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Substance Abuse

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Policy and Prevention

SA-1 Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol
Baseline: 28.3 percent of students in grades 9 through 12 reported that they rode, during the previous 30 days, with a driver who had been drinking alcohol in 2009
Target: 25.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Youth Risk Behavior Surveillance System (YRBSS), CDC/NCHHSTP
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-06.
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SA-2 Increase the proportion of adolescents never using substances
SA-2.1 Increase the proportion of at risk adolescents aged 12 to 17 years who, in the past year, refrained from using alcohol for the first time
Revised

This objective was revised. See Revision History for Details.

Baseline: 85.6 percent of adolescents aged 12 to 17 years who had never used alcohol in their lives refrained from using alcohol for the first time in 2008
Target: 94.2 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-09a.
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Revision History: This objective was revised. Read more about the revision history.
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SA-2.2 Increase the proportion of at risk adolescents aged 12 to 17 years who, in the past year, refrained from using marijuana for the first time
Revised

This objective was revised. See Revision History for Details.

Baseline: 94.3 percent of adolescents aged 12 to 17 years who had never used marijuana in their lives refrained from using marijuana for the first time in 2008
Target: 96.3 percent
Target-Setting Method: 2 percentage point improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-09b.
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Revision History: This objective was revised. Read more about the revision history.
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SA-2.3 Increase the proportion of high school seniors never using substances—Alcoholic beverages
Baseline: 27.7 percent of high school seniors reported never using alcoholic beverages in 2009
Target: 30.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-09c.
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SA-2.4 Increase the proportion of high school seniors never using substances—Illicit drugs
Baseline: 53.3 percent of high school seniors reported never using illicit drugs in 2009
Target: 58.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-09d.
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SA-3 Increase the proportion of adolescents who disapprove of substance abuse
SA-3.1 Increase the proportion of adolescents who disapprove of having one or two alcoholic drinks nearly every day—8th graders
Baseline: 78.5 percent of 8th graders reported that they disapproved of people having one or two alcoholic drinks nearly every day in 2009
Target: 86.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-16a.
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SA-3.2 Increase the proportion of adolescents who disapprove of having one or two alcoholic drinks nearly every day—10th graders
Baseline: 77.6 percent of 10th graders reported that they disapproved of people having one or two alcoholic drinks nearly every day in 2009
Target: 85.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-16b.
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SA-3.3 Increase the proportion of adolescents who disapprove of having one or two alcoholic drinks nearly every day—12th graders
Baseline: 70.5 percent of 12th graders reported that they disapproved of people having one or two alcoholic drinks nearly every day in 2009
Target: 77.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-16c.
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SA-3.4 Increase the proportion of adolescents who disapprove of trying marijuana or hashish once or twice—8th graders
Baseline: 75.3 percent of 8th graders reported that they disapproved of people trying marijuana or hashish once or twice in 2009
Target: 82.8 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-16d.
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SA-3.5 Increase the proportion of adolescents who disapprove of trying marijuana or hashish once or twice—10th graders
Baseline: 60.1 percent of 10th graders reported that they disapproved of people trying marijuana or hashish once or twice in 2009
Target: 66.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-16e.
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SA-3.6 Increase the proportion of adolescents who disapprove of trying marijuana or hashish once or twice—12th graders
Baseline: 54.8 percent of 12th graders reported that they disapproved of people trying marijuana or hashish once or twice in 2009
Target: 60.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-16f.
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SA-4 Increase the proportion of adolescents who perceive great risk associated with substance abuse
SA-4.1 Increase the proportion of adolescents aged 12 to 17 years perceiving great risk associated with substance abuse—Consuming five or more alcoholic drinks on a single occasion once or twice a week
Revised

This objective was revised. See Revision History for Details.

Baseline: 40.0 percent of adolescents aged 12 to 17 years reported that they perceived great risk associated with consuming five or more alcoholic drinks on a single occasion once or twice a week in 2008
Target: 44.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-17a.
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Revision History: This objective was revised. Read more about the revision history.
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SA-4.2 Increase the proportion of adolescents aged 12 to 17 years perceiving great risk associated with substance abuse—Smoking marijuana once per month
Revised

This objective was revised. See Revision History for Details.

Baseline: 33.4 percent of adolescents aged 12 to 17 years reported that they perceived great risk associated with smoking marijuana once per month in 2008
Target: 36.7 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-17b.
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Revision History: This objective was revised. Read more about the revision history.
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SA-4.3 Increase the proportion of adolescents aged 12 to 17 years perceiving great risk associated with substance abuse—Using cocaine once per month
Revised

This objective was revised. See Revision History for Details.

Baseline: 49.4 percent of adolescents aged 12 to 17 years reported that they perceived great risk associated with using cocaine once per month in 2008
Target: 54.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-17c.
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Revision History: This objective was revised. Read more about the revision history.
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SA-5 (Developmental) Increase the number of drug, driving while impaired (DWI), and other specialty courts in the United States
Potential Data Sources:
To be determined
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SA-6 Increase the number of States with mandatory ignition interlock laws for first and repeat impaired driving offenders in the United States
Baseline: 13 States had mandatory ignition interlock laws for first and repeat impaired driving offenders in 2009
Target: 51 (50 States and the District of Columbia)
Target-Setting Method: Total coverage
Data Sources:
Status of State Ignition Interlock Laws, Mothers Against Drunk Driving (MADD)
Data:
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Screening and Treatment

SA-7 Increase the number of admissions to substance abuse treatment for injection drug use
Revised

This objective was revised. See Revision History for Details.

Baseline: 255,374 admissions to Level I and Level II trauma centers to substance abuse treatment programs for injection drug use were reported in 2006
Target: 280,911 admissions to Level I and Level II trauma centers
Target-Setting Method: 10 percent improvement
Data Sources:
Treatment Episode Data Set (TEDS), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-20.
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Revision History: This objective was revised. Read more about the revision history.
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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
SA-8.1 Increase the proportion of persons who need illicit drug treatment and received specialty treatment for abuse or dependence in the past year
Baseline: 16.0 percent of persons aged 12 years and over who needed illicit drug treatment reported that they received specialty treatment for abuse or dependence in the past year in 2008
Target: 17.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-18a.
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SA-8.2 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
Baseline: 9.9 percent of persons aged 12 years and over who needed alcohol treatment and/or illicit drug treatment reported that they received specialty treatment for abuse or dependence in the past year in 2008
Target: 10.9 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-18b.
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SA-8.3 Increase the proportion of persons who need alcohol abuse or dependence treatment and received specialty treatment for abuse or dependence in the past year
Baseline: 8.2 percent of persons aged 12 years and over who needed alcohol treatment reported that they received specialty treatment for abuse or dependence in the past year in 2008
Target: 9.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-21.
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SA-9 (Developmental) Increase the proportion of persons who are referred for followup care for alcohol problems, drug problems after diagnosis, or treatment for one of these conditions in a hospital emergency department (ED)
Potential Data Sources:
National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS
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SA-10 Increase the number of Level I and Level II trauma centers and primary care settings that implement evidence-based alcohol Screening and Brief Intervention (SBI)
Baseline: 325 Level I and Level II trauma centers met the criteria for implementing evidence-based alcohol Screening and Brief Intervention in 2009
Target: 358 Level I and Level II trauma centers
Target-Setting Method: 10 percent improvement
Data Sources:
National Trauma Registry System (TRACS), American College of Surgeons (ACS)
Data:
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Epidemiology and Surveillance

SA-11 Reduce cirrhosis deaths
Revised

This objective was revised. See Revision History for Details.

Baseline: 9.1 cirrhosis deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)
Target: 8.2 deaths per 100,000 population
Target-Setting Method: 10 percent improvement
Data Sources:
National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Bridged-race Population Estimates, CDC/NCHS and Census
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-02.
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Revision History: This objective was revised. Read more about the revision history.
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SA-12 Reduce drug-induced deaths
Revised

This objective was revised. See Revision History for Details.

Baseline: 12.6 drug-induced deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)
Target: 11.3 deaths per 100,000 population
Target-Setting Method: 10 percent improvement
Data Sources:
National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Bridged-race Population Estimates, CDC/NCHS and Census
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-03.
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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
LHI

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

Revised

This objective was revised. See Revision History for Details.

Baseline: 14.2 percent of adolescents aged 12 to 17 years reported use of alcohol or any illicit drugs during the past 30 days in 2015
Target: 12.8 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-10a.
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Revision History: This objective was revised. Read more about the revision history.
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SA-13.2 Reduce the proportion of adolescents reporting use of marijuana during the past 30 days
Baseline: 6.7 percent of adolescents aged 12 to 17 years reported use of marijuana during the past 30 days in 2008
Target: 6.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-10b.
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SA-13.3 Reduce the proportion of adults reporting use of any illicit drug during the past 30 days
Baseline: 7.9 percent of adults aged 18 years and over reported use of any illicit drug during the past 30 days in 2008
Target: 7.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-10c.
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SA-14 Reduce the proportion of persons engaging in binge drinking of alcoholic beverages
SA-14.1 Reduce the proportion of students engaging in binge drinking during the past 2 weeks—high school seniors
Baseline: 25.2 percent of high school seniors reported that they engaged in binge drinking during the past 2 weeks in 2009
Target: 22.7 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-11a.
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SA-14.2 Reduce the proportion of students engaging in binge drinking during the past 2 weeks—college students
Baseline: 41.1 percent of college students reported that they engaged in binge drinking during the past 2 weeks in 2008 2007 college students reported that they engaged in binge drinking during the past 2 weeks in 2008
Target: 37.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-11b.
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SA-14.3 Reduce the proportion of persons engaging in binge drinking during the past 30 days—adults aged 18 years and older
LHI

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

Revised

This objective was revised. See Revision History for Details.

Baseline: 26.9 percent of adults aged 18 years and over reported that they engaged in binge drinking during the past 30 days in 2015
Target: 24.2 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-11c.
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Revision History: This objective was revised. Read more about the revision history.
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SA-14.4 Reduce the proportion of persons engaging in binge drinking during the past month—adolescents aged 12 to 17 years
Revised

This objective was revised. See Revision History for Details.

Baseline: 9.5 percent of adolescents aged 12 to 17 years reported that they engaged in binge drinking during the past month in 2008
Target: 8.6 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-11d.
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Revision History: This objective was revised. Read more about the revision history.
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SA-15 Reduce the proportion of adults who drank excessively in the previous 30 days
Revised

This objective was revised. See Revision History for Details.

Baseline: 28.2 percent of adults aged 18 years and over reported that they drank excessively in the previous 30 days in 2008
Target: 25.4 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objectives with the same definition were 26-13a and 26-13b.
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SA-16 Reduce average annual alcohol consumption
Baseline: 2.3 gallons of ethanol per person aged 14 years and over were consumed in 2007
Target: 2.1 gallons per person
Target-Setting Method: 10 percent improvement
Data Sources:
Alcohol Epidemiologic Data System (AEDS); Population Estimates, Census
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-12.
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SA-17 Decrease the rate of alcohol-impaired driving (.08+ blood alcohol content [BAC]) fatalities
Revised

This objective was revised. See Revision History for Details.

Baseline: 0.39 deaths per 100 million vehicle miles traveled involved a driver or motorcycle rider with a BAC of .08 or greater in 2008
Target: 0.38 deaths per 100 million vehicle miles traveled
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Sources:
Fatality Analysis Reporting System (FARS), DOT/NHTSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-01a.
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Revision History: This objective was revised. Read more about the revision history.
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SA-18 Reduce steroid use among adolescents
SA-18.1 Reduce steroid use among 8th graders
Revised

This objective was revised. See Revision History for Details.

Baseline: 0.78 percent of 8th graders reported that they used steroids in the past year in 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.
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-14a.
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Revision History: This objective was revised. Read more about the revision history.
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SA-18.2 Reduce steroid use among 10th graders
Revised

This objective was revised. See Revision History for Details.

Baseline: 0.79 percent of 10th graders reported that they used steroids in the past year in 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.
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-14b.
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SA-18.3 Reduce steroid use among 12th graders
Revised

This objective was revised. See Revision History for Details.

Baseline: 1.49 percent of 12th graders reported that they used steroids in the past year in 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.
Data Sources:
Monitoring the Future Study (MTF), NIH/NIDA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-14c.
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Revision History: This objective was revised. Read more about the revision history.
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SA-19 Reduce the past-year nonmedical use of prescription drugs
SA-19.1 Reduce the past-year nonmedical use of pain relievers
Baseline: 4.8 percent of persons aged 12 years and over reported nonmedical use of pain relievers in the past year in 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.
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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SA-19.2 Reduce the past-year nonmedical use of tranquilizers
Baseline: 2.0 percent of persons aged 12 years and over reported nonmedical use of tranquilizers in the past year in 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.
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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SA-19.3 Reduce the past-year nonmedical use of stimulants
Revised

This objective was revised. See Revision History for Details.

Baseline: 1.06 percent of persons aged 12 years and over reported nonmedical use of stimulants in the past year in 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.
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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SA-19.4 Reduce the past-year nonmedical use of sedatives
Revised

This objective was revised. See Revision History for Details.

Baseline: 0.25 percent of persons aged 12 years and over reported nonmedical use of sedatives in the past year in 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.
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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SA-19.5 Reduce the past-year nonmedical use of any psychotherapeutic drug (including pain relievers, tranquilizers, stimulants, and sedatives)
Baseline: 6.1 percent of persons aged 12 years and over reported nonmedical use of any psychotherapeutic drug in 2008
Target: 5.5 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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SA-20 Reduce the number of deaths attributable to alcohol
Baseline: 79,646 deaths attributable to the harmful effects of excessive alcohol use occurred in 2001–05 (average annual number)
Target: 71,681 deaths
Target-Setting Method: 10 percent improvement
Data Sources:
Alcohol Related Disease Impact System (ARDI), CDC
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SA-21 Reduce the proportion of adolescents who use inhalants
Revised

This objective was revised. See Revision History for Details.

Baseline: 4.0 percent of adolescents aged 12 to 17 years reported that they used inhalants in the past year in 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.
Data Sources:
National Survey on Drug Use and Health (NSDUH), SAMHSA
Data:
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Healthy People 2010 The HP2010 objective with the same definition was 26-15.
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Revision History: This objective was revised. Read more about the revision history.
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