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SA-19.1 Data Details

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SA-19.1 Reduce the past-year nonmedical use of pain relievers

About the Data

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

Data Source: 
National Survey on Drug Use and Health
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
4.7 (2015)
Target: 
Not applicable
Target-Setting Method: 
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Target-Setting Method Justification: 
Data from 2008 show that 4.8 percent of persons aged 12 years and older reported nonmedical use of pain relievers in the past year Because of this extremely low percentage, no target seems reasonable. As the rate approaches zero, the decreases observed would become smaller with each percent reduction. Within a short period of time, the rate would reach a value so near zero that further reductions would be too small to be significant.
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

Comparable Healthy People 2010 Objective: 
Not applicable
Questions Used to Obtain the National Baseline Data: 

    From the 2015 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
Methodology Notes: 

    In 2014 and 2015 changes were made to the National Survey on Drug Use and Health (NSDUH) resulting in the need to revise the baselines and targets for 20 HP2020 objectives. In 2014, the changes to NSDUH primarily focused on revising the sample design, such as modifying the distribution of the sample across the 50 states and the District of Columbia and reducing the oversampling of youths and young adults. In 2015, SAMHSA implemented changes to the NSDUH data collection equipment, respondent materials, and survey questionnaire, including revisions to existing measures (e.g., prescription drugs, methamphetamine, hallucinogens, inhalants, and binge alcohol) and the addition of new questions (e.g., sexual orientation and attraction, disability status, and identification of active duty family members).

    The 2014 changes to the sample design are expected to result in more precise national estimates overall as well as more precise estimates for older adults. The 2015 changes are expected to improve the quality of data, and the questionnaire revisions will address SAMHSA's substance use and mental health policy and research needs.

    The following report outlines all of the changes that were made to the NSDUH in 2014 and 2015.
    http://www.samhsa.gov/data/sites/default/files/NSDUH-RedesignChanges-201....

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

Trend Issues: 
Estimates prior to data year 2015 were removed due to a questionnaire redesign of the National Survey on Drug Use and Health (NSDUH) beginning in data year 2015, which resulted in a break in trend. Estimates were removed for both national level, and state-level data including the category ‘all reporting states’.

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. In 2015, SAMHSA implemented changes to the NSDUH data collection equipment, respondent materials, and survey questionnaire, including revisions to existing measures (e.g., prescription drugs, methamphetamine, hallucinogens, inhalants, and binge alcohol) and the addition of new questions (e.g., sexual orientation and attraction, disability status, and identification of active duty family members). The 2015 changes are expected to improve the quality of data, and the questionnaire revisions will address SAMHSA's substance use and mental health policy and research needs. As a result in 2019, the baseline was revised from 4.8 to 4.7 percent and since the baseline is still less than 5 percent, a target will not established.

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.