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Substance Abuse Data Details

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
28.3 (2009)
Target
25.5
Target-Setting Method
10 percent improvement
Numerator
Number of students in grades 9 through 12 who reported riding, at least once during the 30 days preceding the survey, with a driver who had been drinking alcohol
Denominator
Number of student in grades 9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol?

  1. Zero times
  2. 1 time
  3. 2 or 3 times
  4. 4 or five times
  5. 6 or more times
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Retained from HP2010 objective

References

Additional resources about the objective.

  1. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance — United States, 2009. Surveillance Summaries, June 4, 2010. MMWR 2010;59(No. SS-5).
SA-2 Increase the proportion of adolescents never using substances

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
85.6 (2008)
Target
94.2
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who refrained from alcohol use in the past year
Denominator
Number of persons aged 12 to 17 years who never used alcohol in their lives prior to the past year
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

Have you ever, even once, had a drink of any type of alcoholic beverage? Please do not include times when you only had a sip or two from a drink.

  1. Yes
  2. No

Think about the first time you had a drink of an alcoholic beverage. How old were you the first time you had a drink of an alcoholic beverage? Please do not include any time when you only had a sip or two from a drink.

Did you first have a drink of an alcoholic beverage in [CURRENT YEAR - 1] or [CURRENT YEAR]?

  1. CURRENT YEAR - 1
  2. CURRENT YEAR

Did you first have a drink of an alcoholic beverage in [CURRENT YEAR - 2] or [CURRENT YEAR - 1]?

  1. CURRENT YEAR - 2
  2. CURRENT YEAR - 1

In what month in [CURRENT YEAR] did you first have a drink of an alcoholic beverage?

  1. January
  2. February
  3. March
  4. April
  5. May
  6. June
  7. July
  8. August
  9. September
  10. October
  11. November
  12. December
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 85.8 to 69.0 percent. The target was adjusted from 94.4 to 75.9 percent to reflect the revised baseline using the original target-setting method. In 2014, the baseline was revised from 69.0 to 85.6 percent due to a programming error for the original estimate. The target was adjusted from 75.9 to 94.2 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
94.3 (2008)
Target
96.3
Target-Setting Method
2 percentage point improvement
Numerator
Number of persons aged 12 to 17 years who refrained from marijuana use in the past year
Denominator
Number of persons aged 12 to 17 years who never used marijuana in their lives prior to the past year
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How old were you the first time you used marijuana or hashish?

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 94.4 to 86.9 percent. The target was adjusted from 96.4 to 88.9 percent to reflect the revised baseline using the original target-setting method. In 2014, the baseline data was revised from 86.9 to 94.3 percent due to a programming error for the original estimate. The target was adjusted from 88.9 to 96.3 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
27.7 (2009)
Target
30.5
Target-Setting Method
10 percent improvement
Numerator
Number of 12th grade students who report never using alcohol
Denominator
Number of 12th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

On how many occasions (if any) have you had alcohol to drink - more than just a few sips.

  • ... in your lifetime?
  • ... during the last 12 months?
  • ... during the last 30 days?

[Mark one choice for each line.]

  1. 0 occasions
  2. 1-2 occasions
  3. 3-5 occasions
  4. 6-9 occasions
  5. 10-19 occasions
  6. 20-39 occasions
  7. 40 or more
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Students are considered to have never used alcohol if they respond they drank alcohol on 0 occasions in their lifetime. Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
53.3 (2009)
Target
58.6
Target-Setting Method
10 percent improvement
Numerator
Number of 12th grade students who report never using illicit drugs
Denominator
Number of 12th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

On how many occasions (if any) have you used marijuana (weed, pot) or hashish?

On how many occasions (if any) have you used LSD (acid)?

On how many occasions (if any) have you used psychedelics other than LSD (like mescaline, peyote, psilocybin, PCP)?

On how many occasions (if any) have you taken amphetamines on your own - that is, without a doctor telling you to take them?

On how many occasions (if any) have you used cocaine (sometimes called "coke," "crack," "rock")?

On how many occasions (if any) have you used heroin?

On how many occasions (if any) have you taken narcotics other than heroin on your own-that is, without a doctor telling you to take them?

On how many occasions (if any) have you taken tranquilizers on your own - that is, without a doctor telling you to take them?

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Use of any illicit drug includes any use of marijuana, LSD, other hallucinogens, crack, other forms of cocaine, or heroin or any use of other opiates, stimulants, barbiturates, or tranquilizers not under a doctor's orders.

SA-3 Increase the proportion of adolescents who disapprove of substance abuse

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
78.5 (2009)
Target
86.4
Target-Setting Method
10 percent improvement
Numerator
Number of 8th grade students who report their disapproval of people who take one or two drinks nearly every day
Denominator
Number of 8th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Individuals differ in whether or not they disapprove of people doing certain things.

Do YOU disapprove of people doing each of the following?

Taking one or two drinks nearly every day....

  1. Disapprove
  2. Don't disapprove
  3. Strongly disapprove
  4. Can't say, Drug Unfamiliar
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Disapproval is defined as those who report that they "disapprove" or "strongly disapprove." Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
77.6 (2009)
Target
85.4
Target-Setting Method
10 percent improvement
Numerator
Number of 10th grade students who report their disapproval of people who take one or two drinks nearly every day
Denominator
Number of 10th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Individuals differ in whether or not they disapprove of people doing certain things.

Do YOU disapprove of people doing each of the following?

Taking one or two drinks nearly every day....

  1. Disapprove
  2. Don't disapprove
  3. Strongly disapprove
  4. Can't say, Drug Unfamiliar
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Disapproval is defined as those who report that they "disapprove" or "strongly disapprove." Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
70.5 (2009)
Target
77.6
Target-Setting Method
10 percent improvement
Numerator
Number of 12th grade students who report their disapproval of people aged 18+ years who take one or two drinks nearly every day
Denominator
Number of 12th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Individuals differ in whether or not they disapprove of people doing certain things.

Do YOU disapprove of people aged 18+ years doing each of the following?

Taking one or two drinks nearly every day....

  1. Disapprove
  2. Don't disapprove
  3. Strongly disapprove
  4. Can't say, Drug Unfamiliar
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Disapproval is defined as those who report that they "disapprove" or "strongly disapprove." Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
75.3 (2009)
Target
82.8
Target-Setting Method
10 percent improvement
Numerator
Number of 8th grade students who report their disapproval of people who try marijuana once or twice
Denominator
Number of 8th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Individuals differ in whether or not they disapprove of people doing certain things.

Do YOU disapprove of people doing each of the following?

Trying marijuana once or twice....

  1. Disapprove
  2. Don't disapprove
  3. Strongly disapprove
  4. Can't say, Drug Unfamiliar
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Disapproval is defined as those who report that they "disapprove" or "strongly disapprove." Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
60.1 (2009)
Target
66.1
Target-Setting Method
10 percent improvement
Numerator
Number of 10th grade students who report their disapproval of people who try marijuana once or twice
Denominator
Number of 10th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Individuals differ in whether or not they disapprove of people doing certain things.

Do YOU disapprove of people doing each of the following?

Trying marijuana once or twice....

  1. Disapprove
  2. Don't disapprove
  3. Strongly disapprove
  4. Can't say, Drug Unfamiliar
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Disapproval is defined as those who report that they "disapprove" or "strongly disapprove." Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Futures Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
54.8 (2009)
Target
60.3
Target-Setting Method
10 percent improvement
Numerator
Number of 12th grade students who report their disapproval of people who try marijuana once or twice
Denominator
Number of 12th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Individuals differ in whether or not they disapprove of people doing certain things.

Do YOU disapprove of people doing each of the following?

Trying marijuana once or twice....

  1. Disapprove
  2. Don't disapprove
  3. Strongly disapprove
  4. Can't say, Drug Unfamiliar
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Disapproval is defined as those who report that they "disapprove" or "strongly disapprove." Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.
SA-4 Increase the proportion of adolescents who perceive great risk associated with substance abuse

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
40.0 (2008)
Target
44.0
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who reported that they perceived great risk from consuming five or more drinks on a single occasion once or twice a week
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How much do people risk harming themselves physically and in other ways when they have five or more drinks of an alcoholic beverage once or twice a week?

  1. No risk?
  2. Slight risk?
  3. Moderate risk?
  4. Great risk?
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Caveats and Limitations
While the question used to obtain baseline data takes into account all kinds of harm, some respondents may focus on physical harm only. Consequently the measure is a very conservative estimate of the perceived harm.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 40.5 to 40.0 percent. The target was adjusted from 44.6 to 44.0 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
33.4 (2008)
Target
36.7
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who reported that they perceived great risk from smoking marijuana once a month
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How much do people risk harming themselves physically and in other ways when smoke marijuana once a month?

  1. No risk?
  2. Slight risk?
  3. Moderate risk?
  4. Great risk?
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Caveats and Limitations
While the question used to obtain baseline data takes into account all kinds of harm, some respondents may focus on physical harm only. Consequently the measure is a very conservative estimate of the perceived harm.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 33.9 to 33.4 percent. The target was adjusted from 37.3 to 36.7 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
49.4 (2008)
Target
54.3
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who reported that they perceived great risk from using cocaine once a month
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How much do people risk harming themselves physically and in other ways when use cocaine once a month?

  1. No risk?
  2. Slight risk?
  3. Moderate risk?
  4. Great risk?
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Caveats and Limitations
While the question used to obtain baseline data takes into account all kinds of harm, some respondents may focus on physical harm only. Consequently the measure is a very conservative estimate of the perceived harm.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 49.7 to 49.4 percent. The target was adjusted from 54.7 to 54.3 percent to reflect the revised baseine using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
number 
Numerator
Not applicable
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the NADCP was published by the National Drug Court Institute; the education, research, and scholarship affiliate of the National Association of Drug Court Professionals.

References

Additional resources about the objective.

  1. Huddleston CW III., Marlowe DB, and Casebolt R. Painting the Current Picture: A National Report Card on Drug Courts and Other Problem- Solving Court Programs in the United States, Vol. II, No. 1. Alexandria, VA: National Drug Court Institute. May 2008. Questions Used To Obtain the National Baseline Data

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Status of State Ignition Interlock Laws; Mothers Against Drunk Driving (MADD)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
13 (2009)
Target
51
Target-Setting Method
Total coverage
Numerator
Number of States with mandatory ignition interlock laws for first and repeat impaired driving offenders
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Almost all states have some sort of ignition interlock law. At the launch of HP 2020, Alabama and South Dakota do not have an ignition interlock law. A number of States have mandatory ignition interlock provisions for all offenses. Other States offer a strong incentive to install an interlock device on the first conviction. Hawaii’s mandatory ignition interlock law goes into effect in 2011.

References

Additional resources about the objective.

  1. Mothers Against Drunk Driving: .Status of State Ignition Interlock Laws. Home page. http://www.madd.org/drunk-driving/campaign/status-of-state-ignition.html. August 2010.
  2. National Conference of State Legislatures: Issues & Research - Transportation - State Ignition Interlock Laws. Home page. http://www.ncsl.org/Default.aspx?TabId=13558. August 2010. Questions Used To Obtain the National Baseline Data

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Treatment Episode Data Set (TEDS); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
number 
Baseline (Year)
255,374 (2006)
Target
280,911
Target-Setting Method
10 percent improvement
Numerator
Number of admissions for injection drug use in substance abuse treatment programs
Questions Used to Obtain the National Baseline Data

From the 2008 Treatment Episode Data Set:

[NUMERATOR:]

USUAL ROUTE OF ADMINISTRATION (OF PRIMARY, SECONDARY, AND TERTIARY SUBSTANCES). These fields identify the usual route of administration of the respective substances.

  1. Oral
  2. Smoking
  3. Inhalation or Injection (IV or intramuscular)
  4. Other
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

The Treatment Episodes Data Set (TEDS) data are not based on a statistical data collection system. TEDS data are continuously submitted to SAMHSA by states from their administrative data systems. The states collect data from substance abuse treatment providers, primarily from publicly-funded treatment programs. Each state uses its own form for collecting information on substance abuse admissions. When data are submitted to SAMHSA, data are matched to the core variables contained in TEDS. There is a considerable time lag between the date of admission and when SAMHSA receives data from each state. TEDS data are limited to information on admissions for persons aged 12 and older. Thus, for example, an individual admitted to treatment twice within a calendar year would be counted as two admissions. TEDS does not include all admissions to substance abuse treatment. It includes facilities that are licensed or certified by the state substance abuse agency to provide substance abuse treatment (or are administratively tracked for other reasons). In general, facilities reporting TEDS data are those that receive state alcohol and/or drug agency funds (including Federal Block Grant funds) for the provision of alcohol and/or drug treatment services. A description of TEDS has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

TEDS accepts data revisions from states for admissions occurring in the previous five years. As a result, the number of admissions reported may differ slightly from year to year. To maintain consistency with SAMHSA reports and tables, in 2014 the original baseline was revised from 254,278 to 255,374. The target was adjusted from 279,706 to 280,911 to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. Treatment Episode Data Set (TEDS). 1998 - 2008. National Admissions to Substance Abuse Treatment Services, DASIS Series: S-50, HHS Publication No. (SMA) 09-4471, Rockville, MD, 2010.
SA-8 Increase the proportion of persons who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
16.0 (2008)
Target
17.6
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 years and over who needed and received illicit drug treatment at a specialty facility in the past year
Denominator
Number of persons aged 12 years and over who needed illicit drug treatment in the past year
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

Have you ever received treatment or counseling for your use of alcohol or any drug, not counting cigarettes?

  1. Yes
  2. No

During the past 12 months, that is, since [DATE], have you received treatment or counseling for your use of alcohol or any drug, not counting cigarettes?

  1. Yes
  2. No

During the past 12 months when you received treatment, was the treatment for alcohol use only, drug use only, or both alcohol and drug use?

  1. Alcohol use only
  2. Drug use only
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [Problem] in a hospital overnight as an inpatient?

  1. Yes
  2. No

Was the treatment you received in a hospital overnight as an inpatient for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [Problem] in a residential drug or alcohol rehabilitation facility where you stayed overnight?

  1. Yes
  2. No

Was the treatment you received in a residential drug or alcohol rehabilitation facility where you stayed overnight for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [problem] in a drug or alcohol rehabilitation facility as an outpatient?

  1. Yes
  2. No

Was the treatment you received in a drug or alcohol rehabilitation facility as an outpatient for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Specialty treatment is treatment received at drug or alcohol rehabilitation facilities (inpatient or outpatient), hospitals (inpatient only), or mental health centers. It excludes treatment at an emergency room, private doctor's office, self-help group, prison or jail, or as an outpatient. An individual is defined as needing treatment for a drug problem if he or she was dependent on or abused drugs or received specialty treatment for drugs in the past 12 months. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline and target values did not change as a result.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
9.9 (2008)
Target
10.9
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 years and over who needed and received illicit drugs and/or alcohol treatment at a specialty facility in the past year
Denominator
Number of persons aged 12 years and over who needed illicit drug and /or alcohol treatment in the past year
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

Have you ever received treatment or counseling for your use of alcohol or any drug, not counting cigarettes?

  1. Yes
  2. No

During the past 12 months, that is, since [DATE], have you received treatment or counseling for your use of alcohol or any drug, not counting cigarettes?

  1. Yes
  2. No

During the past 12 months when you received treatment, was the treatment for alcohol use only, drug use only, or both alcohol and drug use?

  1. Alcohol use only
  2. Drug use only
  3. Both alcohol and drug use.

During the past 12 months, have you received treatment for your [Problem] in a hospital overnight as an inpatient?

  1. Yes
  2. No

Was the treatment you received in a hospital overnight as an inpatient for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [Problem] in a residential drug or alcohol rehabilitation facility where you stayed overnight?

  1. Yes
  2. No

Was the treatment you received in a residential drug or alcohol rehabilitation facility where you stayed overnight for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [problem] in a drug or alcohol rehabilitation facility as an outpatient?

  1. Yes
  2. No

Was the treatment you received in a drug or alcohol rehabilitation facility as an outpatient for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Specialty treatment is treatment received at drug or alcohol rehabilitation facilities (inpatient or outpatient), hospitals (inpatient only), or mental health centers. It excludes treatment at an emergency room, private doctor's office, self-help group, prison or jail, or as an outpatient. An individual is defined as needing treatment for a drug and/or alcohol problem if he or she was dependent on or abused drugs and/or alcohol or received specialty treatment for drugs and/or alcohol in the past 12 months. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline and target values did not change as a result.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
8.2 (2008)
Target
9.0
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 years and over who needed and received alcohol treatment at a specialty facility in the past year
Denominator
Number of persons aged 12 years and over who needed alcohol treatment in the past year
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

Have you ever received treatment or counseling for your use of alcohol or any drug, not counting cigarettes?

  1. Yes
  2. No

During the past 12 months, that is, since [DATE], have you received treatment or counseling for your use of alcohol or any drug, not counting cigarettes?

  1. Yes
  2. No

During the past 12 months when you received treatment, was the treatment for alcohol use only, drug use only, or both alcohol and drug use?

  1. Alcohol use only
  2. Drug use only
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [Problem] in a hospital overnight as an inpatient?

  1. Yes
  2. No
  3. DK/REF

Was the treatment you received in a hospital overnight as an inpatient for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [Problem] in a residential drug or alcohol rehabilitation facility where you stayed overnight?

  1. Yes
  2. No

Was the treatment you received in a residential drug or alcohol rehabilitation facility where you stayed overnight for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use

During the past 12 months, have you received treatment for your [problem] in a drug or alcohol rehabilitation facility as an outpatient?

  1. Yes
  2. No

Was the treatment you received in a drug or alcohol rehabilitation facility as an outpatient for your alcohol use, your drug use, or both?

  1. Alcohol use
  2. Drug use
  3. Both alcohol and drug use
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Specialty treatment is treatment received at drug or alcohol rehabilitation facilities (inpatient or outpatient), hospitals (inpatient only), or mental health centers. It excludes treatment at an emergency room, private doctor's office, self-help group, prison or jail, or as an outpatient. An individual is defined as needing treatment for an alcohol problem if he or she was dependent on or abused alcohol or received specialty treatment for alcohol in the past 12 months. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline and target values did not change as a result.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Hospital Ambulatory Medical Care Survey (NHAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Numerator
Not applicable
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the NHAMCS was published by NCHS.

References

Additional resources about the objective.

  1. Niska R, Bhuiya F, and Xu J. National Hospital Ambulatory Medical Care Survey: 2007 Emergency Department Summary. National health statistics reports; no 26. Hyattsville, MD: National Center for Health Statistics. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Trauma Registry System (TRACS); American College of Surgeons (ACS)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
325 (2009)
Target
358
Target-Setting Method
10 percent improvement
Numerator
Number of hospitals with verified Level I and Level II Trauma Centers successfully meeting criteria established by the American College of Surgeons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of alcohol screening and brief intervention practices at US Level I trauma centers was published by American College of Surgeons.

References

Additional resources about the objective.

  1. Terrell F, Zatzick DF, Jurkovich GJ, et al. Nationwide survey of alcohol screening and brief intervention practices at US Level I trauma centers. J Am Coll Surg. Nov 2008;207(5):630-638. Questions Used To Obtain the National Baseline Data

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
9.1 (2007)
Target
8.2
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to cirrhosis (ICD-10 codes K70, K73-K74)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75+
Trend Issues
Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2013, rates for 2007–2009 were revised using intercensal population estimates based on the 2000 and 2010 censuses instead of the postcensal estimates for the denominator. However, the baseline estimate for the total population did not change so the target remained the same. Some baseline estimates for population subgroups were revised.

References

Additional resources about the objective.

  1. Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final data for 2007. National vital statistics reports web release; vol 58 no 19. Hyattsville, Maryland: National Center for Health Statistics. Released May, 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Vital Statistics System-Mortality (NVSS-M); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Population Estimates; U.S. Census Bureau (Census)
Changed Since the Healthy People 2020 Launch
Yes
Measure
per 100,000 (age adjusted—see Comments)
Baseline (Year)
12.6 (2007)
Target
11.3
Target-Setting Method
10 percent improvement
Numerator
Number of deaths due to drug-induced causes (ICD-10 codes D52.1, D59.0, D59.2, D61.1, D64.2, E06.4, E16.0, E23.1, E24.2, E27.3, E66.1, F11.0-F11.5, F11.7-F11.9, F12.0-F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7-F14.9, F15.0-F15.5, F15.7-F15.9, F16.0-F16.5, F16.7-F16.9, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0-F18.5, F18.7-F18.9, F19. 0-F19.5, F19.7-F19.9, G21.1, G24.0, G25.1, G25.4, G25.6, G44.4, 62.0, G72.0, I95.2, J70.2-J70.4, L10.5, L27.0, L27.1, M10.2, M32.0, M80.4, M81.4, M83.5, M87.1, R78.1-R78.5, X40-X44, X60-X64, X85, Y10-Y14)
Denominator
Number of persons
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Drug-induced causes of death include not only deaths from dependent and nondependent use of drugs (legal and illegal use), but also poisoning from medically prescribed and other drugs. It excludes accidents, homicides, and other causes indirectly related to drug use. An in-depth description of the "drug-induced causes" classification was published by NCHS.

FOR SINGLE DATA YEARS: Death rates are calculated based on the resident population of the United States for the data year involved. For census years (e.g. 2010), population counts enumerated as of April 1 are used. For all other years, populations estimates as of July 1 are used. Postcensal population estimates are used in rate calculations for years after a census year and match the data year vintage (e.g. July 1, 2011 resident population estimates from Vintage 2011 are used as the denominator for 2011 rates). Intercensal population estimates are used in rate calculations for the years between censuses (e.g. 1991-1999, 2001-2009). Race-specific population estimates for 1991 and later use bridged-race categories.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Sex: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Race/Ethnicity: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Country of Birth: < 5, 5-17, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75+
  • Geographic Location: < 1, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
  • Marital Status: 25-34, 35-44, 45-54, 55-64, 65-74, 75+
Trend Issues
Mortality data by marital status were not available for 60% of Georgia’s records in 2008 and 94% of Georgia’s records in 2009. Therefore, 2008 and 2009 data by marital status should be interpreted with caution.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2013, rates for 2007–2009 were revised using intercensal population estimates based on the 2000 and 2010 censuses instead of the postcensal estimates for the denominator. However, the baseline estimate for the total population did not change so the target remained the same. Some baseline estimates for population subgroups were revised.

References

Additional resources about the objective.

  1. Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: Final data for 2007. National vital statistics reports web release; vol 58 no 19. Hyattsville, Maryland: National Center for Health Statistics. Released May, 2010.
SA-13 Reduce past-month use of illicit substances
SA-13.1 Reduce the proportion of adolescents reporting use of alcohol or any illicit drugs during the past 30 days Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
18.4 (2008)
Target
16.6
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who reported using any alcohol or illicit drugs during the past 30 days
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

Have you ever, even once, had a drink of any type of alcoholic beverage? Please do not include times when you only had a sip or two from a drink.

  1. Yes
  2. No

How long has it been since you last drank an alcoholic beverage?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following questions are asked separately for each illicit drug: marijuana or hashish; cocaine; 'crack'; heroin; LSD, also called 'acid'; PCP, also called 'angel dust' or Phencyclidine; Peyote; Mescaline; Psilocybin; 'Ecstasy', also called MDMA; any other hallucinogens besides the ones that have been listed; Amyl nitrite, 'poppers,' locker room odorizers, or 'rush'; Correction fluid, degreaser, or cleaning fluid; Gasoline or lighter fluid; Glue, shoe polish, or toluene; Halothane, ether, or other paint solvents; Lighter gases, such as butane or propane; Nitrous oxide or 'whippets'; Spray paints; or Other aerosol sprays.]

Have you ever, even once, used [marijuana or hashish]?

  1. Yes
  2. No

How long has it been since you last used [marijuana or hashish]?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following: Darvocet, Darvon, or Tylenol with codeine; Percocet, Percodan, or Tylox; Vicodin, Lortab, or Lorcet.]

Have you ever, even once, used [Darvocet, Darvon, or Tylenol with codeine] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the pain relievers shown below the red line on Card A. [List on Card A: Codeine; Demerol; Dilaudid; Fioricet; Fiorinal; Hydrocodone; Methadone; Morphine; Oxycontin; Phenaphen with Codeine; Propoxyphene; SK-65; Stadol; Talacen; Talwin; Talwin NX; Tramadol; Ultram.] Have you ever, even once, used any of these pain relievers when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the pain relievers shown below the red line on Card A have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other prescription pain reliever, besides the ones shown on Card A, when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription pain reliever that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following tranquilizers: Klonopin or Clonazepam; Xanax, Alprazolam, Ativan, or Lorazepam; Valium or Diazepam.]

Have you ever, even once, used [Klonopin or Clonazepam] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the tranquilizers shown below the red line on Card B. [List on Card B: Atarax; BuSpar; Equanil; Flexeril; Librium; Limbitrol; Meprobamate; Miltown; Rohypnol; Serax; Soma; Tranxene; Vistaril.] Have you ever, even once, used any of these tranquilizers when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the tranquilizers shown below the red line on Card B have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other tranquilizers, besides the ones shown on Card B, when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription tranquilizer that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following stimulants: Methamphetamine, Desoxyn, or Methedrine; prescription diet pills, such as Amphetamines, Benzedrine, Biphetamine, Fastin, or Phentermine; Ritalin or Methylphenidate.]

Have you ever, even once, used [Methamphetamine, Desoxyn, or Methedrine] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the stimulants shown below the red line on Card C. [List on Card C: Cylert; Dexedrine; Dextroamphetamine; Didrex; Eskatrol; Ionamin; Mazanor; Obedrin - L.A.; Plegine; Preludin; Sanorex; Tenuate.] Have you ever, even once, used any of these stimulants when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the stimulants shown below the red line on Card C have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other prescription stimulant, besides the ones shown on Card C when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription stimulant that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following prescription sedatives: Methaqualone, Sopor, or Quaalude; barbiturates such as Nembutal, Pentobarbital, Seconal, Secobarbital, or Butalbital; Restoril or Temazepam.]

Have you ever, even once, used [Methaqualone, Sopor, or Quaalude] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the sedatives shown below the red line on Card D. [List on Card D: Amytal; Butisol; Chloral Hydrate; Dalmane; Halcion; Phenobarbital; Placidyl; Tuinal.] Have you ever, even once, used any of these sedatives when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the sedatives shown below the red line on Card D have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other prescription sedative, besides the ones shown on Card D, when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription sedative that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Leading Health Indicator
Substance Abuse
Methodology Notes

Alcohol or illicit drug use by adolescents aged 12 to 17 years is defined as using at least one of the following substances in the past month: alcohol, marijuana or hashish, cocaine (including "crack"), inhalants, hallucinogens (including PCP and LSD), heroin, or any nonmedical use of analgesics, tranquilizers, stimulants, or sedatives. The answers for each of the substances are examined for each respondent. Persons are considered to have used alcohol or illicit drugs if they report use in the past 30 days of any one of the substances. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 18.3 to 18.4 percent. The target was adjusted from 16.5 to 16.6 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
6.7 (2008)
Target
6.0
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who reported using marijuana during the past 30 days
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

Have you ever, even once, used [marijuana or hashish]?

  1. Yes
  2. No

How long has it been since you last used [marijuana or hashish]?

  1. Within the past 30 days -- that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Respondents are considered to have used marijuana or hashish if they report use of either substance in the past 30 days. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline and target values did not change as a result.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
7.9 (2008)
Target
7.1
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report use of any illicit drugs during the past 30 days
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

[The following questions are asked separately for each illicit drug: marijuana or hashish; cocaine; 'crack'; heroin; LSD, also called 'acid'; PCP, also called 'angel dust' or Phencyclidine; Peyote; Mescaline; Psilocybin; 'Ecstasy', also called MDMA; any other hallucinogens besides the ones that have been listed; Amyl nitrite, 'poppers,' locker room odorizers, or 'rush'; Correction fluid, degreaser, or cleaning fluid; Gasoline or lighter fluid; Glue, shoe polish, or toluene; Halothane, ether, or other paint solvents; Lighter gases, such as butane or propane; Nitrous oxide or 'whippets'; Spray paints; or Other aerosol sprays.]

Have you ever, even once, used [marijuana or hashish]?

  1. Yes
  2. No

How long has it been since you last used [marijuana or hashish]?

  1. Within the past 30 days -- that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following: Darvocet, Darvon, or Tylenol with codeine; Percocet, Percodan, or Tylox; Vicodin, Lortab, or Lorcet]

Have you ever, even once, used [Darvocet, Darvon, or Tylenol with codeine] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the pain relievers shown below the red line on Card A. [List on Card A: Codeine; Demerol; Dilaudid; Fioricet; Fiorinal; Hydrocodone; Methadone; Morphine; Oxycontin; Phenaphen with Codeine; Propoxyphene; SK-65; Stadol; Talacen; Talwin; Talwin NX; Tramadol; Ultram.] Have you ever, even once, used any of these pain relievers when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the pain relievers shown below the red line on Card A have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other prescription pain reliever, besides the ones shown on Card A, when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription pain reliever that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following tranquilizers: Klonopin or Clonazepam; Xanax, Alprazolam, Ativan, or Lorazepam; Valium or Diazepam]

Have you ever, even once, used [Klonopin or Clonazepam] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the tranquilizers shown below the red line on Card B. [List on Card B: Atarax; BuSpar; Equanil; Flexeril; Librium; Limbitrol; Meprobamate; Miltown; Rohypnol; Serax; Soma; Tranxene; Vistaril.] Have you ever, even once, used any of these tranquilizers when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the tranquilizers shown below the red line on Card B have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other tranquilizers, besides the ones shown on Card B, when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription tranquilizer that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following stimulants: Methamphetamine, Desoxyn, or Methedrine; prescription diet pills, such as Amphetamines, Benzedrine, Biphetamine, Fastin, or Phentermine; Ritalin or Methylphenidate]

Have you ever, even once, used [Methamphetamine, Desoxyn, or Methedrine] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the stimulants shown below the red line on Card C. [List on Card C: Cylert; Dexedrine; Dextroamphetamine; Didrex; Eskatrol; Ionamin; Mazanor; Obedrin - L.A.; Plegine; Preludin; Sanorex; Tenuate.] Have you ever, even once, used any of these stimulants when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the stimulants shown below the red line on Card C have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other prescription stimulant, besides the ones shown on Card C when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription stimulant that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago

[The following question is asked separately for non- medical use of the following prescription sedatives: Methaqualone, Sopor, or Quaalude; barbiturates such as Nembutal, Pentobarbital, Seconal, Secobarbital, or Butalbital; Restoril or Temazepam]

Have you ever, even once, used [Methaqualone, Sopor, or Quaalude] that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

Please look at the sedatives shown below the red line on Card D. [List on Card D: Amytal; Butisol; Chloral Hydrate; Dalmane; Halcion; Phenobarbital; Placidyl; Tuinal.] Have you ever, even once, used any of these sedatives when they were not prescribed for you or that you took only for the experience or feeling they caused?

  1. Yes
  2. No

Which of the sedatives shown below the red line on Card D have you used when they were not prescribed for you or that you took only for the experience or feeling they caused?

Have you ever, even once, used any other prescription sedative, besides the ones shown on Card D, when it was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Yes
  2. No

How long has it been since you last used any prescription sedative that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days - that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Illicit drug use is defined as use of at least one of the following substances in the past month: marijuana or hashish, cocaine (including "crack"), inhalants, hallucinogens (including PCP and LSD), heroin, or any nonmedical use of analgesics, tranquilizers, stimulants, or sedatives. Respondents are considered to have used illicit drugs if they report use in the past 30 days of any of the listed substances. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline and target values did not change as a result.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.
SA-14 Reduce the proportion of persons engaging in binge drinking of alcoholic beverages

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
25.2 (2009)
Target
22.7
Target-Setting Method
10 percent improvement
Numerator
Number of 12th grade students who report drinking five or more alcoholic beverages in a row during the 2 weeks prior to the survey
Denominator
Number of 12th grade students
Questions Used to Obtain the National Baseline Data

From the 2009 Monitoring the Future Study:

[NUMERATOR:]

Think back over the LAST TWO WEEKS. How many times have you had five or more drinks in a row? (A "drink" is a glass of wine, a bottle of beer, a wine cooler, a shot glass of liquor, or a mixed drink.)

  1. None
  2. Once
  3. Twice
  4. Three to five times
  5. Six to nine times
  6. Ten or more times
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.
  2. Questions Used to Obtain the National Baseline Data

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
41.1 (2007)
Target
37.0
Target-Setting Method
10 percent improvement
Numerator
Number of college students who report drinking five or more alcoholic beverages in a row during the 2 weeks prior to the survey
Denominator
Number of college students
Questions Used to Obtain the National Baseline Data

From the 2008 Monitoring the Future Study:

[NUMERATOR:]

Think back over the LAST TWO WEEKS. How many times have you had five or more drinks in a row? (A "drink" is a glass of wine, a bottle of beer, a wine cooler, a shot glass of liquor, or a mixed drink.)

  1. None
  2. Once
  3. Twice
  4. Three to five times
  5. Six to nine times
  6. Ten or more times
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. . Monitoring the Future national survey results on drug use, 1975-2008. Volume II: College students and adults ages 19-50. NIH Publication No. 09-7403. Bethesda, MD: National Institute on Drug Abuse. 2009.
  2. Questions Used To Obtain the National Baseline Data
SA-14.3 Reduce the proportion of persons engaging in binge drinking during the past 30 days—adults aged 18 years and older Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
27.1 (2008)
Target
24.4
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report having five or more drinks (for men) or four or more drinks (for women) at the same time or within a couple of hours of each other during the 30 days prior to the survey
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

During the past 30 days, that is, since [DATE], on how many days did you have 4 or more drinks on the same occasion? By 'occasion,' we mean at the same time or within a couple of hours of each other.

During the past 30 days, that is, since [DATE], on how many days did you have 5 or more drinks on the same occasion? By 'occasion,' we mean at the same time or within a couple of hours of each other.

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Leading Health Indicator
Substance Abuse
Methodology Notes

Binge drinking is defined as drinking 5 or more alcoholic beverages for men or 4 or more alcoholic beverages for women at the same time or within a couple of hours of each other during the past 30 days. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 27.0 to 27.1 percent. The target was adjusted from 24.3 to 24.4 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
9.5 (2008)
Target
8.6
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 to 17 years who report having five or more drinks (for men) or four or more drinks (for women) at the same time or within a couple of hours of each other during the 30 days prior to the survey
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

During the past 30 days, that is, since [DATE], on how many days did you have 5 or more drinks on the same occasion? By 'occasion,' we mean at the same time or within a couple of hours of each other.

During the past 30 days, that is, since [DATE], on how many days did you have 4 or more drinks on the same occasion? By 'occasion,' we mean at the same time or within a couple of hours of each other.

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Binge drinking is defined as drinking 5 or more alcoholic beverages for men or 4 or more alcoholic beverages for women at the same time or within a couple of hours of each other during the past 30 days. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 9.4 to 9.5 percent. The target was adjusted from 8.5 to 8.6 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002. Questions Used To Obtain the National Baseline Data
  2. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
28.2 (2008)
Target
25.4
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who drank more than two drinks per day on average (for men) or more than one drink per day on average (for women) or who drank 5 or more drinks during a single occasion (for men) or 4 or more drinks during a single occasion (for women) during the past 30 days
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

During the past 30 days, on how many days did you drink one or more drinks of an alcoholic beverage?

  • # OF DAYS: [RANGE: 0 - 30]

On the days that you drank during the past 30 days, how many drinks did you usually have each day? Count as a drink a can or bottle of beer; a wine cooler or a glass of wine, champagne, or sherry; a shot of liquor or a mixed drink or cocktail.

  • # OF DRINKS: [RANGE: 1 - 90]

During the past 30 days, that is, since [DATE], on how many days did you have 4 or more drinks on the same occasion? By "occasion,' we mean at the same time or within a couple of hours of each other.

  • # OF DAYS: [RANGE: 0 - 30]

During the past 30 days, that is, since [DATE], on how many days did you have 5 or more drinks on the same occasion? By "occasion,' we mean at the same time or within a couple of hours of each other.

  • # OF DAYS: [RANGE: 0 - 30]
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Excessive alcohol use, either in the form of heavy drinking (drinking more than two drinks per day on average for men or more than one drink per day on average for women), or binge drinking (drinking 5 or more drinks during a single occasion for men or 4 or more drinks during a single occasion for women). A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 28.1 to 28.2 percent. The target was adjusted from 25.3 to 25.4 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Changed Since the Healthy People 2020 Launch
No
Measure
gallons per person 
Baseline (Year)
2.3 (2007)
Target
2.1
Target-Setting Method
10 percent improvement
Numerator
Number of gallons of ethanol sold in the United States
Denominator
Number of persons aged 14 years and over
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

The number of gallons of ethanol (pure alcohol) sold in the U.S. is used as a proxy for annual consumption of alcoholic beverages. The Alcohol Epidemiologic Data System (AEDS) makes every effort to obtain alcoholic beverage sales data from all states and the District of Columbia because sales data more accurately reflect actual consumption of alcoholic beverages than do production and shipments data from beverage industry sources. For 2007, AEDS received complete beverage sales and/or tax receipts reports from 29 states for beer, 29 states for wine, and 25 states for spirits. For the remaining states and the District of Columbia, shipments data from beverage industry sources were used for the numerator to calculate per capita consumption. Although sales and tax receipt data tend to provide slightly lower per capita estimates (about .01 to .02 points per capita), the mixed use of data from sales and shipments sources appears to have little effect on overall trends in per capita alcohol consumption. Individuals familiar with survey reports and other scientific literature often are accustomed to the presentation of significance tests, or confidence intervals, on any data comparisons or trends. However, because data presented in this report are based on total actual sales and/or shipments, no measures of statistical significance are provided. Nonetheless, it is important to note that these data are still only estimates and may be subject to reporting error. A description of AEDS was published by NIAAA. The following 31 States provided alcoholic beverage sales data for beer, wine, and/or, spirits for 2007: Alaska, Arizona, Colorado, Connecticut, Florida, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Pennsylvania, South Dakota Texas, Utah, Virginia, Wyoming.

References

Additional resources about the objective.

  1. Beverage Information Group. Beer Handbook, 2008. Norwalk, CT: Beverage Information Group, 2008a.
  2. Beverage Information Group. Liquor Handbook, 2008. Norwalk, CT: Beverage Information Group, 2008b.
  3. Beverage Information Group. Wine Handbook, 2008. Norwalk, CT: Beverage Information Group, 2008c

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Fatality Analysis Reporting System (FARS); Department of Transportation, National Highway Traffic Safety Administration (DOT/NHTSA)
Changed Since the Healthy People 2020 Launch
No
Measure
per 100,000,000 vehicle miles traveled 
Baseline (Year)
0.40 (2008)
Target
0.38
Target-Setting Method
Maintain consistency with national programs, regulations, policies, and laws.
Numerator
Number of alcohol related motor vehicle crash deaths reported in FARS
Denominator
Total vehicle miles traveled
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The Federal Highway Administration estimates total vehicle miles traveled using an algorithm that includes gas sales, vehicle registration, vehicle fuel economy data, and other data from the Highway Performance Monitoring System. The National Highway Traffic Safety Administration (NHTSA) defines a fatal crash as alcohol related if either a driver or a nonmotorist has a measurable or estimated blood alcohol concentration (BAC) of 0.08 g/dL or above. BAC is measured as a percentage by weight of alcohol in the blood (expressed as grams per deciliter). An elevated BAC level (0.08g/dL and higher) indicates that enough alcohol was consumed by the person tested to impair normal functions. Only deaths that occur within 30 days of the motor vehicle crash are included (less than 2 percent of the total number of deaths occur after 30 days). FARS data are obtained solely from a State's existing documents, including police crash reports, death certificates (coded to ICD-10 V30-V39 [.4-.9], V40-V49 [.4-.9], V50-V59 [.4-.9], V60-V69 [.4-.9], V70-V79 [.4-.9], V81.1, V82.1, V83-V86 [.0-.3], V20-V28 [.3-.9]. V29 [.4-.9], V12-V14 [.3-.9], V19 [.4-.6], V02-V04 [.1, .9], V09.2, V80 [.3-.5], V87 [.0-.8], V89.2), vehicle registration files, and hospital medical reports.

A description of the FARS data set has been published by NHTSA.

A description of the primary measurement used to determine the number of Vehicle Miles Traveled annually in the US has been published by the Department of Transportation (DOT).

References

Additional resources about the objective.

  1. Federal Highway Administration. Annual Vehicle Miles Travelled and Related Data: Procedures Used to Derive Data Elements Contained in Highway Statistics Table VM1 for Years 2009 and after and 2007 and 2008 Historical Data. Washington, DC. Available from: http://www.fhwa.dot.gov/ohim/vm1_methodology_2007.pdf
  2. National Highway Traffic Safety Administration. Traffic Safety Facts 2008: A Compilation of Motor Vehicle Crash Data from the Fatality Analysis Reporting System and the General Estimates System. Washington, DC: U.S. Department of Transportation, March 2010.
SA-18 Reduce steroid use among adolescents

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
0.78 (2009)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of 8th grade students who report using steroids in the past year
Denominator
Number of 8th grade students
Questions Used to Obtain the National Baseline Data

From the Monitoring the Future Study:

[NUMERATOR:]

Steroids, or anabolic steroids, are sometimes prescribed by doctors to promote healing from certain types of injuries. Some athletes, and others, have used them to try to increase muscle development. On how many occasions (if any) have you taken steroids on your own--that is, without a doctor telling you to take them?

  • ... in your lifetime?
  • ... during the last 12 months?
  • ... during the last 30 days?

[Mark one circle for each line. Response categories include:]

  1. 0 occasions
  2. 1-2 occasions
  3. 3-5 occasions
  4. 6-9 occasions
  5. 10-19 occasions
  6. 20-39 occasions
  7. 40 or more
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Students are considered to have used steroids if they respond that they used steroids on one or more occasions during the last 12 months or during the last 30 days. Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2014, the orginal baseline was revised from 1.3 to 0.78 percent due to the discovery of a programming error. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
0.79 (2009)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of 10th grade students who report using steroids in the past year
Denominator
Number of 10th grade students
Questions Used to Obtain the National Baseline Data

From the Monitoring the Future Study:

[NUMERATOR:]

Steroids, or anabolic steroids, are sometimes prescribed by doctors to promote healing from certain types of injuries. Some athletes, and others, have used them to try to increase muscle development. On how many occasions (if any) have you taken steroids on your own--that is, without a doctor telling you to take them?

  • ... in your lifetime?
  • ... during the last 12 months?
  • ... during the last 30 days?

[Mark one circle for each line. Response categories include:]

  1. 0 occasions
  2. 1-2 occasions
  3. 3-5 occasions
  4. 6-9 occasions
  5. 10-19 occasions
  6. 20-39 occasions
  7. 40 or more
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Students are considered to have used steroids if they respond that they used steroids on one or more occasions during the last 12 months or during the last 30 days. Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2014, the original baseline was revised from 1.3 to 0.79 percent due to the discovery of a programming error. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Monitoring the Future Study (MTF); National Institutes of Health, National Institute on Drug Abuse (NIH/NIDA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
1.49 (2009)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of 12th grade students who report using steroids in the past year
Denominator
Number of 12th grade students
Questions Used to Obtain the National Baseline Data

From the Monitoring the Future Study:

[NUMERATOR:]

Steroids, or anabolic steroids, are sometimes prescribed by doctors to promote healing from certain types of injuries. Some athletes, and others, have used them to try to increase muscle development. On how many occasions (if any) have you taken steroids on your own--that is, without a doctor telling you to take them?

  • ... in your lifetime?
  • ... during the last 12 months?
  • ... during the last 30 days?

[Mark one circle for each line. Response categories include:]

  1. 0 occasions
  2. 1-2 occasions
  3. 3-5 occasions
  4. 6-9 occasions
  5. 10-19 occasions
  6. 20-39 occasions
  7. 40 or more
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Students are considered to have used steroids if they respond that they used steroids on one or more occasions during the last 12 months or during the last 30 days. Data are based on students in attendance on the day of the survey administration. A description of the Monitoring the Future Study (MTF) has been published by NIDA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

In 2014, the original baseline was revised from 2.2 to 1.49 percent due to the discovery of a programming error. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key findings, 2009. NIH Publication No. 10-7583. Bethesda, MD: National Institute on Drug Abuse. 2010.
SA-19 Reduce the past-year nonmedical use of prescription drugs

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
4.8 (2008)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of persons aged 12 years and over who report nonmedical use of prescription pain relievers in the past year
Denominator
Number of persons aged 12 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

How long has it been since you last used any prescription pain reliever that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline value did not change. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
2.0 (2008)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of persons aged 12 years and over who report nonmedical use of prescription tranquilizers in the past year
Denominator
Number of persons aged 12 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How long has it been since you last used any prescription tranquilizer that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline value did not change. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
1.06 (2008)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of persons aged 12 years and over who report nonmedical use of prescription stimulants in the past year
Denominator
Number of persons aged 12 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How long has it been since you last used any prescription stimulants that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 1.1 to 1.06 percent. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
0.25 (2008)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of persons aged 12 years and over who report nonmedical use of prescription sedatives in the past year
Denominator
Number of persons aged 12 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How long has it been since you last used any prescription sedatives that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 0.2 to 0.25 percent. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
6.1 (2008)
Target
5.5
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 12 years and over who report nonmedical use of any prescription psychotherapeutic drugs in the past year
Denominator
Number of persons aged 12 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

How long has it been since you last used any prescription pain reliever that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF

How long has it been since you last used any prescription tranquilizer that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF

How long has it been since you last used any prescription stimulant that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF

How long has it been since you last used any prescription sedative that was not prescribed for you or that you took only for the experience or feeling it caused?

  1. Within the past 30 days
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
  4. DK/REF
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. However, the baseline and target values did not change as a result.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Alcohol Related Disease Impact System (ARDI); Centers for Disease Control and Prevention (CDC)
Changed Since the Healthy People 2020 Launch
No
Measure
average annual number 
Baseline (Year)
79,646 (2001-2005)
Target
71,681
Target-Setting Method
10 percent improvement
Numerator
Averave annual number of deaths attributable to medium and high average daily alcohol consumption
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Estimates of alcohol-related deaths are calculated using pre-determined estimates of Alcohol-Attributable Fractions (AAFs)—that is, the proportion of deaths from various causes that are due to alcohol. These AAFs are then multiplied by the number of deaths caused by a specific condition (e.g., liver cancer) to obtain the number of alcohol-attributable deaths. The cutpoints used to define different levels of average daily alcohol consumption (i.e., low, medium, and high) were specified in the meta-analyses that were used to obtain risk estimates for a given condition. These cutpoints were typically reported as grams of alcohol per day, and then converted into drinks per day, using a 13.7 gram per drink conversion factor. A description of the ARDI software is available on CDCs website.

References

Additional resources about the objective.

  1. Alcohol and Public Health: About ARDI - Methods. Home page. https://apps.nccd.cdc.gov/ardi/AboutARDIMethods.htm. August 2010.
  2. Centers for Disease Control and Prevention. Alcohol-attributable deaths and years of potential life lost --- United States, 2001.Morbid Mortal Wkly Rep; 53(37): 866-70. 2004.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey on Drug Use and Health (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch
Yes
Measure
percent 
Baseline (Year)
4.0 (2008)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of persons aged 12 to 17 years who reported using inhalants during the past year
Denominator
Number of persons aged 12 to 17 years
Questions Used to Obtain the National Baseline Data

From the 2008 National Survey on Drug Use and Health:

[NUMERATOR:]

[The following question is asked separately for each inhalant: Amyl nitrite, "poppers,' locker room odorizers, or "rush'; Correction fluid, degreaser, or cleaning fluid; Gasoline or lighter fluid; Glue, shoe polish, or toluene; Halothane, ether, or other paint solvents; Lighter gases, such as butane or propane; Nitrous oxide "whippets'; Spray paints; or Other aerosol sprays]

Have you ever, even once, used [Amyl nitrite, "poppers,' locker room odorizers, or "rush']?

  1. Yes
  2. No

How long has it been since you last used [Amyl nitrite, "poppers,' locker room or hashish; odorizers, or "rush"]?

  1. Within the past 30 days -- that is, since [DATE]
  2. More than 30 days ago but within the past 12 months
  3. More than 12 months ago
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Use of inhalants within the past year was defined by an affirmative response to ever using any kind of inhalant "for kicks or to get high" combined with a response of " Within the past 30 days” and “More than 30 days ago but within the past 12 months.” Specific inhalants that have been identified as used "for kicks or to get high" are listed to help the respondent remember and to let the respondent know the kinds of substances of interest. In addition, probes are added for other substances. These two approaches tend to increase the probability that inhalant users will report their use. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch

During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 3.9 to 4.0 percent. If warranted, a target will be set during the decade.

References

Additional resources about the objective.

  1. Substance Abuse and Mental Health Services Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. Office of Applied Studies, NSDUH Series H-36, HHS Publication No. SMA 09-4434. Rockville, MD. 2009.