.63a 21.40 0.001 21.78a 20.70 0.001
West 13.70 13.30 0.228 1.84 1.59 0.171 13.32 12.51 0.130 15.15 14.77 0.374 14.90 14.47 0.240
Alabama 26.16 24.62 0.160 2.51 2.33 0.664 18.78 16.95 0.205 30.13 28.46 0.225 28.56 26.88 0.166
Alaska 18.81 17.39 0.163 2.85 2.46 0.479 19.90b 16.99 0.088 20.69 19.33 0.284 20.60 19.05 0.171
Arizona 16.54 16.28 0.780 2.05 1.66 0.253 12.64 12.58 0.966 18.85 18.53 0.778 17.99 17.72 0.786
Arkansas 24.93 24.32 0.592 2.18 2.51 0.428 17.91 20.12 0.128 28.91 27.70 0.400 27.38 26.65 0.566
California 11.07 10.98 0.852 1.74 1.43 0.210 11.32 11.03 0.726 12.12 12.07 0.939 12.01 11.93 0.884
Colorado 16.19b 14.76 0.095 2.31 1.96 0.387 17.01b 14.34 0.092 17.61 16.22 0.184 17.53b 15.97 0.098
Connecticut 15.67 14.98 0.468 1.79 1.85 0.878 16.08 16.62 0.745 17.12 16.13 0.396 16.98 16.19 0.450
Delaware 18.85 18.65 0.839 1.84 2.04 0.543 15.97 17.10 0.498 21.04 20.61 0.722 20.43 20.19 0.825
District of Columbia 15.31 14.48 0.388 2.57 2.26 0.508 20.48 18.19 0.222 15.40 14.81 0.606 16.14 15.30 0.413
Florida 15.47 15.23 0.708 1.77 1.55 0.402 13.68 13.37 0.753 17.03 16.79 0.757 16.65 16.41 0.724
Georgia 21.65 21.88 0.800 2.08 2.36 0.458 18.49a 21.78 0.029 24.69 24.38 0.784 23.82 24.02 0.842
Hawaii 14.98a 12.98 0.042 2.07 1.76 0.391 14.59a 10.15 0.001 16.32 14.45 0.111 16.14a 14.00 0.046
Idaho 16.31 16.34 0.971 1.25 1.60 0.237 15.81 13.97 0.168 18.45 18.74 0.809 18.06 18.04 0.987
Illinois 18.09 17.27 0.298 1.79 1.65 0.604 16.07 14.78 0.234 20.31 19.47 0.388 19.75 18.84 0.298
Indiana 21.25 21.30 0.959 1.89 2.26 0.378 16.16 16.33 0.893 24.55 24.52 0.981 23.33 23.35 0.992
Iowa 18.84 20.66 0.124 1.60b 2.35 0.097 16.53 16.94 0.794 21.39 23.56 0.139 20.67 22.59 0.140
Kansas 19.49 19.26 0.807 1.88 1.92 0.907 16.16 15.91 0.854 22.43 22.15 0.820 21.48 21.21 0.803
Kentucky 24.50 25.19 0.518 2.20 2.76 0.270 17.19 18.45 0.431 28.29 28.90 0.645 26.81 27.51 0.552
Louisiana 26.30 25.14 0.295 2.68 2.71 0.944 19.21 18.85 0.836 30.36 28.92 0.295 28.85 27.56 0.295
Maine 20.09 20.80 0.542 1.90 2.57 0.118 19.78 22.15 0.171 21.78 22.26 0.724 21.56 22.25 0.579
Maryland 15.11 13.85 0.121 1.65 1.69 0.898 15.06 13.90 0.427 16.67 15.25 0.155 16.47 15.08 0.123
Massachusetts 13.77 13.28 0.569 2.02 1.81 0.577 15.51 14.81 0.591 14.66 14.16 0.638 14.77 14.25 0.576
Michigan 19.34 20.00 0.370 2.03 2.16 0.681 15.01 14.56 0.680 21.94 22.81 0.347 21.01 21.71 0.387
Minnesota 15.67 15.43 0.790 1.60 1.81 0.530 18.14 15.57 0.112 17.00 17.05 0.964 17.15 16.85 0.770
Mississippi 25.72 24.66 0.341 2.44 2.43 0.985 18.62 18.39 0.882 29.96 28.57 0.326 28.34 27.13 0.330
Missouri 24.14 23.10 0.354 2.00 2.32 0.426 17.63 19.06 0.368 27.78 26.17 0.248 26.41 25.22 0.339
Montana 19.34 19.68 0.761 1.76 2.33 0.171 24.18 23.58 0.758 20.54 20.98 0.740 21.02 21.32 0.806
Nebraska 16.78 15.93 0.340 1.47 1.49 0.939 15.06 13.66 0.290 19.12 18.25 0.438 18.52 17.57 0.338
Nevada 18.04 17.60 0.650 2.12 1.79 0.362 14.71 16.31 0.293 20.29 19.53 0.523 19.63 19.16 0.657
New Hampshire 16.61 16.58 0.975 1.59 1.86 0.419 18.02 17.01 0.538 17.81 17.87 0.956 17.84 17.77 0.941
New Jersey 13.13 13.37 0.766 1.46 1.61 0.590 12.95 14.14 0.362 14.47 14.58 0.912 14.29 14.53 0.784
New Mexico 19.28 18.57 0.503 2.72b 1.92 0.094 18.00a 14.84 0.049 21.47 21.11 0.784 21.00 20.27 0.530
New York 15.70a 14.21 0.015 1.70 1.61 0.735 15.32b 13.52 0.060 17.18a 15.59 0.035 16.94a 15.32 0.016
North Carolina 20.45 19.87 0.542 1.90 1.96 0.837 17.11 18.12 0.501 23.11 22.19 0.429 22.30 21.65 0.528
North Dakota 21.38b 19.43 0.076 2.18 2.34 0.702 17.23 18.76 0.398 24.63a 21.74 0.035 23.41b 21.24 0.075
Ohio 23.46a 21.87 0.034 2.68 2.49 0.645 20.14b 18.26 0.091 26.36b 24.64 0.065 25.55a 23.81 0.035
Oklahoma 24.54 22.83 0.118 2.52 2.35 0.742 23.98 21.31 0.140 27.55 25.79 0.207 27.02 25.14 0.123
Oregon 18.57 17.40 0.233 2.62 2.29 0.462 20.28a 16.38 0.008 19.97 19.07 0.455 20.01 18.75 0.237
Pennsylvania 20.16 19.63 0.525 1.91 1.92 0.974 14.48 14.93 0.679 22.93 22.19 0.467 21.84 21.26 0.521
Rhode Island 17.11b 15.21 0.063 1.88 1.75 0.738 14.91 14.41 0.736 18.93b 16.62 0.063 18.37b 16.31 0.063
South Carolina 20.60 20.27 0.751 1.94 2.27 0.436 15.92 16.91 0.522 23.41 22.79 0.628 22.44 22.04 0.722
South Dakota 20.69a 18.04 0.013 2.00 2.14 0.725 18.93b 16.42 0.071 23.42a 20.37 0.026 22.78a 19.81 0.013
Tennessee 23.31 22.82 0.657 2.30 2.66 0.426 17.38 19.00 0.287 26.63 25.72 0.496 25.41 24.84 0.632
Texas 18.42a 16.42 0.000 1.78 1.58 0.453 14.71 13.40 0.163 21.38a 18.98 0.001 20.39a 18.16 0.000
Utah 10.00 10.85 0.239 0.88 1.13 0.359 9.52 10.05 0.637 11.68 12.67 0.293 11.26 12.18 0.264
Vermont 17.80 17.34 0.672 1.50 1.96 0.200 18.32 19.06 0.676 19.24 18.49 0.570 19.11 18.57 0.645
Virginia 17.48a 16.05 0.043 1.79 1.79 0.985 15.11b 13.11 0.077 19.64b 18.11 0.082 19.04a 17.45 0.043
Washington 15.03 13.90 0.126 1.59 1.47 0.664 14.21 13.05 0.347 16.60 15.35 0.170 16.31 15.07 0.129
West Virginia 30.37a 26.48 0.003 2.96 3.22 0.686 20.81b 17.81 0.081 34.63a 30.15 0.006 32.87a 28.61 0.003
Wisconsin 18.58 17.32 0.188 1.76 1.85 0.787 17.95 15.86 0.133 20.61 19.29 0.269 20.24 18.83 0.181
Wyoming 22.99 21.90 0.347 2.34 2.45 0.827 25.54 24.03 0.468 25.19 23.95 0.385 25.23 23.96 0.325

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Tobacco products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco. These estimates of tobacco product use do not include nicotine vaping.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 17 – Cigarette Use in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 14.10a 13.38 0.000 1.28 1.28 0.975 10.67a 10.10 0.045 16.12a 15.27 0.001 15.39a 14.58 0.000
Northeast 12.80a 12.05 0.026 1.26 1.23 0.860 10.18 9.96 0.641 14.40a 13.47 0.028 13.85a 13.02 0.026
Midwest 15.97a 15.24 0.024 1.47 1.43 0.798 11.81a 10.94 0.042 18.35a 17.55 0.049 17.46a 16.65 0.023
South 15.47a 14.60 0.001 1.19 1.25 0.653 10.71 10.34 0.349 17.92a 16.84 0.001 16.95a 15.97 0.000
West 11.21 10.73 0.104 1.28 1.24 0.719 9.95b 9.08 0.076 12.56 12.07 0.189 12.22b 11.68 0.100
Alabama 20.67 19.72 0.332 1.61 1.54 0.831 11.45 11.04 0.719 24.41 23.24 0.348 22.61 21.57 0.338
Alaska 13.74 12.64 0.211 1.70 1.74 0.902 15.10a 11.26 0.010 15.08 14.21 0.422 15.09 13.85 0.205
Arizona 14.48 13.76 0.377 1.52 1.39 0.597 9.86 8.82 0.376 16.74 15.95 0.442 15.79 14.97 0.371
Arkansas 19.59 18.80 0.451 1.67 1.73 0.872 12.60 12.69 0.946 22.97 21.90 0.421 21.52 20.63 0.443
California 9.15 9.03 0.797 1.07 1.08 0.961 8.14 7.97 0.815 10.25 10.12 0.814 9.96 9.83 0.783
Colorado 12.23b 11.01 0.096 1.38 1.43 0.837 12.92 10.95 0.182 13.33 12.06 0.154 13.27b 11.92 0.092
Connecticut 12.63 11.60 0.229 0.98 1.16 0.465 10.73 10.26 0.709 14.19 12.91 0.227 13.73 12.56 0.213
Delaware 15.60 14.71 0.274 1.56 1.66 0.728 10.92 10.92 1.000 17.72 16.60 0.266 16.90 15.92 0.270
District of Columbia 11.95 12.01 0.934 2.34 1.97 0.410 15.68 14.54 0.495 12.04 12.37 0.723 12.57 12.69 0.893
Florida 12.22 11.92 0.604 0.93 0.98 0.829 9.00 8.91 0.907 13.73 13.37 0.602 13.19 12.87 0.596
Georgia 16.23 16.93 0.400 1.31 1.55 0.361 10.33a 13.22 0.021 19.11 19.48 0.724 17.88 18.61 0.428
Hawaii 12.14a 10.09 0.013 1.76 1.41 0.286 9.13a 6.81 0.048 13.54a 11.35 0.027 13.07a 10.88 0.014
Idaho 12.69 12.49 0.812 1.11 1.28 0.540 13.01b 10.72 0.073 14.22 14.31 0.927 14.03 13.78 0.787
Illinois 14.38 13.65 0.296 1.59 1.28 0.260 10.03 9.70 0.697 16.55 15.68 0.330 15.68 14.89 0.307
Indiana 17.39 17.12 0.775 1.32 1.42 0.726 11.54 10.68 0.457 20.41 20.17 0.844 19.12 18.81 0.764
Iowa 15.02 16.68 0.112 1.54 1.80 0.463 12.57 12.85 0.837 17.13 19.18 0.120 16.45 18.25 0.120
Kansas 14.93a 13.17 0.037 1.73 1.47 0.409 11.38 9.58 0.111 17.32b 15.35 0.071 16.42a 14.49 0.040
Kentucky 19.82 20.04 0.826 1.50 1.67 0.614 13.29 12.96 0.789 23.01 23.31 0.805 21.72 21.94 0.838
Louisiana 20.37 19.99 0.718 1.49 1.61 0.745 12.56 12.95 0.797 23.95 23.38 0.663 22.40 21.98 0.712
Maine 16.43 16.73 0.775 1.95 2.15 0.612 16.17 16.64 0.781 17.77 18.04 0.825 17.60 17.89 0.795
Maryland 11.38a 9.77 0.027 0.87 0.86 0.967 8.79 7.19 0.129 12.95a 11.16 0.045 12.44a 10.67 0.028
Massachusetts 10.63 10.07 0.446 1.51 1.36 0.622 11.09 10.43 0.564 11.46 10.87 0.511 11.41 10.81 0.451
Michigan 15.90 16.13 0.749 1.19 1.32 0.580 10.57 10.27 0.759 18.38 18.66 0.742 17.33 17.54 0.772
Minnesota 12.75 11.78 0.231 1.10 1.24 0.614 14.14a 10.31 0.012 13.95 13.27 0.503 13.98 12.88 0.224
Mississippi 20.19 18.88 0.175 1.36 1.42 0.814 12.05 11.04 0.431 24.02 22.44 0.201 22.31 20.82 0.168
Missouri 18.89 17.96 0.363 1.63 1.60 0.919 11.55 13.15 0.209 22.07 20.63 0.257 20.65 19.63 0.363
Montana 14.44 14.77 0.757 1.49 1.82 0.391 17.98 18.06 0.966 15.33 15.68 0.782 15.68 15.99 0.787
Nebraska 12.39 11.41 0.236 1.11 1.09 0.930 9.66 8.15 0.177 14.37 13.35 0.335 13.67 12.58 0.238
Nevada 15.64 14.82 0.354 1.04 1.20 0.532 10.24 11.16 0.496 18.02 16.82 0.262 17.10 16.16 0.335
New Hampshire 12.75 12.61 0.854 1.24 1.45 0.470 14.37 12.49 0.206 13.60 13.65 0.961 13.70 13.51 0.825
New Jersey 10.42 10.35 0.919 0.93 1.06 0.524 8.23 8.73 0.587 11.80 11.62 0.836 11.36 11.26 0.902
New Mexico 16.03 15.72 0.761 2.45 1.69 0.108 15.06b 11.96 0.069 17.82 17.96 0.914 17.45 17.15 0.796
New York 12.60a 11.36 0.023 1.12 1.14 0.929 9.38 9.29 0.905 14.26a 12.70 0.022 13.62a 12.26 0.023
North Carolina 15.58 14.63 0.244 1.27 1.25 0.920 10.78 9.43 0.219 17.97 16.97 0.315 17.01 15.96 0.240
North Dakota 16.39 15.20 0.215 1.75 1.89 0.728 12.90 14.08 0.493 18.94 17.11 0.133 17.94 16.61 0.214
Ohio 18.72b 17.29 0.054 1.62 1.62 0.982 13.71 12.56 0.292 21.45b 19.80 0.072 20.43b 18.86 0.053
Oklahoma 19.11 18.34 0.473 1.62 1.58 0.921 17.91b 14.73 0.060 21.64 21.17 0.733 21.08 20.23 0.477
Oregon 14.71 13.79 0.278 2.19 1.89 0.476 14.76a 11.31 0.015 15.99 15.33 0.525 15.84 14.85 0.285
Pennsylvania 15.47 14.84 0.354 1.57 1.32 0.321 10.60 10.38 0.808 17.66 16.92 0.374 16.74 16.08 0.367
Rhode Island 14.29a 12.34 0.033 1.21 1.11 0.726 11.52b 9.14 0.067 15.99b 13.91 0.063 15.36a 13.25 0.033
South Carolina 16.68 15.65 0.302 1.11 1.34 0.373 12.26 11.42 0.554 19.10 17.88 0.317 18.22 17.06 0.289
South Dakota 16.54a 13.74 0.004 1.73 1.70 0.922 14.35a 11.59 0.047 18.83a 15.65 0.010 18.19a 15.08 0.004
Tennessee 17.82 17.52 0.767 1.35 1.44 0.766 11.58 11.41 0.882 20.67 20.29 0.764 19.48 19.13 0.759
Texas 14.37a 12.64 0.001 1.00 1.01 0.913 9.53 9.01 0.518 17.09a 14.86 0.001 15.96a 14.00 0.001
Utah 7.94 8.06 0.842 0.70 0.84 0.484 7.88 7.66 0.831 9.20 9.37 0.831 8.94 9.04 0.881
Vermont 13.94 13.69 0.787 1.66 1.84 0.612 15.10 14.61 0.768 14.90 14.63 0.813 14.93 14.63 0.771
Virginia 12.87b 11.67 0.057 1.14 1.18 0.813 9.78 9.04 0.427 14.68b 13.26 0.067 14.03b 12.71 0.055
Washington 12.31a 10.93 0.050 1.59 1.30 0.281 11.18 9.44 0.114 13.62b 12.17 0.092 13.32b 11.84 0.053
West Virginia 24.44a 20.98 0.006 2.32 2.21 0.831 17.96a 14.17 0.032 27.69a 23.91 0.015 26.46a 22.69 0.007
Wisconsin 14.50 13.20 0.163 1.65 1.37 0.334 12.37b 10.20 0.063 16.30 15.01 0.261 15.76 14.36 0.167
Wyoming 16.93 16.77 0.883 1.61 2.03 0.335 19.41 17.29 0.281 18.46 18.49 0.981 18.59 18.34 0.828

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 18 – Nicotine Vaping in the Past Month: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 8.86a 9.49 0.000 6.82a 6.39 0.050 24.04 23.92 0.773 6.75a 7.64 0.000 9.07a 9.80 0.000
Northeast 8.02 8.32 0.127 7.06a 6.19 0.031 23.68 23.85 0.830 5.79a 6.25 0.038 8.11b 8.52 0.052
Midwest 9.83a 10.55 0.000 7.45 6.94 0.134 27.75b 26.69 0.097 7.27a 8.44 0.000 10.07a 10.92 0.000
South 9.31a 10.09 0.000 7.05 6.75 0.333 24.34 24.51 0.755 7.25a 8.28 0.000 9.54a 10.43 0.000
West 7.91a 8.46 0.015 5.75 5.46 0.360 20.50 20.54 0.957 6.22a 6.96 0.003 8.13a 8.76 0.010
Alabama 11.33a 13.73 0.000 8.55 9.27 0.494 27.82 27.10 0.683 9.00a 12.12 0.000 11.61a 14.18 0.000
Alaska 9.09a 10.49 0.031 7.16 6.00 0.162 24.70 24.76 0.976 7.14a 9.05 0.010 9.31a 10.98 0.016
Arizona 8.54 9.34 0.149 6.24 5.86 0.613 21.43 20.41 0.578 6.75a 7.99 0.044 8.78 9.68 0.127
Arkansas 11.71a 13.34 0.005 9.08 9.17 0.931 29.42 30.16 0.684 9.18a 11.17 0.003 12.00a 13.79 0.005
California 6.60 7.06 0.142 4.69 4.75 0.897 16.85 18.10 0.242 5.23 5.64 0.257 6.79 7.30 0.142
Colorado 9.51 10.31 0.161 6.96 6.94 0.980 24.15 23.38 0.721 7.53b 8.69 0.072 9.76 10.63 0.158
Connecticut 8.76a 10.81 0.000 6.87a 9.23 0.032 26.91 28.26 0.501 6.16a 8.33 0.000 8.93a 10.96 0.000
Delaware 7.91b 8.80 0.066 5.93 6.99 0.178 22.34 22.67 0.864 6.15b 7.11 0.073 8.09b 8.97 0.094
District of Columbia 7.49 6.92 0.295 6.10b 4.57 0.085 17.92 15.94 0.230 5.79 5.56 0.703 7.58 7.08 0.379
Florida 8.58 8.86 0.425 7.31 6.57 0.276 25.14 24.45 0.597 6.56 7.08 0.175 8.69 9.06 0.323
Georgia 9.34a 10.57 0.012 7.28 7.19 0.913 22.31a 25.94 0.017 7.50b 8.54 0.072 9.57a 10.94 0.010
Hawaii 9.28 8.78 0.417 9.48b 7.27 0.080 27.48 24.76 0.210 7.05 7.03 0.974 9.26 8.91 0.593
Idaho 12.47 12.85 0.587 7.59 6.62 0.250 30.69 29.53 0.572 9.98 10.83 0.313 13.04 13.57 0.488
Illinois 8.73 9.36 0.126 7.87b 6.68 0.081 26.40 25.40 0.500 6.11a 7.21 0.017 8.81b 9.63 0.063
Indiana 9.43a 11.02 0.002 7.03 6.95 0.917 25.88 26.06 0.922 6.95a 9.01 0.001 9.69a 11.45 0.002
Iowa 8.97a 10.24 0.021 8.03 6.88 0.218 26.24 26.19 0.981 6.09a 7.91 0.003 9.07a 10.60 0.010
Kansas 10.27 11.11 0.116 8.20 7.97 0.816 26.86 25.48 0.454 7.61a 9.00 0.024 10.51b 11.47 0.096
Kentucky 10.55a 12.76 0.000 7.80 8.58 0.418 28.45 29.38 0.641 8.13a 10.72 0.000 10.84a 13.19 0.001
Louisiana 11.54a 13.22 0.006 7.90 8.23 0.738 27.17 28.26 0.578 9.54a 11.51 0.005 11.93a 13.76 0.006
Maine 8.78a 10.28 0.010 6.91 7.38 0.620 29.31b 33.69 0.056 6.39a 7.63 0.049 8.93a 10.51 0.009
Maryland 7.07 7.70 0.152 6.28 6.44 0.837 21.49b 18.59 0.095 5.11a 6.31 0.016 7.15 7.83 0.152
Massachusetts 7.49 7.81 0.492 7.21b 5.65 0.078 22.03 22.09 0.975 5.17 5.72 0.280 7.52 7.99 0.331
Michigan 9.77a 10.85 0.006 6.25b 7.46 0.079 26.73 26.78 0.971 7.53a 8.79 0.005 10.11a 11.18 0.012
Minnesota 9.50 9.55 0.915 6.99 5.76 0.137 28.59a 23.42 0.014 6.91b 7.92 0.099 9.76 9.95 0.748
Mississippi 11.59b 12.64 0.082 8.34 9.24 0.402 30.01 26.86 0.117 8.94a 10.74 0.009 11.95 13.02 0.102
Missouri 10.04a 12.10 0.000 6.84 7.31 0.548 26.26b 29.96 0.060 7.89a 9.91 0.001 10.37a 12.58 0.000
Montana 8.78a 11.10 0.000 7.22 7.08 0.877 27.50 28.44 0.688 6.11a 8.96 0.000 8.93a 11.48 0.000
Nebraska 9.09a 10.32 0.022 6.26 5.91 0.653 23.79 25.75 0.324 6.92a 8.23 0.027 9.41a 10.82 0.017
Nevada 9.23 9.66 0.438 7.75 6.64 0.214 22.88 23.06 0.926 7.56 8.24 0.276 9.38 9.96 0.333
New Hampshire 9.39a 10.91 0.004 7.65 8.00 0.714 30.62 31.25 0.784 6.65a 8.42 0.002 9.53a 11.14 0.004
New Jersey 7.41 7.97 0.210 6.07 5.77 0.674 24.51 23.77 0.682 5.16b 6.01 0.083 7.54 8.19 0.179
New Mexico 10.86 11.01 0.823 10.21 9.10 0.419 28.69b 25.01 0.088 8.13 9.06 0.218 10.93 11.21 0.697
New York 7.94 7.46 0.164 7.66a 5.61 0.007 22.35 22.48 0.923 5.82 5.42 0.305 7.96 7.62 0.341
North Carolina 8.96b 9.77 0.089 7.00 6.61 0.594 24.34 26.24 0.293 6.81 7.60 0.128 9.16b 10.08 0.074
North Dakota 9.93 10.39 0.462 6.28 5.25 0.144 26.00 25.01 0.641 7.23 8.18 0.172 10.31 10.94 0.363
Ohio 10.95 11.04 0.830 8.50 7.58 0.239 32.51a 29.46 0.035 7.97 8.68 0.142 11.19 11.39 0.677
Oklahoma 11.27b 12.49 0.055 7.29 6.86 0.655 30.90 31.59 0.741 8.41a 9.98 0.035 11.72a 13.13 0.043
Oregon 9.17 9.90 0.140 7.01 6.77 0.762 25.73 25.14 0.741 7.07b 8.12 0.058 9.37 10.18 0.125
Pennsylvania 8.24 8.75 0.183 6.74 6.37 0.577 23.17 23.42 0.856 6.17 6.84 0.119 8.38 8.97 0.149
Rhode Island 9.23 9.76 0.317 8.31 7.23 0.224 28.16 27.23 0.667 6.26b 7.20 0.080 9.31 9.96 0.240
South Carolina 10.18a 11.32 0.041 6.75 7.28 0.569 26.95b 30.64 0.067 8.08 8.94 0.182 10.52a 11.72 0.049
South Dakota 10.84 11.19 0.545 7.00 6.16 0.330 29.63 26.30 0.102 8.23b 9.36 0.076 11.27 11.74 0.439
Tennessee 10.45a 12.05 0.008 8.68 8.06 0.528 29.02 31.63 0.189 7.84a 9.56 0.011 10.63a 12.45 0.005
Texas 8.57 8.50 0.829 5.89 5.02 0.104 19.96 18.53 0.203 6.95 7.24 0.469 8.89 8.90 0.967
Utah 8.14 8.79 0.211 3.79 3.74 0.935 18.73 18.62 0.951 6.45 7.40 0.106 8.74 9.48 0.205
Vermont 9.52 10.29 0.152 7.34 7.40 0.949 30.02 29.47 0.798 6.51b 7.62 0.065 9.69 10.52 0.148
Virginia 8.70a 9.94 0.004 6.88 7.15 0.704 24.49 24.76 0.861 6.48a 8.01 0.001 8.88a 10.22 0.004
Washington 8.60 8.95 0.482 6.51 5.33 0.109 24.45 21.98 0.167 6.61b 7.54 0.091 8.80 9.29 0.354
West Virginia 11.20 11.57 0.553 9.07 7.85 0.221 32.51 32.12 0.860 8.32 9.02 0.315 11.39 11.90 0.439
Wisconsin 10.89 10.29 0.243 7.96b 6.36 0.063 28.92 26.02 0.118 8.39 8.27 0.839 11.18 10.67 0.355
Wyoming 12.36b 13.80 0.053 8.28 7.51 0.479 34.07 32.79 0.585 9.51a 11.69 0.013 12.80a 14.47 0.040

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 19 – Perceptions of Great Risk from Smoking One or More Packs of Cigarettes per Day: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 68.40b 67.93 0.063 60.97 60.96 0.987 61.51a 60.60 0.036 70.33 69.84 0.120 69.14b 68.62 0.055
Northeast 70.42 70.60 0.705 63.35 63.05 0.742 63.74 63.43 0.698 72.15 72.42 0.612 71.05 71.27 0.659
Midwest 65.28a 64.49 0.045 60.85 60.27 0.449 59.03b 57.84 0.088 66.79b 66.02 0.100 65.73b 64.91 0.051
South 67.77a 66.74 0.004 59.30 59.77 0.523 61.00a 59.65 0.031 69.83a 68.65 0.004 68.64a 67.46 0.001
West 70.67 70.90 0.607 62.27 62.19 0.927 62.96 62.57 0.644 72.84 73.17 0.528 71.52 71.76 0.592
Alabama 61.47 62.29 0.471 55.38 58.00 0.180 56.47 58.90 0.214 62.99 63.33 0.807 62.09 62.72 0.605
Alaska 64.79 64.84 0.965 57.26 58.87 0.466 54.09b 58.24 0.070 67.25 66.53 0.628 65.63 65.50 0.928
Arizona 68.14 68.47 0.783 57.16 59.11 0.333 58.48 59.48 0.644 70.96 70.95 0.995 69.24 69.38 0.910
Arkansas 62.84 63.70 0.486 57.43 58.92 0.424 56.18 56.69 0.797 64.59 65.41 0.595 63.42 64.21 0.561
California 73.05 73.55 0.461 63.50 63.74 0.871 66.40 64.87 0.268 75.19 76.01 0.311 74.01 74.53 0.474
Colorado 66.43 68.12 0.131 58.50 59.26 0.714 54.71a 59.79 0.019 69.11 70.35 0.367 67.18 68.95 0.144
Connecticut 70.81 70.40 0.726 61.58 61.80 0.909 62.14 61.56 0.784 73.14 72.65 0.732 71.67 71.18 0.701
Delaware 69.90 69.37 0.635 61.75 60.98 0.688 62.93 62.04 0.651 71.70 71.24 0.729 70.65 70.14 0.672
District of Columbia 73.75 72.69 0.320 54.82b 58.97 0.064 65.89 67.19 0.523 76.54 74.69 0.140 74.97 73.59 0.221
Florida 73.21b 71.73 0.061 62.99 63.12 0.924 64.57 62.53 0.157 75.32b 73.73 0.085 74.08b 72.46 0.053
Georgia 66.44 66.72 0.783 56.59a 60.10 0.040 61.67 61.17 0.764 68.49 68.45 0.975 67.53 67.44 0.935
Hawaii 70.30 69.52 0.529 59.50 59.65 0.940 58.72 61.88 0.172 72.78 71.42 0.357 71.26 70.41 0.523
Idaho 65.70 64.56 0.309 60.45 60.95 0.788 58.66 57.35 0.471 67.64 66.28 0.340 66.31 64.98 0.279
Illinois 68.23 67.61 0.476 63.21 61.12 0.204 64.08b 61.44 0.089 69.45 69.30 0.888 68.73 68.25 0.613
Indiana 65.19 63.95 0.222 61.47 60.60 0.644 59.97 58.90 0.553 66.53 65.22 0.295 65.58 64.31 0.243
Iowa 63.89a 60.77 0.013 60.50 57.51 0.137 56.95 53.72 0.130 65.52a 62.38 0.044 64.25a 61.11 0.022
Kansas 66.50 65.39 0.292 61.94 61.14 0.671 58.27 57.15 0.566 68.56 67.40 0.371 67.02 65.87 0.315
Kentucky 62.50 61.50 0.345 59.76 58.53 0.539 52.78 55.52 0.177 64.32 62.76 0.236 62.78 61.80 0.393
Louisiana 65.31a 62.82 0.029 58.85 57.40 0.459 63.08a 58.58 0.024 66.46 64.15 0.105 66.00a 63.40 0.039
Maine 68.81a 66.08 0.040 66.25b 62.50 0.090 60.30a 54.88 0.018 70.09 67.79 0.144 69.00b 66.36 0.062
Maryland 71.66 71.61 0.960 64.21 63.04 0.541 64.73 64.45 0.884 73.50 73.60 0.934 72.41 72.47 0.954
Massachusetts 71.58 70.77 0.466 64.48 63.53 0.638 63.42 65.88 0.202 73.60 72.26 0.330 72.18 71.37 0.498
Michigan 65.87 64.73 0.208 62.48 61.04 0.316 60.00 58.08 0.224 67.16 66.15 0.349 66.19 65.08 0.250
Minnesota 67.95 66.15 0.136 61.55 61.76 0.922 57.89 58.16 0.900 70.24 67.88 0.109 68.62 66.61 0.127
Mississippi 62.94 62.09 0.470 57.36 57.88 0.803 58.12 58.44 0.880 64.48 63.24 0.397 63.57 62.56 0.432
Missouri 63.21 61.55 0.181 57.41 56.94 0.815 56.45 55.80 0.756 64.94 62.97 0.197 63.80 62.01 0.185
Montana 68.13 67.03 0.334 65.20 63.26 0.352 58.68 57.09 0.505 69.88 68.91 0.479 68.40 67.38 0.404
Nebraska 66.08 64.65 0.184 61.11 60.33 0.698 55.69 56.19 0.811 68.54 66.70 0.167 66.64 65.14 0.199
Nevada 66.91 66.89 0.987 59.41 58.12 0.515 62.49 60.44 0.320 68.35 68.71 0.788 67.65 67.75 0.937
New Hampshire 70.31b 68.33 0.075 64.85 62.48 0.217 64.00 60.69 0.128 71.67 69.90 0.183 70.74 68.80 0.101
New Jersey 72.56 73.40 0.385 64.24 63.99 0.883 67.16 64.82 0.186 74.26 75.65 0.235 73.38 74.32 0.371
New Mexico 67.73 69.11 0.255 58.61 59.87 0.536 55.29 57.11 0.385 70.79 72.05 0.396 68.68 70.04 0.298
New York 70.75 71.87 0.143 62.72 63.17 0.773 64.33 64.05 0.843 72.52 73.90 0.129 71.45 72.63 0.147
North Carolina 67.36a 64.96 0.017 59.84 58.64 0.499 60.43 58.18 0.255 69.29a 66.72 0.039 68.10a 65.58 0.022
North Dakota 63.49 64.55 0.380 61.32 62.63 0.546 56.42 58.92 0.244 65.15 65.90 0.623 63.72 64.75 0.431
Ohio 61.60 62.42 0.368 58.79 59.52 0.623 55.78 56.19 0.797 62.79 63.68 0.429 61.87 62.71 0.403
Oklahoma 64.52 63.55 0.379 61.20 59.36 0.353 58.51 56.39 0.293 65.99 65.32 0.624 64.89 64.02 0.469
Oregon 69.59 69.09 0.655 61.05 60.36 0.722 58.71 59.77 0.602 71.99 71.25 0.581 70.35 69.86 0.683
Pennsylvania 68.00 67.51 0.593 63.16 62.43 0.645 62.16 62.23 0.958 69.37 68.81 0.622 68.43 67.97 0.635
Rhode Island 68.96 69.60 0.599 61.18 61.70 0.800 58.56 59.97 0.514 71.38 71.88 0.737 69.59 70.23 0.622
South Carolina 67.61a 64.68 0.018 58.37 58.96 0.788 60.22a 56.53 0.048 69.75a 66.51 0.034 68.52a 65.24 0.015
South Dakota 62.98 62.69 0.820 58.96 60.97 0.357 55.17 54.30 0.673 64.80 64.28 0.750 63.43 62.88 0.699
Tennessee 62.43 61.91 0.683 54.94 57.86 0.156 54.14 55.81 0.424 64.54 63.29 0.417 63.17 62.31 0.530
Texas 68.76a 67.08 0.023 58.16 58.46 0.843 61.86b 59.17 0.056 71.45a 69.63 0.041 70.02a 68.09 0.015
Utah 72.09 70.72 0.162 69.29 66.94 0.171 70.27 67.13 0.107 72.99 72.18 0.523 72.48 71.24 0.251
Vermont 70.00 69.23 0.550 65.60 64.20 0.504 60.08 60.04 0.987 71.95 71.08 0.577 70.34 69.62 0.599
Virginia 67.35 67.91 0.535 62.11 61.85 0.865 63.57 62.54 0.526 68.52 69.41 0.421 67.86 68.51 0.512
Washington 69.24 68.71 0.621 64.14 61.05 0.107 60.16 60.28 0.951 71.06 70.69 0.784 69.71 69.42 0.802
West Virginia 59.60 61.62 0.131 57.78 60.73 0.152 53.76 55.76 0.349 60.63 62.54 0.238 59.76 61.69 0.183
Wisconsin 65.45 65.32 0.910 59.06 60.91 0.340 59.40 57.30 0.276 67.13 67.07 0.966 66.08 65.75 0.788
Wyoming 66.23b 63.92 0.074 56.40 59.33 0.188 55.35 56.36 0.665 69.14a 65.63 0.027 67.29a 64.40 0.042

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
251003
Table 20 – Tobacco Product Use in the Past Month and Cigarette Use in the Past Month: Among People Aged 12 to 20; by State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State Tobacco Product Use in Past Month1 (2022‑2023) Tobacco Product Use in Past Month1 (2023‑2024) Tobacco Product Use in Past Month1 (P Value) Cigarette Use in Past Month (2022‑2023) Cigarette Use in Past Month (2023‑2024) Cigarette Use in Past Month (P Value)
Total U.S. 4.91b 4.59 0.085 3.20 3.16 0.762
Northeast 4.93a 4.34 0.033 3.45 3.08 0.118
Midwest 5.31 5.14 0.500 3.64 3.69 0.837
South 4.92 4.75 0.485 2.93 3.06 0.531
West 4.53a 4.03 0.037 3.10 2.91 0.363
Alabama 7.00a 5.38 0.009 4.16 3.79 0.476
Alaska 6.25a 4.88 0.018 4.31 3.80 0.305
Arizona 4.39 3.91 0.293 3.22 2.92 0.436
Arkansas 5.57 6.10 0.362 3.62 3.97 0.501
California 4.07b 3.52 0.089 2.51 2.37 0.625
Colorado 5.72 5.17 0.367 4.00 3.83 0.744
Connecticut 5.10 5.06 0.937 3.73 3.58 0.736
Delaware 5.20 6.09 0.160 3.57 4.04 0.359
District of Columbia 5.30 5.40 0.871 3.50 4.05 0.390
Florida 4.37 3.77 0.107 2.50 2.20 0.326
Georgia 5.05 5.69 0.221 2.79b 3.61 0.054
Hawaii 4.12 3.48 0.142 3.35 2.66 0.122
Idaho 4.66 4.86 0.700 3.52 3.81 0.548
Illinois 4.86 4.59 0.545 3.47 3.34 0.725
Indiana 4.54 4.46 0.873 3.32 3.11 0.625
Iowa 5.53 6.50 0.153 4.32 5.31 0.110
Kansas 5.01 4.98 0.941 3.53 3.22 0.514
Kentucky 5.21b 6.30 0.091 3.60 4.31 0.170
Louisiana 6.32 6.22 0.894 4.03 4.48 0.491
Maine 6.29b 7.59 0.061 4.82b 6.05 0.069
Maryland 4.82 4.55 0.638 2.63 2.31 0.418
Massachusetts 5.56 5.00 0.403 4.08 3.36 0.221
Michigan 4.51 4.84 0.464 3.07 3.54 0.219
Minnesota 5.35 4.87 0.437 3.68 3.28 0.420
Mississippi 4.86 5.18 0.580 2.74 3.03 0.456
Missouri 5.28 6.26 0.137 3.49b 4.57 0.050
Montana 6.68b 8.14 0.078 5.04a 7.06 0.011
Nebraska 4.51 3.89 0.239 3.25 2.67 0.229
Nevada 5.01 4.29 0.150 2.73 2.92 0.626
New Hampshire 5.38 5.19 0.772 3.91 4.19 0.613
New Jersey 4.09 3.95 0.734 2.62 2.57 0.905
New Mexico 6.08 5.59 0.517 4.97 4.66 0.651
New York 4.90a 3.76 0.006 3.22b 2.59 0.065
North Carolina 4.60 4.57 0.953 2.97 2.93 0.911
North Dakota 5.46 6.26 0.283 4.03b 5.20 0.090
Ohio 6.74a 5.58 0.030 4.35 4.15 0.670
Oklahoma 5.44 5.08 0.515 3.72 3.73 0.976
Oregon 6.59b 5.38 0.068 4.63 3.95 0.238
Pennsylvania 5.05 4.51 0.243 3.82 3.48 0.418
Rhode Island 5.07 4.15 0.116 3.32 2.70 0.197
South Carolina 4.69 5.35 0.234 3.54 3.70 0.725
South Dakota 4.45 4.65 0.705 3.27 3.67 0.400
Tennessee 5.44 5.17 0.690 3.28 3.16 0.795
Texas 4.44 4.11 0.420 2.38 2.63 0.452
Utah 3.13 3.19 0.895 2.47 2.22 0.563
Vermont 4.72 4.47 0.676 3.75 3.88 0.818
Virginia 4.80 4.48 0.486 2.97 2.98 0.990
Washington 4.61 3.96 0.220 3.86 3.21 0.189
West Virginia 7.25 6.95 0.723 5.34 5.57 0.772
Wisconsin 6.00 5.38 0.350 3.83 3.34 0.298
Wyoming 5.67 6.66 0.165 3.72a 5.17 0.023

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

1 Tobacco products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco. These estimates of tobacco product use do not include nicotine vaping.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 21 – Substance Use Disorder in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 17.19 16.93 0.195 8.56b 8.13 0.095 27.46a 26.51 0.028 16.60 16.48 0.616 18.05 17.81 0.258
Northeast 17.51 17.39 0.755 8.43 8.07 0.362 28.40 27.70 0.347 16.84 16.83 0.999 18.34 18.23 0.803
Midwest 17.68 17.62 0.850 8.54 8.03 0.151 28.38 27.64 0.220 17.07 17.18 0.775 18.62 18.60 0.958
South 16.17 15.98 0.429 8.53b 7.99 0.098 25.73b 24.84 0.098 15.60 15.56 0.895 16.96 16.80 0.542
West 18.16 17.57 0.105 8.71 8.48 0.610 28.77b 27.38 0.073 17.63 17.12 0.250 19.12 18.48 0.109
Alabama 16.18 16.20 0.978 8.86 8.61 0.771 23.75 22.03 0.280 15.83 16.17 0.726 16.92 16.97 0.954
Alaska 21.11a 18.33 0.011 8.34 7.02 0.176 30.71a 24.58 0.002 21.39b 18.89 0.064 22.55a 19.59 0.014
Arizona 18.56 17.58 0.282 10.15 9.14 0.379 32.35a 26.48 0.002 17.33 17.14 0.864 19.41 18.41 0.316
Arkansas 17.62 17.31 0.725 8.79 8.04 0.391 26.78 25.68 0.513 17.25 17.12 0.910 18.57 18.30 0.783
California 17.00 16.65 0.550 8.18 8.14 0.954 27.96 27.07 0.454 16.34 16.04 0.674 17.90 17.50 0.541
Colorado 22.41 22.37 0.972 9.88 10.16 0.810 31.91 33.96 0.383 22.33 21.94 0.756 23.61 23.53 0.940
Connecticut 19.12 17.53 0.124 9.72 8.93 0.473 33.76b 30.16 0.089 17.87 16.52 0.282 20.00 18.32 0.134
Delaware 17.88 17.62 0.772 10.34 9.80 0.607 28.86 28.86 0.999 17.18 16.91 0.808 18.58 18.35 0.809
District of Columbia 23.73 23.85 0.920 9.13 8.52 0.554 37.26 33.71 0.108 22.51 23.36 0.557 24.68 24.88 0.879
Florida 15.82 15.64 0.738 9.16a 7.71 0.038 28.54 26.77 0.163 14.81 14.97 0.811 16.40 16.32 0.894
Georgia 17.17 17.61 0.591 9.11 8.52 0.470 25.37 25.90 0.733 16.88 17.45 0.578 18.07 18.61 0.548
Hawaii 16.94a 14.36 0.007 6.84 7.04 0.850 24.60 21.97 0.149 17.02a 14.19 0.014 17.84a 15.02 0.006
Idaho 17.43 16.43 0.297 9.24 8.14 0.262 26.18 23.58 0.165 17.03 16.32 0.559 18.37 17.38 0.350
Illinois 17.45 18.31 0.266 9.32 8.62 0.338 26.67 27.86 0.416 16.98 17.97 0.298 18.27 19.29 0.233
Indiana 14.81a 16.55 0.030 8.07 8.09 0.984 24.84 25.17 0.835 13.96a 16.17 0.026 15.53a 17.46 0.029
Iowa 16.24b 17.97 0.072 7.09 7.85 0.375 26.25 26.71 0.804 15.65b 17.72 0.088 17.21b 19.04 0.085
Kansas 16.24 16.53 0.729 8.61 7.80 0.355 27.67 25.13 0.130 15.24 16.17 0.386 17.10 17.51 0.657
Kentucky 17.53 17.31 0.787 7.90 8.04 0.866 25.25 24.71 0.760 17.49 17.28 0.834 18.53 18.27 0.774
Louisiana 19.83a 17.47 0.015 9.52 8.32 0.247 27.81 27.22 0.762 19.86a 17.10 0.019 20.94a 18.46 0.020
Maine 20.44b 22.38 0.097 9.57b 12.08 0.076 36.05 36.12 0.978 19.47 21.59 0.125 21.32 23.20 0.133
Maryland 15.16 15.83 0.456 8.82 8.66 0.868 27.04 25.80 0.495 14.20 15.25 0.340 15.80 16.56 0.444
Massachusetts 20.03 19.91 0.909 8.95 9.08 0.905 33.41 31.66 0.384 18.97 19.08 0.926 20.98 20.83 0.895
Michigan 18.13 17.43 0.307 8.03 8.16 0.853 29.52 28.73 0.584 17.48 16.73 0.364 19.10 18.32 0.293
Minnesota 18.32a 15.64 0.003 8.24b 6.68 0.073 30.85b 26.96 0.060 17.64a 15.01 0.018 19.38a 16.58 0.005
Mississippi 15.70 16.39 0.412 7.58 7.99 0.632 24.70 22.63 0.247 15.27 16.45 0.259 16.61 17.32 0.440
Missouri 19.75 19.39 0.711 8.90 8.22 0.481 29.27 30.02 0.689 19.55 19.07 0.693 20.86 20.53 0.756
Montana 20.23b 22.18 0.099 9.35 10.41 0.354 30.53a 35.81 0.025 19.87 21.43 0.265 21.27 23.29 0.116
Nebraska 16.24 15.97 0.740 7.86 7.72 0.869 26.14 23.83 0.204 15.64 15.71 0.949 17.19 16.91 0.753
Nevada 21.32 21.74 0.699 10.05 10.21 0.896 31.07 33.62 0.245 21.28 21.45 0.894 22.45 22.87 0.717
New Hampshire 18.51 18.12 0.691 8.09 8.67 0.527 29.03 28.64 0.853 18.04 17.56 0.682 19.36 18.89 0.647
New Jersey 14.91 14.73 0.811 7.79 7.61 0.798 25.27 26.56 0.431 14.26 13.87 0.684 15.62 15.43 0.823
New Mexico 21.26 19.80 0.182 11.28 11.37 0.945 35.75 32.42 0.115 20.19 18.84 0.314 22.31 20.66 0.171
New York 17.04 17.29 0.690 8.17 7.56 0.372 26.29 27.04 0.568 16.56 16.83 0.718 17.83 18.15 0.633
North Carolina 15.29 14.82 0.507 7.58 7.01 0.470 24.74 23.75 0.542 14.72 14.34 0.661 16.06 15.60 0.547
North Dakota 17.10 16.82 0.756 8.39 7.01 0.116 28.01 25.49 0.219 16.07 16.37 0.795 18.03 17.86 0.870
Ohio 18.37 17.64 0.268 8.63 8.24 0.610 29.49 27.64 0.168 17.81 17.23 0.471 19.35 18.58 0.290
Oklahoma 18.43 17.90 0.525 8.21 8.35 0.881 31.59 29.92 0.363 17.51 17.11 0.702 19.58 18.97 0.511
Oregon 21.55 20.81 0.477 10.02 10.22 0.850 33.86 32.03 0.357 21.01 20.34 0.600 22.59 21.76 0.460
Pennsylvania 17.31 17.06 0.748 8.52 7.85 0.369 27.43a 24.63 0.039 16.72 16.92 0.830 18.11 17.91 0.800
Rhode Island 21.78a 19.46 0.032 9.30 8.63 0.503 34.95 32.44 0.257 20.85b 18.41 0.073 22.81a 20.35 0.035
South Carolina 16.86 17.62 0.426 8.77 8.95 0.847 27.11 26.54 0.756 16.25 17.29 0.378 17.66 18.47 0.438
South Dakota 17.51 16.94 0.518 7.70 7.15 0.526 30.87b 27.36 0.069 16.58 16.51 0.948 18.61 18.03 0.557
Tennessee 16.10 16.36 0.754 8.25 8.23 0.983 25.97 26.45 0.796 15.51 15.78 0.789 16.88 17.17 0.752
Texas 14.95 14.62 0.513 8.17 7.76 0.558 22.44 22.05 0.737 14.59 14.28 0.624 15.75 15.42 0.552
Utah 12.81 12.59 0.757 6.57 5.73 0.270 17.77 16.65 0.482 12.75 12.82 0.941 13.68 13.53 0.854
Vermont 20.58 20.87 0.786 8.33 9.27 0.352 35.50 35.64 0.952 19.38 19.67 0.825 21.56 21.79 0.842
Virginia 16.31 15.57 0.274 8.69 7.86 0.267 26.81 24.94 0.225 15.56 15.03 0.516 17.06 16.33 0.321
Washington 18.49a 16.62 0.037 8.57 7.78 0.364 28.68 25.71 0.121 18.12b 16.31 0.095 19.43a 17.46 0.043
West Virginia 18.06 17.19 0.366 8.05 7.57 0.610 28.70 25.46 0.106 17.55 17.01 0.643 18.97 18.07 0.385
Wisconsin 18.61 18.84 0.806 9.20 7.87 0.123 31.02 30.09 0.638 17.74 18.32 0.606 19.54 19.91 0.715
Wyoming 17.85 17.60 0.802 8.00 7.89 0.905 29.20 27.84 0.534 17.33 17.23 0.934 18.92 18.63 0.793

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Substance use disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. See 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions on the NSDUH Data Collection web page for details on who was eligible to receive questions on SUD.

NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 22 – Alcohol Use Disorder in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 10.33a 9.93 0.007 2.92 2.95 0.855 15.71a 14.72 0.004 10.35a 10.00 0.047 11.07a 10.63 0.006
Northeast 10.52a 9.98 0.041 2.85 2.93 0.734 16.54a 15.03 0.010 10.42 9.96 0.161 11.21a 10.61 0.037
Midwest 10.69 10.51 0.427 3.03 3.13 0.650 16.23b 15.36 0.079 10.73 10.62 0.709 11.48 11.26 0.393
South 9.76 9.52 0.205 2.71 2.78 0.722 14.43 14.14 0.516 9.87 9.61 0.242 10.49 10.21 0.184
West 10.80a 10.06 0.006 3.23 3.11 0.620 16.73a 14.87 0.002 10.77b 10.13 0.053 11.56a 10.76 0.007
Alabama 10.05 9.92 0.817 3.22 2.97 0.577 14.54 13.53 0.382 10.13 10.16 0.963 10.74 10.63 0.851
Alaska 10.05 10.29 0.721 2.52 2.45 0.863 15.27 13.36 0.136 10.27 10.85 0.496 10.89 11.16 0.721
Arizona 10.57 9.77 0.150 3.88 3.27 0.211 18.52a 15.09 0.022 10.08 9.67 0.560 11.24 10.41 0.175
Arkansas 10.65 9.74 0.116 3.30 3.01 0.536 14.83 13.33 0.206 10.90 10.01 0.228 11.44 10.46 0.125
California 10.43b 9.64 0.056 3.01 2.95 0.852 16.39a 14.21 0.023 10.38 9.71 0.187 11.19b 10.31 0.055
Colorado 14.49b 13.17 0.097 3.76 3.99 0.690 19.10 19.14 0.981 14.97b 13.26 0.085 15.52b 14.03 0.090
Connecticut 11.98a 10.53 0.041 3.70 3.36 0.501 20.26b 17.18 0.058 11.60 10.28 0.125 12.75a 11.19 0.044
Delaware 10.87 10.42 0.455 2.76 3.10 0.403 16.57 15.24 0.339 10.95 10.54 0.577 11.63 11.10 0.428
District of Columbia 16.46 15.79 0.491 3.12 2.82 0.640 22.45 19.88 0.136 16.45 16.11 0.777 17.33 16.66 0.520
Florida 9.56 9.41 0.714 2.61 2.74 0.664 15.03 14.78 0.794 9.52 9.37 0.748 10.16 9.99 0.692
Georgia 9.65 9.43 0.675 2.54 2.69 0.677 13.80 13.71 0.939 9.89 9.60 0.666 10.44 10.17 0.648
Hawaii 10.09b 8.86 0.070 3.29 2.60 0.219 16.16 14.94 0.419 10.04 8.77 0.122 10.70b 9.42 0.086
Idaho 10.64b 9.51 0.056 4.04b 3.13 0.057 16.05b 13.77 0.078 10.60 9.64 0.208 11.41b 10.24 0.080
Illinois 11.21 11.85 0.269 3.58 3.43 0.727 15.86 16.16 0.788 11.39 12.16 0.285 11.98 12.69 0.268
Indiana 8.49 9.35 0.120 2.16 2.63 0.215 13.01 13.32 0.769 8.53 9.53 0.159 9.18 10.07 0.143
Iowa 10.07a 11.48 0.023 2.51a 3.70 0.015 15.87 16.23 0.793 10.00a 11.62 0.042 10.87a 12.30 0.038
Kansas 10.21 9.73 0.397 3.10 3.08 0.956 17.33 15.25 0.116 9.90 9.65 0.731 11.01 10.48 0.401
Kentucky 9.96 9.94 0.973 2.85 3.06 0.626 14.18 13.87 0.797 10.15 10.15 0.999 10.69 10.65 0.948
Louisiana 11.27b 10.16 0.079 3.28 3.12 0.749 14.83 14.87 0.981 11.71b 10.30 0.084 12.13b 10.92 0.085
Maine 11.52 12.12 0.446 3.50 4.10 0.265 19.63b 16.93 0.091 11.24 12.23 0.295 12.17 12.76 0.488
Maryland 8.87 9.76 0.116 2.24a 2.99 0.044 14.34 14.60 0.833 8.85 9.86 0.157 9.53 10.44 0.148
Massachusetts 12.80a 11.33 0.039 3.45 3.30 0.783 20.64a 17.13 0.022 12.46 11.19 0.147 13.60a 12.02 0.042
Michigan 9.78b 9.01 0.100 2.73 2.81 0.807 14.78 14.17 0.552 9.79 8.90 0.132 10.46b 9.60 0.096
Minnesota 11.40a 9.39 0.001 2.96 2.55 0.336 18.31b 15.42 0.051 11.38a 9.31 0.007 12.29a 10.11 0.001
Mississippi 9.37 9.29 0.878 2.80 2.92 0.777 14.54 13.41 0.386 9.37 9.43 0.928 10.11 9.99 0.851
Missouri 11.34 10.83 0.401 3.08 3.44 0.420 16.30 16.50 0.882 11.55 10.82 0.345 12.19 11.58 0.373
Montana 10.97 12.06 0.117 3.49 4.01 0.347 18.75 19.27 0.750 10.61 11.86 0.140 11.68 12.82 0.137
Nebraska 11.33 11.02 0.615 2.82 3.26 0.284 16.46 14.61 0.173 11.57 11.43 0.854 12.29 11.90 0.568
Nevada 12.17 12.84 0.360 4.12 4.18 0.906 18.34 18.56 0.885 12.25 13.04 0.371 12.98 13.68 0.374
New Hampshire 11.60a 10.17 0.021 2.76 3.26 0.307 19.18a 15.90 0.023 11.39b 10.02 0.075 12.32a 10.72 0.018
New Jersey 9.39 9.13 0.604 2.46 2.88 0.269 15.07 14.81 0.829 9.37 9.04 0.591 10.08 9.74 0.551
New Mexico 10.35 9.60 0.210 4.20 3.79 0.483 17.75b 15.29 0.070 9.92 9.41 0.493 10.99 10.20 0.230
New York 9.97 9.63 0.434 2.83 2.70 0.698 15.06 14.43 0.495 9.94 9.62 0.555 10.60 10.24 0.445
North Carolina 9.61 9.65 0.941 2.46 2.62 0.640 14.08 14.16 0.944 9.74 9.75 0.982 10.32 10.34 0.972
North Dakota 10.80 10.48 0.587 2.54 2.67 0.749 16.90 15.60 0.362 10.65 10.47 0.808 11.68 11.31 0.577
Ohio 11.00 10.54 0.337 3.06 3.19 0.730 16.85a 14.66 0.031 11.03 10.77 0.660 11.80 11.28 0.323
Oklahoma 9.39 8.89 0.343 2.76 2.64 0.765 14.59 13.66 0.453 9.37 8.91 0.485 10.14 9.60 0.356
Oregon 11.73 11.69 0.960 3.86 4.04 0.722 17.63 17.17 0.764 11.71 11.71 0.996 12.44 12.37 0.934
Pennsylvania 10.05 9.81 0.625 2.57 2.81 0.458 15.37b 13.52 0.079 10.05 10.00 0.937 10.74 10.46 0.593
Rhode Island 12.59a 11.03 0.017 3.19 3.17 0.961 19.17 17.68 0.350 12.43a 10.72 0.036 13.37a 11.68 0.018
South Carolina 10.09 10.35 0.662 3.12 3.11 0.996 15.38 14.57 0.547 10.09 10.55 0.552 10.78 11.06 0.670
South Dakota 11.33 10.99 0.618 2.99 3.20 0.677 19.65 17.29 0.104 11.04 10.97 0.934 12.26 11.86 0.595
Tennessee 9.06 9.29 0.686 2.17 2.59 0.261 13.60 14.63 0.430 9.17 9.26 0.895 9.75 9.96 0.738
Texas 9.75 9.20 0.161 2.72 2.68 0.905 13.77 13.53 0.788 10.02 9.35 0.176 10.58 9.97 0.158
Utah 7.17 7.18 0.989 1.88 1.93 0.884 10.61 10.17 0.699 7.28 7.38 0.891 7.90 7.89 0.988
Vermont 11.14 11.22 0.909 2.73 3.31 0.231 18.72 17.89 0.619 10.73 10.93 0.827 11.81 11.85 0.961
Virginia 10.23 9.50 0.125 3.04 2.86 0.570 15.68 14.93 0.497 10.22 9.43 0.191 10.95 10.15 0.135
Washington 10.76a 9.42 0.019 2.90 2.65 0.522 16.95a 14.39 0.041 10.74b 9.45 0.073 11.51a 10.06 0.022
West Virginia 8.14 8.32 0.742 2.20 2.45 0.529 14.11 13.57 0.683 7.89 8.18 0.660 8.68 8.86 0.770
Wisconsin 11.97 11.88 0.891 3.82 3.47 0.463 19.05 17.67 0.337 11.78 11.92 0.868 12.77 12.70 0.920
Wyoming 11.74 10.79 0.128 3.37 3.47 0.844 19.16 17.22 0.164 11.64 10.71 0.241 12.64 11.57 0.118

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Alcohol use disorder estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. See 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions on the NSDUH Data Collection web page for details on who was eligible to receive questions on alcohol use disorder.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 23 – Alcohol Use Disorder in the Past Year: Among People Aged 12 to 20; by State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State Alcohol Use Disorder in Past Year (2022‑2023) Alcohol Use Disorder in Past Year (2023‑2024) Alcohol Use Disorder in Past Year (P Value)
Total U.S. 5.64 5.36 0.155
Northeast 5.84 5.37 0.128
Midwest 6.01 5.76 0.347
South 5.27 5.10 0.509
West 5.77 5.44 0.288
Alabama 6.48 6.03 0.447
Alaska 5.13 4.37 0.116
Arizona 6.79a 5.40 0.029
Arkansas 6.28b 5.13 0.064
California 5.24 5.01 0.593
Colorado 7.45 7.42 0.969
Connecticut 7.01 6.36 0.301
Delaware 5.58 5.78 0.773
District of Columbia 5.84 6.61 0.337
Florida 5.33 5.14 0.658
Georgia 4.65 4.65 0.988
Hawaii 6.05 5.53 0.452
Idaho 6.65a 5.59 0.049
Illinois 6.01 5.97 0.943
Indiana 4.03 4.27 0.640
Iowa 5.94b 7.11 0.085
Kansas 5.83 5.13 0.214
Kentucky 5.05 5.51 0.448
Louisiana 6.53 6.25 0.700
Maine 6.88 7.22 0.635
Maryland 4.62 5.26 0.267
Massachusetts 7.68 6.39 0.105
Michigan 5.17 5.38 0.683
Minnesota 6.50a 4.90 0.007
Mississippi 5.08 5.10 0.970
Missouri 5.97 6.39 0.522
Montana 7.22b 8.86 0.079
Nebraska 5.64 5.34 0.593
Nevada 6.65 6.98 0.664
New Hampshire 6.25 6.11 0.861
New Jersey 4.66 4.84 0.697
New Mexico 6.77 6.48 0.689
New York 5.65a 4.71 0.048
North Carolina 4.82 5.05 0.672
North Dakota 5.17 5.07 0.886
Ohio 7.03b 6.03 0.051
Oklahoma 4.75 4.59 0.767
Oregon 6.86 7.10 0.736
Pennsylvania 5.48 5.55 0.888
Rhode Island 7.07 6.57 0.496
South Carolina 6.43 6.00 0.478
South Dakota 5.80 5.43 0.585
Tennessee 4.94 5.74 0.208
Texas 5.00 4.46 0.240
Utah 3.75 3.27 0.395
Vermont 5.80 6.04 0.715
Virginia 6.12 5.53 0.279
Washington 5.55 4.97 0.348
West Virginia 4.88 5.31 0.487
Wisconsin 7.54 7.07 0.548
Wyoming 6.69 6.35 0.595

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Alcohol use disorder estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. See 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions on the NSDUH Data Collection web page for details on who was eligible to receive questions on alcohol use disorder.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 24 – Drug Use Disorder in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 12+
(2022‑2023)		 12+
(2023‑2024)		 12+
(P Value)		 12‑17
(2022‑2023)		 12‑17
(2023‑2024)		 12‑17
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)		 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)
Total U.S. 9.62 9.68 0.697 6.96 6.72 0.311 18.30 17.86 0.228 8.58 8.77 0.331 9.88 9.97 0.602
Northeast 9.61b 10.04 0.086 6.72 6.64 0.807 18.94 19.26 0.677 8.51b 9.03 0.083 9.87b 10.35 0.080
Midwest 9.68 10.01 0.131 7.05 6.78 0.418 18.47 18.29 0.748 8.60b 9.09 0.055 9.95 10.34 0.102
South 8.92 9.00 0.690 6.86 6.60 0.396 16.31 15.72 0.266 8.02 8.25 0.293 9.14 9.24 0.601
West 10.70b 10.24 0.093 7.20 6.91 0.468 20.93 20.00 0.256 9.53 9.14 0.216 11.05 10.58 0.106
Alabama 8.47 8.29 0.730 6.86 7.01 0.844 13.26 11.72 0.258 7.89 7.89 0.995 8.64 8.42 0.711
Alaska 13.32a 10.30 0.000 6.41 5.38 0.258 27.04a 19.91 0.001 12.26a 9.57 0.004 14.09a 10.85 0.000
Arizona 11.44 11.00 0.529 7.82 7.92 0.917 22.82a 18.57 0.022 10.04 10.15 0.894 11.81 11.30 0.514
Arkansas 9.50b 10.61 0.072 6.85 6.63 0.759 16.28 17.19 0.548 8.73b 10.05 0.071 9.78b 11.03 0.065
California 10.16b 9.47 0.090 6.99 6.44 0.379 20.22 19.94 0.819 8.97 8.22 0.109 10.48 9.78 0.110
Colorado 11.88b 13.28 0.064 7.66 8.13 0.601 23.50 23.76 0.898 10.55b 12.24 0.051 12.29b 13.76 0.073
Connecticut 10.21 9.41 0.196 7.18 7.09 0.916 23.17 19.77 0.105 8.54 8.08 0.496 10.49 9.62 0.199
Delaware 9.67 9.83 0.783 8.94 8.34 0.524 17.92 17.71 0.899 8.62 8.92 0.658 9.74 9.97 0.717
District of Columbia 13.61 13.30 0.702 7.03 6.92 0.911 24.22 21.88 0.294 12.29 12.33 0.967 14.04 13.72 0.718
Florida 8.67 8.69 0.948 7.06b 6.06 0.092 19.03 17.85 0.315 7.47 7.77 0.519 8.80 8.92 0.794
Georgia 10.11b 11.26 0.056 8.05 7.50 0.504 17.34 19.03 0.220 9.20b 10.50 0.070 10.34a 11.67 0.045
Hawaii 8.62a 6.98 0.010 5.20 5.04 0.852 15.69 13.10 0.155 8.09a 6.44 0.023 8.92a 7.15 0.011
Idaho 9.97 9.22 0.212 7.09 6.44 0.411 18.20b 15.70 0.093 8.94 8.48 0.528 10.30 9.54 0.255
Illinois 9.40b 10.41 0.059 7.44 7.27 0.796 17.63 19.11 0.281 8.36b 9.44 0.083 9.60b 10.72 0.055
Indiana 8.42a 10.07 0.005 7.17 7.50 0.701 17.30 18.45 0.440 7.08a 8.99 0.004 8.56a 10.35 0.005
Iowa 8.38b 9.47 0.067 5.77 6.41 0.405 15.26 15.26 0.999 7.51b 8.85 0.052 8.66b 9.79 0.083
Kansas 8.10b 9.13 0.073 6.83 6.85 0.984 14.96 14.51 0.773 7.06a 8.49 0.034 8.24b 9.39 0.074
Kentucky 9.61 9.82 0.734 6.42 6.61 0.800 14.84 14.74 0.945 9.18 9.45 0.715 9.94 10.15 0.755
Louisiana 12.17b 10.89 0.062 7.48 6.81 0.452 18.86 18.84 0.990 11.71b 10.16 0.060 12.68b 11.33 0.074
Maine 12.38 13.28 0.322 7.51 9.18 0.120 26.09 26.85 0.735 11.11 11.96 0.420 12.78 13.61 0.395
Maryland 9.21 9.12 0.891 7.69 7.19 0.553 18.62 16.87 0.298 8.05 8.25 0.777 9.36 9.32 0.949
Massachusetts 11.29 11.29 0.997 7.12 7.09 0.966 22.85 21.69 0.547 9.84 10.04 0.807 11.65 11.65 0.997
Michigan 10.64 10.71 0.889 6.77 6.97 0.753 21.29 20.75 0.681 9.42 9.59 0.767 11.01 11.07 0.922
Minnesota 9.70b 8.68 0.099 6.81 5.78 0.162 20.35b 16.84 0.053 8.44 7.79 0.368 10.01 8.98 0.135
Mississippi 10.18 10.43 0.693 7.09 6.98 0.882 14.73 14.12 0.659 9.82 10.26 0.564 10.52 10.81 0.683
Missouri 10.75 11.69 0.173 7.36 7.03 0.727 17.36 19.52 0.204 10.12 11.04 0.252 11.09 12.17 0.157
Montana 11.50a 13.15 0.039 7.18 8.08 0.347 23.85 26.24 0.306 10.10b 11.75 0.065 11.91a 13.63 0.049
Nebraska 8.13 7.93 0.724 6.50 6.38 0.872 14.75 13.34 0.334 7.21 7.20 0.996 8.32 8.11 0.741
Nevada 12.17 12.74 0.453 8.26 8.21 0.962 23.06 25.86 0.188 11.14 11.51 0.661 12.56 13.18 0.457
New Hampshire 9.81 10.50 0.262 6.32 7.09 0.343 19.45 19.85 0.837 8.81 9.54 0.286 10.10 10.77 0.307
New Jersey 8.11 8.48 0.464 6.00 6.19 0.758 17.12 19.10 0.235 7.07 7.25 0.765 8.31 8.70 0.485
New Mexico 14.03b 12.52 0.085 10.12 9.69 0.748 27.39 23.89 0.125 12.40 11.09 0.201 14.44b 12.81 0.089
New York 9.27a 10.20 0.032 6.27 6.18 0.876 17.60 19.10 0.245 8.33b 9.30 0.054 9.53a 10.56 0.031
North Carolina 8.02 7.64 0.437 6.16 5.63 0.474 15.62 14.68 0.512 7.06 6.79 0.624 8.21 7.84 0.495
North Dakota 8.11 8.74 0.294 6.20 5.97 0.770 14.58 13.84 0.646 7.09 8.10 0.162 8.31 9.04 0.278
Ohio 10.44 9.88 0.270 7.29 6.66 0.386 19.63 18.83 0.512 9.41 8.91 0.394 10.75 10.20 0.313
Oklahoma 11.46 11.53 0.913 6.74 7.07 0.688 23.68 22.57 0.560 9.98 10.24 0.729 11.99 12.03 0.954
Oregon 12.74 12.53 0.782 8.08 8.37 0.773 26.68 24.80 0.375 11.26 11.26 0.994 13.16 12.90 0.752
Pennsylvania 9.42 9.74 0.507 7.48 6.91 0.401 17.18 16.67 0.655 8.46 9.02 0.344 9.59 10.00 0.449
Rhode Island 11.69 10.92 0.294 7.49 7.04 0.601 22.71 21.66 0.618 10.32 9.57 0.367 12.04 11.24 0.317
South Carolina 9.48 10.20 0.268 6.81 6.95 0.860 16.90 16.78 0.944 8.69 9.60 0.231 9.75 10.52 0.282
South Dakota 8.44 8.47 0.957 5.84 5.71 0.864 15.79 13.53 0.141 7.56 8.00 0.498 8.72 8.77 0.937
Tennessee 9.51 9.57 0.927 7.09 7.16 0.934 17.03 16.25 0.613 8.65 8.84 0.784 9.76 9.81 0.936
Texas 7.48 7.63 0.660 6.18 6.43 0.692 12.93 12.69 0.807 6.72 6.93 0.596 7.64 7.77 0.718
Utah 8.28 7.97 0.531 5.40 5.36 0.950 13.37 12.95 0.749 7.62 7.28 0.563 8.68 8.33 0.531
Vermont 13.03 13.50 0.614 7.26 8.00 0.449 26.64 25.12 0.535 11.44 12.23 0.458 13.50 13.94 0.657
Virginia 8.50 8.12 0.447 6.97 6.39 0.368 16.66 14.68 0.116 7.41 7.33 0.877 8.65 8.30 0.511
Washington 10.55 9.62 0.132 7.17 6.77 0.611 20.29 18.82 0.419 9.55 8.65 0.212 10.87 9.89 0.148
West Virginia 11.89b 10.48 0.083 7.80 7.02 0.389 18.28a 14.58 0.022 11.38 10.26 0.237 12.26b 10.80 0.096
Wisconsin 9.78 9.50 0.623 7.29 6.17 0.170 20.10 18.27 0.247 8.44 8.51 0.921 10.03 9.83 0.747
Wyoming 8.51 9.36 0.140 6.25 6.50 0.756 16.26 15.17 0.542 7.59b 8.83 0.065 8.75 9.67 0.154

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Drug use disorder estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. See 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions on the NSDUH Data Collection web page for details on who was eligible to receive questions on drug use disorder.

NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
251003
Table 25 – Any Mental Illness in the Past Year: Among People Aged 18 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)
Total U.S. 22.95 23.12 0.481 35.02a 33.53 0.002 21.09b 21.52 0.077
Northeast 22.63 22.66 0.952 34.77 34.04 0.368 20.83 20.98 0.734
Midwest 23.80 23.78 0.970 36.33 35.31 0.122 21.81 21.98 0.658
South 22.04 22.44 0.162 32.81a 31.55 0.031 20.36a 21.04 0.032
West 23.95 23.97 0.943 37.60a 34.82 0.001 21.83 22.32 0.271
Alabama 22.09 23.02 0.310 32.36 32.78 0.805 20.44 21.46 0.303
Alaska 23.47 24.04 0.550 34.41 33.98 0.827 21.93 22.64 0.492
Arizona 25.70 24.60 0.304 41.25a 33.79 0.001 23.21 23.15 0.960
Arkansas 24.47a 26.55 0.044 32.92b 36.01 0.092 23.11b 25.04 0.090
California 20.99 21.63 0.329 34.12 32.71 0.279 18.96 19.94 0.176
Colorado 27.73 26.36 0.184 43.30a 39.06 0.044 25.32 24.43 0.422
Connecticut 24.13 23.74 0.711 36.43 35.71 0.750 22.23 21.91 0.778
Delaware 21.90 22.14 0.806 33.79 32.93 0.655 20.28 20.67 0.708
District of Columbia 28.55 29.04 0.686 38.99 36.80 0.316 26.75 27.71 0.472
Florida 19.97 20.81 0.214 34.02 31.97 0.130 18.15b 19.37 0.096
Georgia 23.08a 25.23 0.023 32.26 32.62 0.831 21.59a 24.05 0.017
Hawaii 21.16 19.82 0.167 34.26b 30.65 0.071 19.57 18.53 0.323
Idaho 26.72a 24.46 0.031 39.09b 35.47 0.068 24.58b 22.58 0.080
Illinois 22.61 22.19 0.581 32.88 33.40 0.741 21.04 20.47 0.508
Indiana 23.73b 25.31 0.100 37.93 35.70 0.216 21.33a 23.58 0.032
Iowa 25.72 24.99 0.497 34.70 36.55 0.366 24.16 23.00 0.327
Kansas 23.72 23.68 0.964 34.64 33.94 0.710 21.79 21.88 0.936
Kentucky 25.22 25.26 0.972 32.20 32.75 0.769 24.15 24.11 0.969
Louisiana 22.59 24.06 0.170 29.04 31.75 0.150 21.58 22.87 0.278
Maine 25.76 26.68 0.470 36.48 38.05 0.451 24.43 25.27 0.539
Maryland 22.29 22.70 0.683 35.86a 31.71 0.049 20.37 21.43 0.318
Massachusetts 23.99 24.89 0.426 39.76 37.17 0.212 21.44 22.91 0.217
Michigan 23.16 23.57 0.589 33.82 34.87 0.489 21.50 21.84 0.677
Minnesota 23.74 22.55 0.243 40.23a 34.43 0.009 21.24 20.76 0.658
Mississippi 20.47 20.45 0.990 27.64 28.48 0.648 19.27 19.13 0.891
Missouri 26.08 25.67 0.687 36.20 36.49 0.889 24.50 24.00 0.657
Montana 24.60 25.59 0.385 40.97 38.17 0.205 22.11 23.72 0.196
Nebraska 24.43 24.09 0.723 38.14 35.55 0.201 22.06 22.10 0.963
Nevada 23.16 24.64 0.163 37.11 35.29 0.348 21.28b 23.24 0.092
New Hampshire 26.93 27.70 0.484 42.34 40.11 0.313 24.83 26.02 0.310
New Jersey 19.69b 18.10 0.076 35.80a 31.03 0.009 17.43 16.29 0.232
New Mexico 24.88 23.89 0.357 39.22a 33.99 0.012 22.62 22.32 0.794
New York 21.29 21.87 0.396 31.08 32.28 0.415 19.83 20.34 0.503
North Carolina 21.32 21.40 0.929 30.58 31.10 0.767 19.89 19.90 0.988
North Dakota 23.53 22.99 0.635 34.89 34.33 0.799 21.30 20.78 0.675
Ohio 23.37 23.89 0.478 37.55 36.38 0.420 21.22 22.02 0.316
Oklahoma 22.20 22.56 0.693 34.40 33.28 0.591 20.10 20.74 0.519
Oregon 30.16 31.58 0.233 43.26 41.74 0.503 28.32 30.18 0.156
Pennsylvania 24.39 23.94 0.569 34.86 34.71 0.928 22.83 22.36 0.583
Rhode Island 24.37 25.82 0.182 36.19 37.35 0.591 22.46 23.97 0.194
South Carolina 20.52 19.78 0.462 31.24 29.84 0.483 18.93 18.30 0.564
South Dakota 24.14a 21.83 0.021 38.19a 33.11 0.010 21.82b 19.98 0.091
Tennessee 26.48 26.96 0.666 39.91 37.65 0.282 24.45 25.35 0.448
Texas 21.02 20.73 0.628 30.98a 27.96 0.022 19.28 19.49 0.753
Utah 29.93a 26.70 0.001 42.21a 36.90 0.008 27.11a 24.39 0.011
Vermont 27.02b 29.12 0.081 41.23 41.40 0.942 24.80b 27.24 0.058
Virginia 23.25 23.14 0.887 35.49 34.82 0.690 21.37 21.36 0.995
Washington 27.99 27.93 0.951 41.45 38.62 0.156 26.11 26.44 0.769
West Virginia 29.33 28.11 0.332 37.65 36.31 0.547 28.12 26.94 0.388
Wisconsin 24.81 24.55 0.783 41.17b 37.55 0.054 22.24 22.51 0.793
Wyoming 24.89 24.67 0.833 38.14 37.00 0.603 22.85 22.79 0.962

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Any mental illness (AMI) aligns with Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These estimates are based on indicators of AMI rather than direct measures of diagnostic criteria. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
251003
Table 26 – Serious Mental Illness in the Past Year: Among People Aged 18 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)
Total U.S. 5.83b 5.62 0.071 10.97a 9.86 0.000 5.04 4.97 0.593
Northeast 5.45 5.32 0.456 10.76b 9.79 0.051 4.66 4.66 0.987
Midwest 6.05 6.02 0.851 11.20 10.62 0.176 5.23 5.29 0.761
South 5.71a 5.39 0.033 10.42a 9.17 0.001 4.98 4.81 0.295
West 6.11 5.86 0.213 11.82a 10.36 0.005 5.23 5.17 0.806
Alabama 5.77 6.12 0.452 9.61 9.25 0.742 5.15 5.63 0.365
Alaska 7.29 6.67 0.289 13.23a 10.54 0.043 6.45 6.12 0.613
Arizona 7.21 6.46 0.152 13.66a 10.31 0.011 6.17 5.86 0.581
Arkansas 6.96 6.66 0.547 10.85 10.71 0.902 6.34 6.01 0.568
California 4.87 4.76 0.691 10.10 8.89 0.137 4.06 4.13 0.822
Colorado 7.12 6.98 0.783 12.37 12.34 0.984 6.31 6.17 0.794
Connecticut 5.32 5.53 0.619 10.62 10.37 0.842 4.50 4.79 0.520
Delaware 5.52 5.60 0.852 9.87 9.23 0.588 4.93 5.11 0.699
District of Columbia 6.42 6.60 0.736 8.91 8.64 0.820 5.99 6.25 0.666
Florida 5.38a 4.54 0.006 11.48a 8.87 0.004 4.59b 3.98 0.058
Georgia 6.19 5.81 0.355 10.19 9.16 0.323 5.54 5.27 0.554
Hawaii 5.06b 4.27 0.078 11.59b 9.26 0.087 4.27 3.68 0.223
Idaho 6.87b 5.92 0.057 13.18a 10.71 0.046 5.78 5.10 0.211
Illinois 5.10 5.20 0.756 9.32 9.54 0.811 4.45 4.54 0.812
Indiana 6.26 6.78 0.274 11.67 11.30 0.746 5.34 6.02 0.197
Iowa 6.61 7.09 0.364 11.82 12.50 0.634 5.71 6.16 0.424
Kansas 6.15 6.18 0.948 11.26 10.84 0.720 5.25 5.36 0.818
Kentucky 7.82b 6.92 0.092 12.07 10.71 0.265 7.17 6.35 0.159
Louisiana 6.30 5.78 0.290 8.96 8.15 0.457 5.89 5.41 0.387
Maine 6.10 6.28 0.743 11.94 11.17 0.582 5.37 5.67 0.623
Maryland 5.50 5.14 0.383 9.83 8.18 0.150 4.89 4.71 0.698
Massachusetts 5.64 5.88 0.612 11.84 11.34 0.691 4.64 4.99 0.476
Michigan 5.74 5.18 0.117 10.12b 8.64 0.100 5.05 4.65 0.297
Minnesota 5.84 5.76 0.870 11.57 11.02 0.660 4.97 4.97 0.994
Mississippi 4.99 4.76 0.577 8.46 7.13 0.198 4.41 4.37 0.920
Missouri 6.81 6.58 0.660 11.97 10.82 0.337 6.00 5.93 0.894
Montana 6.03 6.87 0.157 12.04 11.65 0.795 5.12 6.16 0.110
Nebraska 6.88 6.85 0.952 12.82 12.42 0.790 5.85 5.88 0.954
Nevada 6.49 6.65 0.777 12.00 11.68 0.819 5.75 5.99 0.695
New Hampshire 7.22 7.55 0.567 14.51 13.76 0.626 6.23 6.71 0.438
New Jersey 4.64b 4.00 0.054 11.00a 8.43 0.016 3.75 3.39 0.289
New Mexico 6.42 6.12 0.582 11.85 10.42 0.252 5.57 5.45 0.848
New York 5.17 4.73 0.149 9.14 8.84 0.734 4.57 4.13 0.168
North Carolina 5.38 5.00 0.341 9.95 8.73 0.242 4.67 4.42 0.572
North Dakota 6.91 6.27 0.240 12.09 10.24 0.180 5.89 5.50 0.502
Ohio 6.25 6.28 0.942 11.57 10.96 0.520 5.45 5.58 0.763
Oklahoma 6.56 5.76 0.114 10.85 9.16 0.153 5.82 5.18 0.257
Oregon 8.41 7.96 0.445 16.47a 13.37 0.028 7.27 7.21 0.928
Pennsylvania 5.99 6.22 0.546 11.63 10.07 0.109 5.14 5.65 0.231
Rhode Island 5.98 6.31 0.503 11.54 11.52 0.989 5.08 5.47 0.436
South Carolina 5.14 4.60 0.219 8.74 7.22 0.178 4.60 4.21 0.410
South Dakota 7.13 6.72 0.471 14.87b 12.56 0.082 5.85 5.77 0.899
Tennessee 7.62 7.00 0.272 12.90 10.88 0.110 6.82 6.41 0.518
Texas 4.91 5.10 0.529 10.17 9.22 0.240 3.99 4.39 0.221
Utah 9.34b 8.40 0.089 15.36 13.52 0.185 7.97 7.23 0.223
Vermont 7.27 7.69 0.509 15.62 15.45 0.922 5.97 6.51 0.428
Virginia 5.48 5.53 0.905 9.52 9.93 0.694 4.86 4.86 0.999
Washington 7.41 7.24 0.746 13.02 12.08 0.470 6.62 6.57 0.929
West Virginia 8.35 8.01 0.571 13.10 12.44 0.634 7.66 7.37 0.672
Wisconsin 6.51 6.40 0.817 12.91 12.05 0.497 5.50 5.52 0.975
Wyoming 7.88 7.38 0.413 15.60 15.03 0.724 6.68 6.22 0.479

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Serious mental illness (SMI) aligns with Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These estimates are based on indicators of SMI rather than direct measures of diagnostic criteria. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
251003
Table 27 – Co‑Occurring Substance Use Disorder and Any Mental Illness in the Past Year: Among People Aged 18 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)
Total U.S. 8.17 8.01 0.261 14.62a 13.69 0.005 7.17 7.15 0.855
Northeast 8.00 7.99 0.965 14.72 14.18 0.353 7.00 7.08 0.778
Midwest 8.64 8.34 0.141 15.52a 14.31 0.011 7.55 7.40 0.513
South 7.78 7.61 0.336 13.24b 12.42 0.058 6.93 6.87 0.757
West 8.52 8.41 0.659 15.98b 14.85 0.099 7.37 7.43 0.846
Alabama 7.60 7.62 0.968 11.97 11.32 0.574 6.89 7.03 0.820
Alaska 9.19 8.78 0.540 17.01a 13.99 0.048 8.09 8.05 0.958
Arizona 9.78b 8.70 0.088 20.35a 13.52 0.000 8.09 7.93 0.821
Arkansas 9.28 9.06 0.722 13.92 14.19 0.847 8.53 8.23 0.673
California 7.20 7.76 0.160 13.83 14.61 0.483 6.18 6.71 0.213
Colorado 12.03 10.94 0.160 21.05 18.52 0.193 10.64 9.79 0.314
Connecticut 9.11 8.62 0.464 17.22 16.09 0.533 7.86 7.49 0.597
Delaware 7.94 8.10 0.787 14.56 13.56 0.527 7.03 7.36 0.615
District of Columbia 11.52b 10.11 0.057 21.30a 16.14 0.002 9.83 9.08 0.355
Florida 7.57 7.62 0.881 15.10 14.33 0.457 6.59 6.76 0.667
Georgia 7.94b 8.95 0.078 12.69 13.09 0.735 7.17b 8.29 0.076
Hawaii 6.87 6.27 0.271 12.19 11.34 0.548 6.22 5.66 0.343
Idaho 8.78b 7.75 0.089 15.49a 12.43 0.039 7.62 6.94 0.310
Illinois 7.99 7.81 0.697 13.88 13.50 0.725 7.08 6.94 0.777
Indiana 7.79 8.20 0.474 14.75 12.84 0.125 6.62 7.42 0.207
Iowa 8.63 8.86 0.719 15.03 13.89 0.427 7.52 8.00 0.511
Kansas 8.29 8.11 0.760 15.32b 12.68 0.061 7.05 7.30 0.712
Kentucky 9.42a 8.16 0.049 13.20 11.54 0.210 8.83b 7.64 0.087
Louisiana 8.89 8.19 0.232 12.56 12.77 0.873 8.31 7.47 0.201
Maine 9.71 10.20 0.495 20.10 20.66 0.775 8.41 8.90 0.528
Maryland 6.60 6.64 0.937 13.71 11.64 0.135 5.59 5.94 0.556
Massachusetts 9.33 8.88 0.505 18.95 16.32 0.107 7.78 7.68 0.889
Michigan 8.80 8.43 0.429 14.95 14.44 0.644 7.84 7.51 0.513
Minnesota 9.21a 7.70 0.016 19.14a 14.91 0.011 7.71 6.61 0.108
Mississippi 6.88 6.45 0.442 11.35 9.57 0.163 6.13 5.93 0.745
Missouri 9.43 9.56 0.837 14.49 15.91 0.339 8.64 8.59 0.940
Montana 10.05 10.66 0.450 19.38 19.35 0.989 8.64 9.36 0.396
Nebraska 8.49 7.96 0.389 14.42 13.57 0.578 7.47 6.98 0.469
Nevada 9.02 9.79 0.250 16.29 16.89 0.705 8.04 8.85 0.268
New Hampshire 8.63 8.74 0.850 16.33 15.37 0.571 7.57 7.84 0.674
New Jersey 6.27 6.21 0.897 13.09 13.47 0.779 5.31 5.19 0.822
New Mexico 10.94 9.98 0.199 21.76a 17.23 0.010 9.24 8.85 0.639
New York 7.47 7.87 0.355 13.44 13.36 0.939 6.58 7.05 0.311
North Carolina 7.53 7.38 0.755 12.86 12.13 0.525 6.70 6.65 0.914
North Dakota 8.88 8.02 0.164 15.37 13.17 0.164 7.61 7.01 0.378
Ohio 8.78 8.21 0.211 16.06 14.47 0.135 7.68 7.27 0.423
Oklahoma 8.82 8.61 0.741 18.31 16.16 0.167 7.19 7.33 0.838
Oregon 10.30 10.27 0.965 20.04 18.26 0.336 8.93 9.17 0.764
Pennsylvania 8.43 8.08 0.467 13.26 12.60 0.542 7.71 7.41 0.570
Rhode Island 9.61 10.11 0.500 18.07 18.30 0.902 8.24 8.80 0.491
South Carolina 7.69 7.30 0.501 12.54 10.86 0.200 6.97 6.78 0.764
South Dakota 9.39a 8.05 0.047 17.96a 14.05 0.009 7.97 7.07 0.217
Tennessee 8.92 8.98 0.912 15.79 15.95 0.916 7.88 7.94 0.927
Texas 7.16 6.71 0.205 10.81 10.13 0.431 6.53 6.13 0.300
Utah 7.81 6.93 0.101 11.48 9.77 0.157 6.98 6.29 0.238
Vermont 10.95 11.62 0.417 20.48 20.39 0.966 9.46 10.27 0.349
Virginia 7.52 7.19 0.488 14.46 13.21 0.303 6.45 6.27 0.730
Washington 9.59a 8.18 0.023 17.41b 14.84 0.093 8.49b 7.25 0.065
West Virginia 10.67b 9.39 0.065 18.26a 14.73 0.017 9.56 8.63 0.225
Wisconsin 9.18 9.11 0.905 17.92 16.65 0.413 7.80 7.93 0.846
Wyoming 9.52 9.04 0.488 18.74 16.92 0.289 8.10 7.85 0.738

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Substance use disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. See 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions on the NSDUH Data Collection web page for details on who was eligible to receive questions on SUD.

NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year.

NOTE: Any mental illness (AMI) aligns with Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These estimates are based on indicators of AMI rather than direct measures of diagnostic criteria. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
251003
Table 28 – Co‑Occurring Substance Use Disorder and Serious Mental Illness in the Past Year: Among People Aged 18 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+
(2022‑2023)		 18+
(2023‑2024)		 18+
(P Value)		 18‑25
(2022‑2023)		 18‑25
(2023‑2024)		 18‑25
(P Value)		 26+
(2022‑2023)		 26+
(2023‑2024)		 26+
(P Value)
Total U.S. 2.77 2.63 0.105 5.68a 5.11 0.006 2.32 2.25 0.484
Northeast 2.76 2.66 0.511 5.55 5.06 0.145 2.34 2.30 0.812
Midwest 3.04 2.93 0.427 5.87 5.53 0.234 2.59 2.52 0.653
South 2.70 2.55 0.133 5.61a 5.03 0.022 2.25 2.17 0.447
West 2.64 2.50 0.290 5.70b 4.91 0.052 2.17 2.13 0.797
Alabama 2.74 2.94 0.545 5.36 5.09 0.679 2.32 2.60 0.450
Alaska 2.89 2.85 0.907 6.03 5.06 0.267 2.45 2.54 0.806
Arizona 3.10a 2.48 0.025 7.77a 4.76 0.000 2.36 2.12 0.426
Arkansas 3.05 3.02 0.935 6.11 5.78 0.633 2.55 2.58 0.931
California 2.13 2.12 0.954 4.62 4.27 0.577 1.74 1.79 0.822
Colorado 3.27 3.09 0.573 6.78 6.57 0.828 2.72 2.56 0.633
Connecticut 3.06 2.67 0.222 6.74 5.87 0.326 2.49 2.19 0.380
Delaware 2.81 2.68 0.670 5.73 5.10 0.377 2.41 2.35 0.868
District of Columbia 3.10 2.91 0.569 5.58 4.69 0.272 2.67 2.61 0.861
Florida 2.49 2.18 0.133 6.40a 5.17 0.028 1.98 1.80 0.408
Georgia 2.73 2.63 0.683 5.06 4.82 0.669 2.35 2.27 0.790
Hawaii 1.90 1.96 0.846 4.52 4.60 0.936 1.58 1.64 0.838
Idaho 3.15 2.85 0.316 6.73a 5.32 0.042 2.54 2.42 0.732
Illinois 2.69 2.67 0.952 4.95 5.22 0.613 2.34 2.28 0.845
Indiana 3.01 3.11 0.747 5.68 5.36 0.633 2.55 2.73 0.606
Iowa 3.12 3.45 0.392 6.17 5.89 0.730 2.59 3.02 0.312
Kansas 2.96 2.68 0.293 6.13 5.29 0.220 2.40 2.22 0.540
Kentucky 3.85a 3.10 0.045 5.89 5.10 0.223 3.54b 2.79 0.077
Louisiana 3.34 2.90 0.172 6.15 5.27 0.210 2.90 2.54 0.303
Maine 3.26 3.41 0.736 6.70 6.26 0.597 2.83 3.05 0.644
Maryland 2.30 2.19 0.652 4.78 4.40 0.534 1.95 1.87 0.796
Massachusetts 2.96 3.08 0.724 5.91 5.62 0.706 2.48 2.67 0.625
Michigan 2.91 2.59 0.164 5.58 4.94 0.240 2.50 2.23 0.298
Minnesota 2.87 2.91 0.901 5.58 5.73 0.841 2.46 2.49 0.944
Mississippi 2.73 2.55 0.551 5.19 4.43 0.250 2.32 2.24 0.815
Missouri 3.40 3.19 0.555 6.58 5.86 0.359 2.90 2.78 0.756
Montana 3.02 3.54 0.225 5.36 5.75 0.662 2.67 3.21 0.242
Nebraska 3.01 3.06 0.880 5.93 5.76 0.817 2.51 2.59 0.814
Nevada 2.70 2.73 0.919 6.40 6.18 0.817 2.20 2.27 0.820
New Hampshire 3.17 3.12 0.883 7.16 6.52 0.464 2.63 2.66 0.920
New Jersey 2.41b 2.00 0.068 5.84b 4.61 0.089 1.93 1.63 0.213
New Mexico 3.02 2.73 0.355 6.83 5.56 0.106 2.43 2.29 0.699
New York 2.53 2.44 0.695 4.46 4.50 0.947 2.25 2.14 0.675
North Carolina 2.66 2.61 0.841 5.51 5.19 0.616 2.22 2.21 0.980
North Dakota 3.16 3.14 0.931 6.03 5.89 0.851 2.60 2.60 0.991
Ohio 3.36 3.08 0.334 6.18 5.50 0.260 2.93 2.72 0.505
Oklahoma 3.00 2.76 0.413 6.33 5.39 0.198 2.42 2.31 0.726
Oregon 3.79 3.38 0.312 8.54a 6.40 0.024 3.12 2.97 0.724
Pennsylvania 2.97 2.96 0.960 6.02 5.19 0.166 2.52 2.63 0.715
Rhode Island 2.90 3.14 0.490 5.71 6.26 0.529 2.45 2.64 0.608
South Carolina 2.72 2.41 0.312 5.48 4.59 0.190 2.31 2.10 0.523
South Dakota 3.27 3.05 0.529 6.86 6.20 0.405 2.68 2.53 0.721
Tennessee 3.47 3.00 0.118 6.66b 5.36 0.075 2.99 2.65 0.308
Texas 2.41 2.43 0.953 5.12 4.69 0.398 1.94 2.04 0.640
Utah 3.20 2.92 0.336 5.70 4.58 0.119 2.63 2.54 0.775
Vermont 3.80 4.09 0.553 7.83 6.91 0.317 3.16 3.66 0.379
Virginia 2.40 2.50 0.677 5.21 5.70 0.458 1.96 2.01 0.851
Washington 3.19 2.96 0.448 6.04 5.37 0.343 2.79 2.62 0.626
West Virginia 4.10 3.79 0.465 7.42 6.70 0.423 3.62 3.37 0.600
Wisconsin 3.13 3.05 0.793 6.99 6.51 0.535 2.52 2.51 0.970
Wyoming 3.31 3.18 0.713 7.74 7.71 0.974 2.62 2.49 0.730

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Substance use disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. See 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions on the NSDUH Data Collection web page for details on who was eligible to receive questions on SUD.

NOTE: Drug use includes the use of marijuana (including vaping), cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine in the past year or any use (i.e., not necessarily misuse) of prescription pain relievers, tranquilizers, stimulants, or sedatives in the past year.

NOTE: Serious mental illness (SMI) aligns with Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria, and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These estimates are based on indicators of SMI rather than direct measures of diagnostic criteria. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 29 – Major Depressive Episode in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+ (2022‑2023) 18+ (2023‑2024) 18+ (P Value) 12‑17 (2022‑2023) 12‑17 (2023‑2024) 12‑17 (P Value) 18‑25 (2022‑2023) 18‑25 (2023‑2024) 18‑25 (P Value) 26+ (2022‑2023) 26+ (2023‑2024) 26+ (P Value)
Total U.S. 8.64a 8.33 0.024 18.82a 16.74 0.000 18.81a 16.66 0.000 7.06 7.06 0.969
Northeast 8.33 8.20 0.591 18.34a 16.30 0.001 19.36a 17.83 0.035 6.69 6.78 0.740
Midwest 8.89 8.71 0.405 19.24a 17.45 0.001 18.45a 17.32 0.044 7.38 7.35 0.915
South 8.46a 8.01 0.013 18.68a 16.47 0.000 17.70a 15.23 0.000 7.03 6.90 0.525
West 8.92 8.63 0.225 19.00a 16.86 0.001 20.53a 17.59 0.000 7.13 7.26 0.612
Alabama 8.32 8.64 0.590 18.91 17.60 0.348 17.12 16.46 0.653 6.91 7.39 0.450
Alaska 8.42 8.63 0.748 17.27 15.28 0.194 17.71 16.47 0.479 7.11 7.52 0.562
Arizona 10.49b 9.39 0.096 21.06a 16.78 0.011 23.04a 16.86 0.001 8.48 8.20 0.711
Arkansas 9.86 9.91 0.948 19.65 18.33 0.390 16.62 16.21 0.789 8.77 8.90 0.866
California 7.49 7.34 0.679 17.53 15.83 0.110 18.79a 15.77 0.004 5.75 6.06 0.428
Colorado 9.99 9.58 0.508 21.91b 19.24 0.091 23.21 21.55 0.409 7.95 7.76 0.777
Connecticut 8.67 8.29 0.527 19.66 17.49 0.177 21.59 20.04 0.467 6.67 6.50 0.781
Delaware 8.22 8.60 0.552 18.86 16.58 0.112 18.42 15.91 0.153 6.84 7.60 0.261
District of Columbia 9.46 9.20 0.694 16.10 13.91 0.115 19.28 18.64 0.756 7.76 7.58 0.794
Florida 8.16 7.64 0.205 19.62a 16.33 0.001 19.32a 16.50 0.028 6.71 6.50 0.627
Georgia 8.20 8.16 0.935 17.03 15.02 0.117 15.90 13.89 0.115 6.95 7.24 0.644
Hawaii 6.38 6.08 0.595 16.06 14.81 0.399 13.34 13.26 0.960 5.54 5.22 0.612
Idaho 10.42 9.40 0.130 20.58 18.49 0.152 20.79 18.93 0.289 8.63 7.77 0.246
Illinois 8.01 7.83 0.706 20.30a 17.25 0.014 16.82 17.09 0.832 6.65 6.42 0.637
Indiana 8.69 9.16 0.412 17.01 16.04 0.464 18.42 17.60 0.583 7.05 7.75 0.270
Iowa 9.53 10.22 0.353 18.87 20.30 0.382 17.79 17.76 0.984 8.09 8.93 0.319
Kansas 8.97 8.35 0.319 19.34 18.13 0.396 18.49 16.23 0.169 7.28 6.97 0.647
Kentucky 10.95 10.12 0.268 20.53a 17.13 0.019 18.46b 15.60 0.060 9.79 9.28 0.534
Louisiana 8.20 7.74 0.414 17.74b 15.35 0.081 13.49 12.42 0.474 7.37 7.01 0.557
Maine 9.42a 11.47 0.026 20.59 20.31 0.874 19.60 20.02 0.833 8.15a 10.40 0.027
Maryland 8.33 8.21 0.842 22.30a 18.25 0.009 20.71a 15.57 0.008 6.58 7.17 0.394
Massachusetts 8.61 8.79 0.775 18.73 15.95 0.113 23.22 21.01 0.225 6.25 6.82 0.402
Michigan 8.76 8.54 0.650 19.16a 16.65 0.025 17.35 15.46 0.113 7.43 7.48 0.917
Minnesota 8.99 8.41 0.328 20.94b 18.07 0.067 19.49 16.71 0.121 7.40 7.16 0.709
Mississippi 7.54 6.83 0.228 17.92 16.00 0.208 13.19 11.82 0.336 6.60 6.01 0.357
Missouri 9.64 9.04 0.362 20.20 19.17 0.493 18.53 18.04 0.781 8.25 7.66 0.415
Montana 9.51 9.77 0.720 19.63 17.54 0.202 19.86 19.38 0.808 7.94 8.34 0.598
Nebraska 10.13 10.21 0.907 20.20 18.33 0.179 20.54 19.55 0.621 8.32 8.59 0.721
Nevada 9.84 8.85 0.148 22.63a 18.82 0.014 21.37a 17.42 0.031 8.28 7.72 0.452
New Hampshire 10.47 10.36 0.872 22.71 20.27 0.177 23.26 21.21 0.339 8.73 8.89 0.830
New Jersey 6.84 6.18 0.167 18.28a 15.61 0.047 19.11a 15.85 0.047 5.12 4.83 0.564
New Mexico 9.84 9.55 0.715 21.36 19.81 0.341 19.73 17.46 0.190 8.28 8.33 0.953
New York 7.92 7.70 0.601 16.88 15.27 0.157 17.16 17.09 0.955 6.54 6.31 0.615
North Carolina 8.69 8.09 0.259 19.14a 15.89 0.020 17.78 15.95 0.257 7.28 6.88 0.490
North Dakota 9.40 8.85 0.414 18.84 16.40 0.106 19.95 17.14 0.128 7.33 7.23 0.891
Ohio 9.14 8.88 0.603 19.17 17.53 0.154 18.82 17.44 0.260 7.68 7.59 0.882
Oklahoma 9.24 8.31 0.142 18.10 17.28 0.569 16.47 14.75 0.285 7.99 7.21 0.272
Oregon 11.78 11.90 0.885 21.90 19.89 0.241 26.09 23.13 0.161 9.77 10.35 0.519
Pennsylvania 9.22 9.20 0.975 19.15 17.29 0.120 19.18a 16.53 0.046 7.73 8.12 0.510
Rhode Island 9.44 9.71 0.678 19.61b 16.90 0.087 20.00 21.49 0.500 7.73 7.83 0.888
South Carolina 7.61 6.65 0.109 17.75b 14.97 0.078 15.58 13.14 0.124 6.43 5.69 0.272
South Dakota 9.27b 8.12 0.064 16.67 15.79 0.550 18.84a 15.43 0.031 7.68 6.92 0.280
Tennessee 9.85 9.72 0.845 19.87 17.79 0.218 19.63a 16.35 0.045 8.37 8.72 0.644
Texas 7.90b 7.22 0.062 17.30 16.13 0.269 17.35a 14.17 0.003 6.24 6.02 0.564
Utah 10.89b 9.87 0.089 16.68 16.83 0.913 21.10 18.54 0.142 8.55 7.90 0.313
Vermont 10.27 10.45 0.805 19.89 17.87 0.226 24.37 24.21 0.943 8.06 8.34 0.719
Virginia 8.26 8.26 0.998 19.93a 17.47 0.030 19.23 17.93 0.400 6.57 6.79 0.671
Washington 10.68 10.93 0.714 20.15b 17.13 0.064 22.86 21.28 0.408 8.97 9.50 0.492
West Virginia 12.13 11.00 0.139 21.46 20.32 0.511 20.61 18.00 0.178 10.89 10.00 0.295
Wisconsin 8.95 8.85 0.871 17.55 16.42 0.441 21.27 20.07 0.535 7.01 7.10 0.895
Wyoming 10.13 9.52 0.365 20.14 18.43 0.311 21.67 20.27 0.510 8.35 7.88 0.529

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: Major depressive episode (MDE) is based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, definition, which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

NOTE: There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 30 – Had Serious Thoughts of Suicide in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+ (2022‑2023) 18+ (2023‑2024) 18+ (P Value) 12‑17 (2022‑2023) 12‑17 (2023‑2024) 12‑17 (P Value) 18‑25 (2022‑2023) 18‑25 (2023‑2024) 18‑25 (P Value) 26+ (2022‑2023) 26+ (2023‑2024) 26+ (P Value)
Total U.S. 5.06 5.22 0.160 12.87a 11.22 0.000 12.95b 12.40 0.091 3.84a 4.13 0.018
Northeast 5.14 5.21 0.740 12.43b 11.49 0.089 12.51 12.32 0.720 4.04 4.16 0.607
Midwest 5.30 5.47 0.352 13.24a 11.48 0.000 13.61 13.21 0.377 3.99 4.26 0.170
South 4.77b 5.05 0.059 12.83a 10.99 0.000 12.12 11.74 0.368 3.63a 4.02 0.012
West 5.28 5.30 0.917 12.89a 11.19 0.002 14.02a 12.82 0.033 3.93 4.16 0.269
Alabama 4.73b 5.58 0.075 13.48 13.19 0.816 12.18 12.27 0.937 3.54b 4.52 0.060
Alaska 5.28 5.63 0.477 13.39 11.51 0.180 14.13 12.97 0.387 4.03 4.60 0.269
Arizona 5.68 5.71 0.951 13.37 11.56 0.163 15.33 13.53 0.198 4.13 4.47 0.513
Arkansas 5.29 5.38 0.832 13.65a 10.64 0.023 13.21 13.01 0.865 4.01 4.16 0.753
California 4.59 4.56 0.901 12.39a 10.01 0.008 12.29 11.32 0.275 3.40 3.52 0.714
Colorado 6.19 6.20 0.997 13.45 12.46 0.444 14.80 14.21 0.692 4.86 4.98 0.824
Connecticut 4.86 5.32 0.374 11.87 11.15 0.569 13.08 13.42 0.800 3.60 4.08 0.370
Delaware 4.67 4.94 0.537 13.23b 11.11 0.068 12.47 11.78 0.583 3.61 4.01 0.383
District of Columbia 6.04 6.07 0.963 11.60 10.45 0.421 11.51 11.33 0.885 5.10 5.17 0.918
Florida 4.42 4.41 0.970 12.98a 10.72 0.008 12.70 11.95 0.432 3.35 3.44 0.751
Georgia 5.26 5.69 0.338 12.17 10.37 0.105 12.07 12.45 0.730 4.15 4.60 0.349
Hawaii 4.84 5.02 0.697 12.92 12.14 0.560 15.18 13.47 0.243 3.58 4.02 0.369
Idaho 5.90 5.51 0.431 14.12b 11.84 0.074 16.73b 14.10 0.060 4.03 4.03 0.995
Illinois 5.02 4.72 0.445 13.79a 11.07 0.005 12.54 11.66 0.378 3.86 3.66 0.627
Indiana 5.48 6.02 0.231 13.10 11.63 0.195 14.26 13.31 0.421 4.00 4.80 0.107
Iowa 5.87 6.68 0.146 12.75 13.72 0.494 13.83 15.20 0.363 4.49 5.22 0.216
Kansas 5.79 5.99 0.658 12.62 11.37 0.270 13.45 12.75 0.557 4.44 4.81 0.448
Kentucky 5.44 4.93 0.275 12.58 10.90 0.169 12.30 11.15 0.297 4.39 3.98 0.433
Louisiana 5.22 5.38 0.729 12.97a 10.18 0.017 11.31 11.79 0.701 4.26 4.38 0.809
Maine 5.24 5.54 0.573 15.36 14.12 0.381 14.02 13.67 0.792 4.15 4.52 0.498
Maryland 4.82 4.69 0.773 14.66a 11.71 0.027 12.64 11.52 0.398 3.71 3.73 0.954
Massachusetts 6.07 6.17 0.856 12.61 11.93 0.612 14.92 14.48 0.758 4.64 4.83 0.743
Michigan 4.96 4.93 0.924 12.34 10.92 0.131 12.55 12.51 0.969 3.78 3.76 0.969
Minnesota 4.94 4.72 0.641 13.98 12.39 0.227 14.17 12.80 0.282 3.54 3.51 0.945
Mississippi 4.18 4.78 0.203 12.16 10.22 0.114 10.37 10.78 0.725 3.14 3.79 0.220
Missouri 5.68 5.86 0.725 12.88 11.12 0.149 14.09 13.74 0.800 4.37 4.65 0.612
Montana 5.49 6.01 0.320 13.70 13.51 0.894 15.97 14.81 0.487 3.90 4.70 0.129
Nebraska 5.70 5.96 0.576 14.06 12.80 0.329 14.02 14.01 0.990 4.26 4.57 0.530
Nevada 5.60 6.37 0.142 14.23 13.49 0.607 16.01 15.31 0.655 4.19b 5.19 0.075
New Hampshire 5.81 6.21 0.444 14.19 13.11 0.460 15.14 15.74 0.710 4.53 4.92 0.489
New Jersey 4.73 4.61 0.755 12.59 10.96 0.135 13.30 12.04 0.274 3.53 3.57 0.918
New Mexico 5.49 5.79 0.569 14.74 14.06 0.623 15.02 13.33 0.264 3.98 4.62 0.245
New York 4.80 4.75 0.873 11.30 10.44 0.390 10.63 10.92 0.731 3.93 3.83 0.799
North Carolina 4.45 4.89 0.317 12.51a 10.19 0.035 11.33 11.08 0.813 3.39 3.93 0.240
North Dakota 5.45 5.40 0.920 12.62 11.40 0.367 13.13 12.13 0.455 3.94 4.08 0.806
Ohio 5.27a 6.08 0.044 13.53b 11.67 0.054 14.12 14.33 0.831 3.93a 4.84 0.037
Oklahoma 5.33 5.32 0.982 12.39 11.92 0.719 12.28 11.77 0.676 4.14 4.22 0.865
Oregon 6.62 6.95 0.518 13.72 12.71 0.431 18.72 16.52 0.166 4.92 5.64 0.203
Pennsylvania 5.34 5.54 0.620 13.38 12.71 0.557 12.64 12.34 0.773 4.25 4.54 0.503
Rhode Island 5.48 5.55 0.888 13.52 12.50 0.440 13.04 12.93 0.935 4.26 4.37 0.833
South Carolina 4.45 4.07 0.388 12.66a 10.10 0.039 10.77 9.42 0.251 3.51 3.28 0.622
South Dakota 5.96 5.55 0.405 14.98a 11.67 0.022 16.53a 13.91 0.047 4.21 4.18 0.957
Tennessee 5.56 5.53 0.953 14.54a 12.07 0.041 14.59 12.88 0.163 4.19 4.43 0.651
Texas 4.30a 5.17 0.003 12.04 10.70 0.107 11.78 11.45 0.705 3.00a 4.09 0.001
Utah 7.56 7.43 0.807 12.12 12.61 0.701 17.16 15.54 0.255 5.35 5.59 0.656
Vermont 5.99 6.55 0.358 14.71 13.40 0.352 15.43 15.39 0.978 4.51 5.19 0.277
Virginia 5.25 5.38 0.730 13.76 12.50 0.215 11.33 12.44 0.321 4.32 4.32 0.991
Washington 5.62 5.39 0.626 12.92 11.69 0.351 14.24 13.03 0.335 4.41 4.34 0.881
West Virginia 6.62 6.21 0.490 14.63 13.12 0.290 15.46 13.54 0.160 5.33 5.16 0.794
Wisconsin 5.53 5.46 0.872 12.92a 10.41 0.046 14.31 14.08 0.853 4.15 4.11 0.937
Wyoming 6.48 6.31 0.755 14.42 13.59 0.562 17.03 16.20 0.596 4.85 4.81 0.940

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: The adult and youth suicide questions are in different sections of the questionnaire and have different response options. Because of this, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 31 – Made Any Suicide Plans in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+ (2022‑2023) 18+ (2023‑2024) 18+ (P Value) 12‑17 (2022‑2023) 12‑17 (2023‑2024) 12‑17 (P Value) 18‑25 (2022‑2023) 18‑25 (2023‑2024) 18‑25 (P Value) 26+ (2022‑2023) 26+ (2023‑2024) 26+ (P Value)
Total U.S. 1.45a 1.60 0.013 6.07a 5.11 0.000 4.58a 4.19 0.041 0.97a 1.21 0.000
Northeast 1.34 1.46 0.241 5.65a 4.83 0.009 4.23 4.04 0.493 0.91 1.08 0.109
Midwest 1.60 1.71 0.255 6.19a 5.31 0.001 4.71 4.38 0.206 1.11b 1.29 0.078
South 1.46a 1.62 0.050 6.05a 5.04 0.000 4.54b 4.06 0.066 0.98a 1.25 0.002
West 1.39a 1.59 0.043 6.29a 5.23 0.005 4.77 4.33 0.157 0.87a 1.17 0.003
Alabama 1.53b 1.91 0.086 7.44 6.25 0.155 4.46 4.34 0.867 1.05a 1.52 0.041
Alaska 1.76 2.19 0.118 7.31 5.77 0.120 5.95 5.27 0.414 1.17a 1.75 0.039
Arizona 1.64 1.85 0.330 7.18 5.89 0.145 5.52 5.00 0.469 1.02 1.36 0.141
Arkansas 1.97 2.21 0.316 6.90 5.55 0.105 5.63 5.30 0.676 1.38 1.72 0.177
California 1.15 1.36 0.131 5.93b 4.82 0.058 4.15 3.75 0.360 0.69a 0.99 0.038
Colorado 1.71 1.96 0.253 5.75 5.47 0.728 5.14 4.80 0.668 1.18 1.53 0.117
Connecticut 1.21b 1.62 0.064 5.30 4.97 0.649 4.08 4.25 0.778 0.77b 1.22 0.058
Delaware 1.35 1.40 0.774 7.39 6.01 0.133 3.92 3.51 0.520 1.00 1.11 0.533
District of Columbia 1.54 1.59 0.849 6.82a 5.13 0.046 3.58 3.39 0.739 1.19 1.28 0.738
Florida 1.33 1.54 0.144 6.08b 5.05 0.059 4.60 4.09 0.345 0.90a 1.21 0.035
Georgia 1.81 1.91 0.649 5.80 4.96 0.239 4.76 4.18 0.381 1.32 1.54 0.347
Hawaii 1.22 1.55 0.116 5.49 5.66 0.836 4.91 4.79 0.872 0.77b 1.16 0.068
Idaho 1.69 1.76 0.735 6.39 5.25 0.117 5.53 5.04 0.477 1.02 1.20 0.389
Illinois 1.24b 1.53 0.073 6.87a 5.55 0.038 3.76 3.73 0.951 0.85b 1.20 0.052
Indiana 1.72 1.87 0.446 5.84 4.97 0.212 4.92 4.40 0.406 1.18 1.45 0.201
Iowa 1.70 2.02 0.165 6.16 6.39 0.772 5.04 5.41 0.643 1.12 1.43 0.185
Kansas 1.69 1.87 0.393 6.26 5.58 0.345 5.00 4.61 0.591 1.10 1.39 0.177
Kentucky 2.02 1.74 0.199 6.13b 4.78 0.057 5.68a 4.20 0.023 1.46 1.36 0.665
Louisiana 1.48 1.47 0.932 6.94a 4.83 0.007 3.81 3.44 0.535 1.12 1.16 0.842
Maine 1.64 1.76 0.618 5.81 5.66 0.856 5.44 5.10 0.670 1.17 1.34 0.473
Maryland 1.42 1.69 0.220 7.52b 5.90 0.051 4.35 4.10 0.705 1.01 1.35 0.141
Massachusetts 1.40 1.70 0.175 6.50b 5.23 0.077 4.31 4.55 0.742 0.93 1.24 0.178
Michigan 1.62 1.67 0.775 5.89 5.16 0.173 4.77 4.28 0.343 1.14 1.27 0.434
Minnesota 1.48 1.53 0.767 6.14 5.33 0.285 4.92 4.25 0.331 0.96 1.13 0.379
Mississippi 1.36 1.54 0.401 6.05a 4.65 0.045 4.11 3.74 0.575 0.90 1.18 0.208
Missouri 1.55 1.66 0.564 5.67 4.70 0.142 4.39 4.31 0.908 1.10 1.25 0.477
Montana 1.73 1.90 0.470 6.35 6.21 0.877 5.13 5.39 0.762 1.22 1.38 0.475
Nebraska 1.55 1.77 0.252 6.98 6.03 0.208 4.34 4.51 0.801 1.07 1.30 0.236
Nevada 1.54 1.87 0.171 6.65 5.88 0.347 5.44 4.64 0.264 1.02b 1.51 0.053
New Hampshire 1.68 1.78 0.660 6.13 5.41 0.403 5.22 4.91 0.702 1.20 1.36 0.487
New Jersey 1.20 1.33 0.428 5.81 4.85 0.124 4.05 3.91 0.788 0.80 0.96 0.317
New Mexico 1.65 1.67 0.935 7.32b 5.61 0.051 5.35 4.69 0.423 1.07 1.20 0.562
New York 1.29 1.26 0.822 5.51a 4.30 0.022 3.98 3.39 0.197 0.89 0.94 0.714
North Carolina 1.35 1.44 0.588 5.81 4.83 0.151 4.17 3.77 0.526 0.91 1.08 0.337
North Dakota 1.78 1.97 0.417 6.46b 4.98 0.056 4.70 4.37 0.617 1.20 1.50 0.237
Ohio 1.79 1.75 0.812 5.89 5.24 0.293 5.04 4.49 0.300 1.30 1.34 0.851
Oklahoma 1.50 1.54 0.821 6.16 5.21 0.207 5.00 4.51 0.490 0.90 1.03 0.440
Oregon 1.68 1.76 0.692 6.48 5.41 0.184 6.00 5.26 0.329 1.08 1.28 0.315
Pennsylvania 1.42 1.59 0.283 5.35 5.17 0.764 4.38 4.49 0.843 0.97 1.16 0.266
Rhode Island 1.54 1.54 0.996 5.27 4.59 0.280 4.72 4.22 0.472 1.03 1.11 0.689
South Carolina 1.36 1.35 0.926 5.99a 4.26 0.017 3.92 3.31 0.326 0.98 1.06 0.686
South Dakota 1.95 2.04 0.712 6.84 5.75 0.181 5.87 5.00 0.265 1.30 1.55 0.315
Tennessee 1.67 1.80 0.509 6.68 5.79 0.255 4.76 4.26 0.436 1.20 1.43 0.277
Texas 1.32b 1.62 0.053 5.34 4.81 0.282 4.65 4.13 0.303 0.74a 1.19 0.004
Utah 2.14 2.18 0.889 6.11 5.43 0.366 5.42 4.82 0.419 1.39 1.58 0.405
Vermont 1.76 1.88 0.614 5.90 6.09 0.822 5.98 5.36 0.437 1.10 1.35 0.315
Virginia 1.26 1.36 0.540 5.94b 4.90 0.066 3.72 3.67 0.915 0.88 1.01 0.439
Washington 1.36 1.62 0.154 7.25a 5.64 0.036 5.01 4.72 0.687 0.85b 1.19 0.066
West Virginia 1.98 1.91 0.775 6.22 4.98 0.111 5.85 4.84 0.190 1.42 1.50 0.773
Wisconsin 1.79 1.76 0.870 6.42b 5.12 0.057 5.40 4.99 0.532 1.22 1.25 0.885
Wyoming 1.88 1.93 0.845 6.49 5.65 0.295 6.08 5.59 0.549 1.23 1.37 0.560

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: The adult and youth suicide questions are in different sections of the questionnaire and have different response options. Because of this, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.
250930
Table 32 – Attempted Suicide in the Past Year: Among People Aged 12 or Older; by Age Group and State, Annual Average Percentages and p values from Tests of Differences of Percentages, 2022‑2023 and 2023‑2024
State 18+ (2022‑2023) 18+ (2023‑2024) 18+ (P Value) 12‑17 (2022‑2023) 12‑17 (2023‑2024) 12‑17 (P Value) 18‑25 (2022‑2023) 18‑25 (2023‑2024) 18‑25 (P Value) 26+ (2022‑2023) 26+ (2023‑2024) 26+ (P Value)
Total U.S. 0.60a 0.70 0.015 3.52a 3.01 0.003 2.04 1.97 0.546 0.38a 0.51 0.002
Northeast 0.57 0.65 0.256 3.18 2.97 0.447 2.00 1.98 0.921 0.35 0.45 0.169
Midwest 0.64 0.72 0.271 3.53 3.16 0.125 2.04 1.97 0.664 0.42 0.53 0.166
South 0.64b 0.75 0.100 3.59a 2.98 0.005 2.12 2.06 0.707 0.41a 0.55 0.044
West 0.52b 0.65 0.053 3.61a 2.94 0.022 1.94 1.81 0.511 0.30a 0.47 0.014
Alabama 0.63 0.68 0.644 4.28 3.73 0.356 2.31 2.06 0.472 0.36 0.47 0.368
Alaska 0.65 0.76 0.388 4.93 3.69 0.164 2.59 2.37 0.626 0.38 0.53 0.218
Arizona 0.63 0.78 0.275 3.85b 2.73 0.055 2.36 2.12 0.574 0.35 0.57 0.119
Arkansas 0.82 0.79 0.853 3.83 3.08 0.160 2.18 2.25 0.855 0.60 0.55 0.803
California 0.43 0.56 0.106 3.28 2.59 0.101 1.73 1.65 0.769 0.23a 0.39 0.049
Colorado 0.60 0.76 0.257 3.39 2.75 0.260 1.65 1.64 0.987 0.44 0.63 0.214
Connecticut 0.54 0.56 0.829 2.99 2.93 0.913 1.87 2.04 0.691 0.33 0.34 0.966
Delaware 0.60 0.58 0.863 3.69 3.13 0.308 1.90 1.91 0.990 0.43 0.40 0.846
District of Columbia 0.81 0.73 0.624 4.27 3.21 0.112 2.54 2.03 0.220 0.51 0.51 0.986
Florida 0.60 0.78 0.113 3.43 3.07 0.404 2.26 2.25 0.979 0.39b 0.59 0.085
Georgia 0.65 0.71 0.675 3.84 3.02 0.149 1.97 1.98 0.981 0.44 0.50 0.617
Hawaii 0.51 0.59 0.474 4.12 3.62 0.491 2.19 2.17 0.943 0.31 0.41 0.373
Idaho 0.66 0.63 0.831 4.00b 2.95 0.087 2.15 1.93 0.527 0.40 0.41 0.931
Illinois 0.53a 0.74 0.047 3.60 2.93 0.135 1.97 1.77 0.491 0.31a 0.59 0.017
Indiana 0.70 0.82 0.375 3.42 3.18 0.631 2.04 1.97 0.842 0.47 0.63 0.295
Iowa 0.70 0.83 0.374 3.25 3.36 0.841 1.93 2.21 0.502 0.48 0.60 0.495
Kansas 0.65 0.70 0.710 3.50 3.40 0.851 1.97 1.78 0.591 0.42 0.51 0.498
Kentucky 0.77 0.82 0.749 3.54 2.97 0.231 2.51 2.15 0.305 0.51 0.61 0.486
Louisiana 0.80 0.84 0.788 4.04b 2.96 0.073 2.23 1.91 0.386 0.57 0.67 0.533
Maine 0.62 0.71 0.511 3.54 3.45 0.893 2.46 2.46 0.991 0.39 0.49 0.465
Maryland 0.71 0.78 0.534 4.39a 2.88 0.011 2.34 2.01 0.416 0.48 0.61 0.292
Massachusetts 0.56 0.63 0.504 3.00 2.85 0.790 1.99 2.05 0.892 0.32 0.40 0.457
Michigan 0.61 0.69 0.457 3.35 2.92 0.319 2.20 2.04 0.645 0.36 0.48 0.276
Minnesota 0.63 0.65 0.886 3.44 3.25 0.730 2.01 1.92 0.810 0.43 0.46 0.792
Mississippi 0.73 0.76 0.817 4.43b 3.33 0.076 2.69 2.36 0.426 0.40 0.50 0.484
Missouri 0.71 0.68 0.850 3.70 3.19 0.381 2.30 2.05 0.574 0.46 0.47 0.924
Montana 0.60 0.70 0.419 3.77 4.39 0.475 2.05 1.97 0.857 0.38 0.51 0.293
Nebraska 0.58 0.71 0.264 3.68 3.62 0.920 1.82 1.84 0.964 0.36 0.52 0.198
Nevada 0.56a 0.94 0.012 3.87 3.25 0.293 2.35 2.17 0.702 0.32a 0.78 0.004
New Hampshire 0.70 0.85 0.356 3.86 3.23 0.348 2.77 3.00 0.721 0.41 0.56 0.373
New Jersey 0.54 0.58 0.683 3.61 3.46 0.761 1.84 2.00 0.650 0.35 0.38 0.803
New Mexico 0.71 0.80 0.523 4.82 4.02 0.292 2.68 2.19 0.387 0.39 0.59 0.201
New York 0.56 0.63 0.416 2.92 2.51 0.319 2.08 1.79 0.310 0.33 0.46 0.168
North Carolina 0.64 0.68 0.741 3.50 3.00 0.348 1.81 1.94 0.690 0.46 0.49 0.839
North Dakota 0.68 0.88 0.184 4.00 3.40 0.380 2.04 1.74 0.408 0.41b 0.71 0.060
Ohio 0.74 0.73 0.918 3.61 3.33 0.528 1.95 2.16 0.537 0.56 0.51 0.726
Oklahoma 0.68 0.71 0.824 3.26 3.12 0.786 2.09 2.19 0.806 0.43 0.45 0.879
Oregon 0.64 0.67 0.789 4.03 3.26 0.164 2.47 2.06 0.351 0.38 0.48 0.419
Pennsylvania 0.59 0.72 0.236 3.28 3.26 0.957 1.85 2.02 0.601 0.40 0.52 0.273
Rhode Island 0.57 0.63 0.647 2.83 2.73 0.856 2.01 1.99 0.964 0.34 0.41 0.534
South Carolina 0.64 0.73 0.471 3.80 3.12 0.256 2.10 2.11 0.979 0.42 0.53 0.399
South Dakota 0.67 0.71 0.776 3.94 3.90 0.962 2.50b 1.80 0.072 0.36 0.53 0.238
Tennessee 0.73 0.81 0.609 4.16 3.52 0.297 2.14 1.92 0.629 0.51 0.64 0.461
Texas 0.58a 0.80 0.031 3.15 2.59 0.145 2.07 1.98 0.779 0.32a 0.60 0.011
Utah 0.63 0.74 0.344 4.16 3.80 0.625 1.85 1.70 0.642 0.35 0.53 0.168
Vermont 0.71 0.84 0.411 3.73 3.31 0.488 2.72 2.30 0.379 0.39 0.62 0.184
Virginia 0.56 0.64 0.433 3.45 3.19 0.572 1.83 2.08 0.518 0.36 0.42 0.565
Washington 0.58 0.68 0.425 3.90 3.53 0.530 2.00 1.98 0.965 0.38 0.50 0.352
West Virginia 0.61 0.74 0.401 3.35 2.74 0.245 2.29 2.01 0.534 0.37 0.56 0.232
Wisconsin 0.57 0.64 0.532 3.52 3.04 0.352 1.93 1.87 0.872 0.36 0.45 0.419
Wyoming 0.69 0.72 0.819 4.34 4.01 0.674 2.58 2.48 0.805 0.39 0.45 0.692

NOTE: State and census region estimates are based on the survey‐weighted hierarchical Bayes small area estimation approach, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2022‑2023 and 2023‑2024 population percentages (for details, see Methodology Used to Estimate the Bayes Significance Level for the Null Hypothesis of No Change between the 2022‑2023 and 2023‑2024 State Population Percentages on the NSDUH Data Collection web page). The “Total U.S.” estimates, along with the p values, are based on design‐based (direct) estimation methods.

NOTE: P values appearing as 0.000 in this table means that the p value is < 0.001.

NOTE: The adult and youth suicide questions are in different sections of the questionnaire and have different response options. Because of this, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. For details, see Section B of 2023‑2024 National Surveys on Drug Use and Health: Guide to State Tables and Summary of Small Area Estimation Methodology on the NSDUH Data Collection web page.

a,b The difference between the 2022‑2023 and 2023‑2024 population percentages is statistically significant at the .05 level (a) or .10 level (b). Rounding may make the estimates appear identical.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Surveys on Drug Use and Health, 2022, 2023, and 2024.

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