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"Underage drinking presents an enormous public health issue. Alcohol is the drug of choice among children and adolescents. Annually, about 5,000 youth under age 21 die from motor vehicle crashes, other unintentional injuries, and homicides and suicides that involve underage drinking."

"In 2006, 1.4 million youth ages 12 to 17 needed treatment for an alcohol problem. Of this group, only 101,000 of them received any treatment at a specialty facility."

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DRUG AND ALCOHOL ABUSE AMONG TEENS IN IOWA

Campaign Raises Awareness of Prescription and Over-the-Counter
Drug Abuse Among Teens in Iowa - Article

Information provided in this page is the data described in the Adolescent Behavioral Health reports derive principally from national surveys conducted by the Office of Applied Studies, a component of the Substance Abuse and Mental Health Services Administration. Sources for all data used in this report appear at the end.

HIGHLIGHTS OF ALCOHOL AND DRUG ABUSE BY ADOLESCENTS IN IOWA

• Approximately 23,000 (9.5 percent) adolescents in Iowa used an illicit drug in the past month; 16,000 (6.4) used marijuana, and 11,000 (4.6 percent) used an illicit drug other than marijuana.

• 18.4 percent of adolescents (45,000) used alcohol in the past month, and 12.1 (29,000) engaged in binge drinking.

• Rates of past-year alcohol and drug dependence or abuse were similar between males and females, but rates of past-year alcohol dependence were significantly higher for adolescent females than males (4.5 v. 2.3 percent).

• 2,000 males (2.0 percent) and 4,000 females (3.5 percent) needed but did not receive treatment for past-year drug problems and 10,000 females (8.8 percent) and 8,000 males (6.8 percent) needed but did not receive treatment for alcohol problems.

• Adolescent females in Iowa were more than twice as likely as adolescent males to have experienced a major depressive episode (MDE) in the past Year (10.9 v 4.1 percent).

TEEN ILLICIT SUBSTANCE USE IN IOWA
Marijuana is the most commonly used illicit drug in the United States. According to the combined 2003–2006 NSDUH:

• Approximately 23,000 (9.5 percent) of the 244,000 adolescents in Iowa used an illicit drug in the past month; 16,000 (6.4 percent) used marijuana, and 11,000 (4.6 percent) used an illicit drug other than marijuana.

• There were no significant differences in illicit drug use between adolescent males and
females in Iowa.

The misuse of pain relievers among youth is also a major public health concern.

• In Iowa, 6,000 adolescent males and 8,000 females used pain relievers nonmedically in the 12 months prior to the interview.

• There was no significant differences nonmedical pain reliever use between females and males (7.1 v. 5.1 percent).

Adolescent Alcohol Use and Abuse in Iowa


• In Iowa 18.4 percent (45,000) of adolescents used alcohol in the past month, and 12.1 percent (29,000) engaged in binge drinking. Binge drinking is defined as 5 or more drinks on the same occasion on at least 1 day of past 30 days.

• Rates of current alcohol use and past-month binge drinking among Iowa adolescents were similar between males and females; 17.6 percent of males and 19.3 percent of females currently used alcohol, and 13.4 percent of males and 10.7 percent of females engaged in binge drinking in the month prior to the interview.

ADOLESCENT ALCOHOL AND ILLICIT DRUG DEPENDENCE OR ABUSE IN IOWA
According to the 2003–2006 NSDUH:

• Nationwide nearly 1.5 million adolescents were dependent on or abused alcohol in the past year and more than 1.2 million adolescents were dependent or abused illicit drugs.

• Overall, the rates of past-year abuse or dependence on alcohol were significantly higher for females than males (6.0 v. 5.4 percent), but rates of past-year abuse or dependence on illicit drugs were similar between males and females.

• In Iowa, rates of past-year alcohol and drug dependence or abuse were similar between males and females; but rates of past-year alcohol dependence were significantly higher for adolescent females than males (4.5 v 2.3 percent).

ADOLESCENT SUBSTANCE ABUSE TREATMENT IN IOWA

State treatment data for substance use disorders are derived from two primary sources: (1) National Survey of Substance Abuse Treatment Services (N-SSATS), an annual 1-day census of clients in treatment and (2) the Treatment Episode Data Set (TEDS), which provides information on annual treatment admissions.

According to the 2006 N-SSATS survey:

• Iowa showed a 1-day total of 7,229 clients in treatment, the majority of whom
(6,660 or 92.1 percent) were in outpatient treatment. Of the total number of clients in
treatment on this date, 793 (11 percent) were under the age of 18.

According to 2003–2006 TEDS data:

• Adolescent males accounted for 65 percent (8,578) of the 13,185 total adolescent substance abuse treatment admissions.

• Of the total male admissions, 21 percent were drug treatment admissions, 68.6 percent were alcohol and drug treatment, and 10.1 percent were alcohol treatment.

• Of the total adolescent female admissions, 18.3 percent were drug treatment, 68 percent were alcohol and drug treatment, and 13.3 percent were alcohol treatment.


Among adolescent admissions in Iowa, marijuana and alcohol were the most prevalent substances of abuse.


• Of the total adolescent male admissions, 87.8 percent (7,529) , reported marijuana use and 78.6 percent (6,746) reported alcohol use.

• Of the total adolescent female admissions, 81.3 percent (3,746) , reported marijuana use and 81.3 percent (3,746) reported alcohol use.

• Further, 15.8 percent(2,082) of total adolescents admissions reported methamphetamine use, 1,047 (12.2 percent) male admissions and 1,035 (22.5 percent) female admissions. Similarly, 6.3 percent (544) of male admissions and 9.3 (427) of female admissions reported cocaine use.

UNMET NEED FOR SUBSTANCE ABUSE TREATMENT IN IOWA

NSDUH 2003–2006 estimates that more than 1.16 million adolescents needed but did not receive treatment for illicit drug problems and more than 1.3 million needed but did not receive treatment for alcohol problems. NSDUH defines “unmet treatment need” as an individual who meets the criteria for abuse of or dependence on illicit drugs or alcohol according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), but who has not received specialty treatment for that problem in the past year.

In 2003–2006,
• Rates of the unmet need for past-year drug or alcohol treatment were similar between males and females in Iowa.

• 2,000 Iowa males (2.0 percent) and 4,000 females (3.5 percent) needed but did not receive treatment for past-year drug problems.

• 10,000 females (8.8 percent) and 8,000 males (6.8 percent) needed but did not receive treatment for past-year alcohol problems.

Sources:
Facility Data: National Survey of Substance Abuse Treatment Services (N-SSATS)–2006 is available at: http://www.dasis.samhsa.gov.

Center for Mental Health Services Uniform Reporting System Output Tables 2006 is available at: http://mentalhealth.samhsa. gov/cmhs/MentalHealthStatistics/URS2006.asp

Substance Abuse Treatment Data: Treatment Episode Data Set–Concatenated File–is available from the Substance Abuse and Mental Health Data Archive: http://www. icpsr.umich.edu/SDA/SAMHDA.

Mental Health Treatment Data: Center for Mental Health Services Uniform Reporting System Output Tables 2006 is available at: http://mentalhealth.samhsa.gov/cmhs/ MentalHealthStatistics/URS2006.asp.


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