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bulletNational data      bulletState level data       bulletMetropolitan and other subState area data

 

Substance Abuse in States and Metropolitan Areas:
Model Based Estimates from the 1991-1993 National Household Surveys on Drug Abuse

 

Appendices:

  • Appendix A - - Estimation of Drug and Alcohol Dependence
  • Appendix B - - Definition of 25 MSAs Selected for Small Area Estimation
  • Appendix C - - Confidence Intervals
  •  
     

    Appendix A: Estimation of Drug and Alcohol Dependence

    ESTIMATION OF DRUG AND ALCOHOL DEPENDENCE

    The Diagnostic and Statistical Manual of Mental Disorders, Revised Third Addition (DSM-III-R), published by the American Psychiatric Association is designed to be used by clinicians as well as researchers for making diagnosis of psychiatric disorders. Substance abuse and dependence are considered psychiatric disorders under DSM-III-R. DSM-III-R defines a person as dependent on a substance if they meet 3 out of 9 criteria for that substance. The method for estimating dependence from the NHSDA is based on the NHSDA questionnaire items that are assumed to approximate five of the nine DSM-III-R criteria. These five criteria include: unable to cut down on use; reduced social, occupational, or recreational activities; continued use despite knowledge of having a problem; tolerance; withdrawal. In the NHSDA algorithm, respondents are defined as dependent on a substance if they responded affirmatively to at least two of the five NHSDA criteria for that substance.

    To evaluate this method for estimating dependence, NHSDA dependence estimates were compared to estimates from the National Comorbidity Survey (NCS).1,2 Conducted in 1991, the NCS was designed to provide nationally representative estimates of 14 psychiatric disorders, including substance abuse and dependence, using a structured diagnostic interview. It employed a multistage area probability sample of 8,098 respondents in the household population.

    Based on this analysis it was concluded that the approximation to the DSM-III-R definition of drug dependence produces dependence estimates which are comparable to the NCS. The table below indicates estimates of dependence from the NHSDA from 1991 through 1993 and estimates of dependence from the NCS.

    Twelve Month Estimates of Dependence from the NCS and NHSDA

    (Old and New Methods) for Persons 15-54 Years of Age (1991-1994)

     

    DRUG

    NCS

    NHSDA

     

     

     

    1991

    1991

    1992

    1993

     

    Any Illicit

    1.8%

    1.8%

    1.4%

    1.5%

    Marijuana

    0.9

    1.2

    0.9

    0.9

    Cocaine

    0.4

    0.5

    0.4

    0.3

    Alcohol

    4.4

    5.7

    4.7

    5.2

    1This is included in a paper by Joan Epstein and Joe Gfroerer, A Method for Estimating Substance Abuse Treatment Need from a National Household Survey, that was presented at the 37th International Congress on Alcohol and Drug Dependence, August 20-25, 1995.

    2Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States. Results from the National Comorbidity Survey. R.C. Kessler, PhD; K.A.McGonagle, PhD; S. Zhao, PhD; C.B. Nelson, MPH; M. Hughes, PhD; S. Eshleman, MA; H.U. Wittchen, PhD; K.S.Kendler, MD. Arch Gen Psychiatry, Vol.51, P.P. 8-19, January 1994.

     

    Appendix B: Definition of 25 MSAs Selected for Small Area Estimation

     

    Appendix B. Definition of 25 MSAs Selected for Small Area Estimation:  1992 Population Projection

    Metropolitan Statistical Area Pop. Projection
       
    1. Anaheim-Santa Ana, CA  1,996,343
    California, Orange County  1,996,343
       
    2. Atlanta, GA  2,424,882
    Georgia, Barrow County  25,179
    Georgia, Butts County  12,970
    Georgia, Cherokee County  77,733
    Georgia, Clayton County  151,319
    Georgia, Cobb County  391,285
    Georgia, Coweta County  45,782
    Georgia, De Kalb County  463,515
    Georgia, Douglas County  59,987
    Georgia, Fayette County  55,556
    Georgia, Forsyth County  38,659
    Georgia, Fulton County  546,808
    Georgia, Gwinnett County  310,368
    Georgia, Henry County  51,116
    Georgia, Newton County  35,030
    Georgia, Paulding County  35,385
    Georgia, Rockdale County  46,428
    Georgia, Spalding County  45,367
    Georgia, Walton County  32,395
       
    3. Baltimore, MD  1,996,133
    Maryland, Anne Arundel County  357,569
    Maryland, Baltimore County  588,006
    Maryland, Carroll County  104,516
    Maryland, Harford County  153,125
    Maryland, Howard County  163,767
    Maryland, Queen Annes County  29,465
    Maryland, Baltimore City  599,685
       
    4. Boston, MA  3,144,871
    Massachusetts, Essex County  551,793
    Massachusetts, Middlesex County  1,170,799
    Massachusetts, Norfolk County  516,160
    Massachusetts, Plymouth County  355,370
    Massachusetts, Suffolk County  550,750
       
    5. Chicago, IL  4,981,375
    Illinois, Cook County  4,175,359
    Illinois, Du Page County  654,320
    Illinois, Mchenry County  151,696
       
    6. Dallas, TX  2,120,056
    Texas, Collin County  227,616
    Texas, Dallas County  1,518,374
    Texas, Denton County  237,971
    Texas, Ellis County  70,322
    Texas, Kaufman County  43,729
    Texas, Rockwall County  22,044
       
    7. Denver, CO  1,345,668
    Colorado, Adams County  211,897
    Colorado, Arapahoe County  329,437
    Colorado, Denver County  381,917
    Colorado, Douglas County  53,022
    Colorado, Jefferson County  369,394
       
    8. Detroit, MI  3,592,682
    Michigan, Lapeer County  60,050
    Michigan, Livingston County  96,340
    Michigan, Macomb County  603,448
    Michigan, Monroe County  107,869
    Michigan, Oakland County  909,637
    Michigan, St Clair County  119,365
    Michigan, Wayne County  1,695,974
       
    9. El Paso, TX  456,359
    Texas, El Paso County  456,359
       
    10. Houston, TX  2,661,181
    Texas, Fort Bend County  184,640
    Texas, Harris County  2,261,297
    Texas, Liberty County  42,903
    Texas, Montgomery County  152,654
    Texas, Waller County  19,687
       
    11. Los Angeles, CA  7,127,293
    California, Los Angeles County  7,127,293
       
    12. Miami-Hialeah, FL  1,600,103
    Florida, Dade County  1,600,103
       
    13. Minneapolis-St. Paul  2,035,347
    Minnesota, Anoka County  198,093
    Minnesota, Carver County  39,020
    Minnesota, Chisago County  24,780
    Minnesota, Dakota County  228,159
    Minnesota, Hennepin County  865,489
    Minnesota, Isanti County  20,829
    Minnesota, Ramsey County  398,328
    Minnesota, Scott County  47,001
    Minnesota, Washington County  118,214
    Minnesota, Wright County  54,470
    Wisconsin, St Croix County  40,963
       
    14. Nassau-Suffolk, NY  2,177,956
    New York, Nassau County  1,085,945
    New York, Suffolk County  1,092,011
       
    15. New York, NY  7,085,772
    New York, Bronx County  938,595
    New York, Kings County 1,873,534
    New York, New York County  1,283,134
    New York, Putnam County  69,880
    New York, Queens County  1,648,200
    New York, Richmond County  316,399
    New York, Rockland County 218,687
    New York, Westchester County  737,342
       
    16. Newark, NJ  1,499,843
    New Jersey, Essex County  628,943
    New Jersey, Morris County  353,820
    New Jersey, Sussex County  106,854
    New Jersey, Union County  410,225
       
    17. Oakland, CA 1,727,459 1,727,459
    California, Alameda County  1,054,766
    California, Contra Costa County  672,693
       
    18. Philadelphia, PA-NJ  4,036,961
    New Jersey, Burlington County  329,783
    New Jersey, Camden County  407,164
    New Jersey, Gloucester County  190,673
    Pennsylvania, Bucks County 456,745
    Pennsylvania, Chester County  320,513
    Pennsylvania, Delaware County  454,906
    Pennsylvania, Montgomery County  573,220
    Pennsylvania, Philadelphia County  1,303,956
       
    19. Phoenix, AZ 1,770,449
    Arizona, Maricopa County  1,770,449
       
    20. San Antonio, TX  1,040,318
    Texas, Bexar County 941,916
    Texas, Comal County  44,601
    Texas, Guadalupe County  53,801
       
    21. San Bernardino, CA  2,122,022
    California, Riverside County  978,288
    California, San Bernardino County  1,143,734
       
    22. San Diego, CA  2,089,322
    California, San Diego County  2,089,322
       
    23. St. Louis, MO-IL  2,006,385
    Illinois, Clinton County  28,060
    Illinois, Jersey County  16,844
    Illinois, Madison County  206,040
    Illinois, Monroe County  18,700
    Illinois, St Clair County 212,612
    Missouri, Franklin County 66,062
    Missouri, Jefferson County  139,312
    Missouri, St Charles County  177,308
    Missouri, St Louis County 826,259  
    Missouri, St Louis City 315,187  
       
    24. Tampa-St. Petersburg, FL  1,822,154
    Florida, Hernando County  97,648
    Florida, Hillsborough County  708,882
    Florida, Pasco County  258,574
    Florida, Pinellas County  757,050
       
    25. Washington, DC  3,345,080
    District of Columbia 513,842
    Maryland, Calvert County 43,912
    Maryland, Charles County  84,579
    Maryland, Frederick County  127,118
    Maryland, Montgomery County  651,746
    Maryland, Prince Georges County  611,812
    Virginia, Arlington County  151,317
    Virginia, Fairfax County  706,226
    Virginia, Loudoun County  73,193
    Virginia, Prince William County  178,043
    Virginia, Stafford County  51,577
    Virginia, Alexandria City  98,061
    Virginia, Fairfax City  16,699
    Virginia, Falls Church City  8,157
    Virginia, Manassas City  23,622
     

    Appendix C:  Estimated Percentage of Population with Substance Abuse Behaviors  and 95% Confidence Intervals for 25 MSAs  and 26 States:  Estimates Based on Data From the 1991-1993 NHSDA.

     

    Appendix C. Estimated Percentage of Population with Substance Abuse Behaviors for 25 MSAs. Estimates Based on Data From the 1991-1993 NHSDA. 95% Confidence Intervals

     

     

    MSA

    Licit Substance Use In Past Month

    Illicit Substance Use In Past Month

    Cigarette Use

    Alcohol Use

    Any Illicit Drug Use

    Any Illicit But Marijuana Use

    Cocaine Use

    Anaheim-Santa Ana, CA

    21.01

    (20.19-21.84)

    52.25

    (50.58-53.91)

    8.82

    (7.78-9.98)

    4.85

    (4.25-5.53)

    1.23

    (0.93-1.61)

    Atlanta, GA

    23.70

    (22.80-24.63)

    50.98

    (49.52-52.45)

    5.86

    (5.15-6.66)

    1.95

    (1.62-2.36)

    0.56

    (0.40-0.79)

    Baltimore, MD

    24.96

    (24.00-25.95)

    44.84

    (43.48-46.20)

    5.03

    (4.37-5.80)

    1.80

    (1.48-2.19)

    0.70

    (0.53-0.93)

    Boston, MA

    27.51

    (26.70-28.33)

    61.51

    (60.37-62.63)

    6.73

    (5.98-7.55)

    2.57

    (2.17-3.03)

    0.94

    (0.74-1.20)

    Chicago, IL

    24.73

    (24.42-25.04)

    53.82

    (53.49-54.16)

    5.53

    (5.34-5.72)

    2.34

    (2.23-2.45)

    0.94

    (0.87-1.02)

    Dallas, TX

    25.95

    (25.06-26.85)

    50.23

    (48.39-52.08)

    5.69

    (4.95-6.53)

    2.38

    (2.04-2.78)

    1.05

    (0.80-1.37)

    Denver, CO

    27.13

    (26.83-27.44)

    58.42

    (58.09-58.75)

    8.30

    (8.07-8.54)

    2.94

    (2.80-3.07)

    1.01

    (0.93-1.08)

    Detroit, MI

    26.52

    (25.61-27.46)

    54.17

    (52.79-55.54)

    5.50

    (4.83-6.25)

    1.38

    (1.12-1.71)

    0.60

    (0.45-0.81)

    El Paso, TX

    20.41

    (18.86-22.05)

    45.85

    (42.18-49.56)

    3.58

    (2.62-4.89)

    1.85

    (1.35-2.51)

    0.53

    (0.33-0.85)

    Houston, TX

    25.07

    (24.03-26.13)

    50.94

    (49.37-52.50)

    4.05

    (3.47-4.71)

    2.43

    (2.07-2.86)

    0.60

    (0.44-0.82)

    Los Angeles, CA

    21.82

    (21.54-22.11)

    49.34

    (49.01-49.68)

    6.68

    (6.48-6.89)

    2.72

    (2.60-2.84)

    0.90

    (0.84-0.97)

    Miami-Hialeah, FL

    20.88

    (20.60-21.17)

    44.40

    (44.05-44.75)

    3.75

    (3.59-3.92)

    2.26

    (2.15-2.37)

    0.89

    (0.82-0.96)

    Minneapolis-St. Paul, MN

    22.64

    (21.73-23.57)

    65.87

    (64.62-67.10)

    5.19

    (4.54-5.92)

    1.51

    (1.22-1.87)

    0.36

    (0.26-0.50)

    Nassau-Suffolk, NY

    20.22

    (19.38-21.08)

    59.60

    (58.36-60.84)

    6.57

    (5.84-7.38)

    1.99

    (1.65-2.41)

    0.37

    (0.28-0.49)

    New York, NY

    23.15

    (22.85-23.45)

    48.84

    (48.50-49.19)

    5.99

    (5.80-6.19)

    2.40

    (2.29-2.51)

    1.06

    (0.99-1.15)

    Newark, NJ

    24.10

    (23.10-25.13)

    62.17

    (60.45-63.85)

    6.20

    (5.39-7.11)

    1.91

    (1.60-2.28)

    1.37

    (0.98-1.92)

    Oakland, CA

    23.33

    (22.61-24.07)

    65.02

    (63.55-66.46)

    11.39

    (10.31-12.57)

    5.11

    (4.59-5.69)

    1.47

    (1.17-1.85)

    Philadelphia, PA-NJ

    25.89

    (25.20-26.59)

    59.13

    (58.06-60.19)

    5.72

    (5.11-6.40)

    2.22

    (1.94-2.55)

    0.64

    (0.51-0.81)

    Phoenix, AZ

    24.83

    (23.85-25.84)

    53.69

    (52.12-55.25)

    6.82

    (5.95-7.81)

    3.99

    (3.45-4.62)

    1.01

    (0.77-1.31)

    San Antonio, TX

    26.09

    (24.71-27.52)

    54.43

    (51.55-57.27)

    4.35

    (3.39-5.55)

    2.17

    (1.67-2.81)

    0.78

    (0.51-1.17)

    San Bernardino, CA

    23.32

    (22.39-24.27)

    49.12

    (47.64-50.60)

    7.42

    (6.62-8.32)

    4.60

    (4.07-5.20)

    0.64

    (0.49-0.84)

    San Diego, CA

    22.25

    (21.36-23.16)

    49.08

    (47.60-50.55)

    7.07

    (6.22-8.03)

    3.59

    (3.09-4.17)

    0.93

    (0.70-1.23)

    St. Louis, MO-IL

    25.27

    (24.52-26.03)

    55.02

    (53.73-56.30)

    5.19

    (4.56-5.90)

    2.53

    (2.21-2.88)

    0.95

    (0.75-1.21)

    Tampa-St. Petersburg, FL

    25.55

    (24.76-26.36)

    41.22

    (39.75-42.70)

    5.27

    (4.56-6.08)

    2.03

    (1.66-2.47)

    0.57

    (0.43-0.74)

    Washington, DC

    22.61

    (22.40-22.81)

    53.82

    (53.59-54.05)

    5.38

    (5.26-5.51)

    2.58

    (2.50-2.67)

    1.03

    (0.98-1.08)

    Appendix C. Estimated Percentage of Population with Substance Abuse Behaviors for 25 MSAs. Estimates Based on Data From the 1991-1993 NHSDA. 95% Confidence Intervals (Continued)

     

     

    MSA

    Past Year Dependence

    Past Year Treatment

    Past Year Arrest

    Dependent On Illicit Drugs

    Dependent On Alcohol

    Received Treatment For Illicit Drug Use

    Received Treatment For Alcohol Use

    Needed Treatment For Illicit Drug Use

    Anaheim-Santa Ana, CA

    2.17

    (1.88-2.51)

    6.01

    (5.37-6.72)

    1.01

    (0.77-1.31)

    0.55

    (0.39-0.78)

    4.45

    (3.91-5.06)

    1.53

    (1.20-1.94)

    Atlanta, GA

    1.24

    (1.06-1.45)

    4.47

    (3.84-5.20)

    0.74

    (0.60-0.91)

    0.38

    (0.27-0.55)

    4.83

    (4.21-5.53)

    1.74

    (1.52-1.98)

    Baltimore, MD

    0.89

    (0.75-1.05)

    2.15

    (1.74-2.65)

    0.58

    (0.45-0.75)

    0.45

    (0.32-0.65)

    2.28

    (1.90-2.73)

    1.30

    (1.11-1.52)

    Boston, MA

    1.68

    (1.46-1.92)

    4.38

    (3.83-5.01)

    0.97

    (0.77-1.22)

    2.18

    (1.69-2.81)

    3.88

    (3.41-4.41)

    1.66

    (1.39-1.98)

    Chicago, IL

    0.89

    (0.82-0.97)

    3.46

    (3.33-3.60)

    0.53

    (0.49-0.59)

    0.71

    (0.66-0.77)

    2.75

    (2.63-2.88)

    1.51

    (1.41-1.62)

    Dallas, TX

    1.63

    (1.45-1.84)

    3.31

    (2.80-3.91)

    0.65

    (0.53-0.80)

    0.45

    (0.31-0.66)

    2.47

    (2.10-2.90)

    1.55

    (1.31-1.82)

    Denver, CO

    1.26

    (1.16-1.37)

    4.57

    (4.41-4.73)

    0.63

    (0.57-0.70)

    0.96

    (0.89-1.04)

    3.83

    (3.68-3.99)

    2.26

    (2.12-2.40)

    Detroit, MI

    1.18

    (1.02-1.37)

    3.59

    (3.11-4.14)

    0.78

    (0.66-0.92)

    0.51

    (0.38-0.69)

    3.58

    (3.15-4.06)

    1.77

    (1.53-2.04)

    El Paso, TX

    0.79

    (0.57-1.08)

    3.66

    (2.59-5.13)

    0.55

    (0.36-0.85)

    0.53

    (0.28-1.03)

    2.50

    (1.92-3.25)

    1.62

    (1.20-2.19)

    Houston, TX

    2.10

    (1.87-2.37)

    1.96

    (1.53-2.50)

    0.81

    (0.68-0.98)

    0.71

    (0.53-0.94)

    3.86

    (3.40-4.37)

    1.56

    (1.32-1.84)

    Los Angeles, CA

    1.50

    (1.39-1.61)

    7.13

    (6.96-7.31)

    0.75

    (0.65-0.88)

    0.50

    (0.46-0.55)

    4.04

    (3.89-4.20)

    1.85

    (1.74-1.97)

    Miami-Hialeah, FL

    0.74

    (0.67-0.82)

    2.04

    (1.94-2.14)

    0.56

    (0.44-0.72)

    0.48

    (0.44-0.52)

    2.16

    (2.04-2.29)

    1.22

    (1.13-1.32)

    Minneapolis-St. Paul, MN

    1.15

    (0.99-1.34)

    3.45

    (2.93-4.06)

    0.93

    (0.75-1.16)

    0.93

    (0.65-1.34)

    2.38

    (2.04-2.78)

    1.77

    (1.50-2.08)

    Nassau-Suffolk, NY

    1.00

    (0.85-1.17)

    1.10

    (0.83-1.44)

    0.64

    (0.49-0.83)

    0.50

    (0.36-0.68)

    1.87

    (1.56-2.24)

    1.14

    (0.93-1.40)

    New York, NY

    0.94

    (0.85-1.02)

    1.77

    (1.68-1.87)

    0.66

    (0.52-0.84)

    0.26

    (0.23-0.29)

    2.50

    (2.38-2.63)

    0.79

    (0.72-0.87)

    Newark, NJ

    1.43

    (1.24-1.65)

    2.50

    (2.00-3.12)

    0.89

    (0.74-1.07)

    0.77

    (0.59-1.01)

    1.90

    (1.56-2.31)

    1.40

    (1.10-1.77)

    Oakland, CA

    2.98

    (2.68-3.31)

    3.88

    (3.24-4.65)

    1.37

    (1.19-1.57)

    2.07

    (1.69-2.53)

    5.22

    (4.63-5.87)

    1.94

    (1.64-2.28)

    Philadelphia, PA-NJ

    0.98

    (0.85-1.13)

    2.82

    (2.45-3.25)

    0.82

    (0.71-0.95)

    0.61

    (0.47-0.78)

    2.99

    (2.67-3.33)

    1.37

    (1.20-1.57)

    Phoenix, AZ

    1.55

    (1.37-1.75)

    3.61

    (3.04-4.28)

    0.65

    (0.53-0.80)

    0.67

    (0.46-0.98)

    3.14

    (2.68-3.68)

    1.48

    (1.12-1.96)

    San Antonio, TX

    1.38

    (1.19-1.61)

    2.53

    (1.69-3.76)

    0.53

    (0.37-0.74)

    0.42

    (0.22-0.79)

    2.90

    (2.20-3.81)

    1.60

    (1.30-1.96)

    San Bernardino, CA

    2.09

    (1.82-2.39)

    3.92

    (3.42-4.50)

    1.15

    (0.96-1.37)

    1.19

    (0.89-1.59)

    3.84

    (3.35-4.39)

    2.41

    (2.01-2.89)

    San Diego, CA

    1.38

    (1.15-1.65)

    2.99

    (2.51-3.56)

    0.74

    (0.56-0.98)

    0.52

    (0.34-0.79)

    3.19

    (2.75-3.71)

    2.18

    (1.82-2.60)

    St. Louis, MO-IL

    0.96

    (0.85-1.09)

    2.46

    (2.09-2.90)

    0.74

    (0.62-0.87)

    0.62

    (0.45-0.85)

    2.75

    (2.37-3.19)

    2.09

    (1.77-2.45)

    Tampa-St. Petersburg, FL

    0.98

    (0.84-1.13)

    2.10

    (1.67-2.63)

    0.66

    (0.55-0.80)

    0.41

    (0.29-0.60)

    2.08

    (1.76-2.45)

    1.44

    (1.22-1.70)

    Washington, DC

    1.07

    (1.02-1.13)

    3.59

    (3.49-3.69)

    0.56

    (0.51-0.60)

    0.87

    (0.83-0.92)

    2.66

    (2.58-2.75)

    1.33

    (1.27-1.40)

    Appendix C. Estimated Number of Persons with Substance Abuse Behaviors for 26 States. Estimates Based on Data From the 1991-1993 NHSDA. 95% Confidence Intervals

     

     

    State

    Licit Substance Use In Past Month

    Illicit Substance Use In Past Month

    Cigarette Use

    Alcohol Use

    Any Illicit Drug Use

    Any Illicit But Mrj Use

    Cocaine Use

    Total United States

    52,444

    (52,084-52,805)

    102,802

    (101,582-104,022)

    12,015

    (11,712-12,326)

    5,031

    (4,878-5,189)

    1,647

    (1,552-1,747)

    North East Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    New Jersey

    1,581

    (1,529-1,635)

    3,631

    (3,507-3,754)

    348

    (312-388)

    122

    (106-141)

    65

    (51-81)

    New York

    3,534

    (3,466-3,602)

    7,948

    (7,701-8,193)

    959

    (896-1,026)

    352

    (326-381)

    122

    (110-136)

    Pennsylvania

    2,672

    (2,612-2,733)

    5,203

    (4,983-5,423)

    505

    (458-556)

    203

    (180-229)

    59

    (48-72)

    South Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Florida

    2,744

    (2,683-2,805)

    5,164

    (4,944-5,386)

    557

    (509-610)

    225

    (201-252)

    78

    (65-93)

    Georgia

    1,433

    (1,384-1,484)

    2,454

    (2,307-2,603)

    317

    (273-366)

    111

    (94-131)

    32

    (23-45)

    Kentucky

    960

    (930-989)

    1,174

    (1,082-1,268)

    138

    (120-159)

    51

    (42-61)

    14

    (10-19)

    Louisiana

    872

    (835-909)

    1,551

    (1,463-1,640)

    148

    (128-172)

    68

    (57-81)

    27

    (20-38)

    North Carolina

    1,501

    (1,461-1,541)

    2,468

    (2,321-2,618)

    330

    (297-366)

    101

    (87-117)

    33

    (26-42)

    Oklahoma

    690

    (664-717)

    962

    (880-1,047)

    178

    (154-207)

    106

    (95-119)

    14

    (11-19)

    South Carolina

    851

    (814-889)

    1,280

    (1,177-1,386)

    147

    (122-176)

    49

    (40-60)

    19

    (13-29)

    Tennessee

    1,215

    (1,167-1,264)

    1,573

    (1,437-1,713)

    187

    (157-222)

    79

    (66-94)

    39

    (29-53)

    Texas

    3,601

    (3,502-3,702)

    6,724

    (6,472-6,977)

    767

    (695-845)

    308

    (271-349)

    108

    (87-135)

    Virginia

    1,307

    (1,270-1,345)

    2,514

    (2,391-2,637)

    290

    (259-326)

    141

    (128-156)

    65

    (52-82)

    West Virginia

    458

    (441-476)

    545

    (492-601)

    63

    (54-74)

    21

    (17-26)

    8

    (6-11)

    North Central Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Illinois

    2,434

    (2,382-2,488)

    4,749

    (4,594-4,903)

    435

    (409-463)

    182

    (167-197)

    65

    (57-73)

    Indiana

    1,123

    (1,086-1,161)

    2,039

    (1,895-2,184)

    206

    (181-234)

    85

    (72-100)

    23

    (17-31)

    Kansas

    485

    (464-508)

    1,057

    (992-1,121)

    101

    (86-118)

    64

    (56-73)

    15

    (12-20)

    Michigan

    2,052

    (1,989-2,116)

    3,978

    (3,760-4,194)

    420

    (372-474)

    118

    (98-141)

    47

    (36-61)

    Minnesota

    807

    (776-839)

    2,098

    (1,994-2,200)

    165

    (144-190)

    49

    (41-60)

    12

    (8-16)

    Missouri

    1,065

    (1,032-1,098)

    2,134

    (2,021-2,246)

    210

    (185-239)

    119

    (106-135)

    38

    (30-47)

    Ohio

    2,612

    (2,552-2,672)

    4,372

    (4,159-4,585)

    481

    (436-530)

    226

    (203-251)

    70

    (58-84)

    Wisconsin

    945

    (905-987)

    2,215

    (2,070-2,357)

    164

    (141-190)

    78

    (66-91)

    34

    (26-45)

    West Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    California

    5,559

    (5,466-5,652)

    12,877

    (12,693-13,061)

    2,004

    (1,913-2,099)

    951

    (897-1,007)

    237

    (210-268)

    New Mexico

    341

    (321-362)

    597

    (560-635)

    93

    (77-112)

    43

    (35-52)

    10

    (7-15)

    Oregon

    612

    (590-634)

    1,253

    (1,171-1,335)

    170

    (150-191)

    79

    (69-91)

    9

    (7-12)

    Washington

    971

    (934-1,010)

    2,230

    (2,114-2,345)

    248

    (218-283)

    131

    (112-153)

    19

    (14-26)

     

    MSA

    Licit Substance Use In Past Month

    Illicit Substance Use In Past Month

    Cigarette Use

    Alcohol Use

    Any Illicit Drug Use

    Any Illicit But Mrj Use

    Cocaine Use

    Anaheim-Santa Ana, CA

    419

    (403-436)

    1,043

    (1,010-1,076)

    176

    (155-199)

    97

    (85-110)

    25

    (19-32)

    Atlanta, GA

    575

    (553-597)

    1,236

    (1,201-1,272)

    142

    (125-161)

    47

    (39-57)

    14

    (10-19)

    Baltimore, MD

    498

    (479-518)

    895

    (868-922)

    100

    (87-116)

    36

    (29-44)

    14

    (11-18)

    Boston, MA

    865

    (840-891)

    1,934

    (1,899-1,970)

    212

    (188-238)

    81

    (68-95)

    30

    (23-38)

    Chicago, IL

    1,232

    (1,217-1,247)

    2,681

    (2,664-2,698)

    275

    (266-285)

    117

    (111-122)

    47

    (44-51)

    Dallas, TX

    550

    (531-569)

    1,065

    (1,026-1,104)

    121

    (105-139)

    51

    (43-59)

    22

    (17-29)

    Denver, CO

    365

    (361-369)

    786

    (782-791)

    112

    (109-115)

    40

    (38-41)

    14

    (13-15)

    Detroit, MI

    953

    (920-987)

    1,946

    (1,897-1,995)

    197

    (173-225)

    50

    (40-61)

    22

    (16-29)

    El Paso, TX

    93

    (86-101)

    209

    (192-226)

    16

    (12-22)

    8

    (6-11)

    2

    (2-4)

    Houston, TX

    667

    (640-695)

    1,355

    (1,314-1,397)

    108

    (92-125)

    65

    (55-76)

    16

    (12-22)

    Los Angeles, CA

    1,555

    (1,535-1,576)

    3,517

    (3,493-3,541)

    476

    (462-491)

    194

    (185-203)

    65

    (60-69)

    Miami-Hialeah, FL

    334

    (330-339)

    710

    (705-716)

    60

    (57-63)

    36

    (34-38)

    14

    (13-15)

    Minneapolis-St. Paul, MN

    461

    (442-480)

    1,341

    (1,315-1,366)

    106

    (92-120)

    31

    (25-38)

    7

    (5-10)

    Nassau-Suffolk, NY

    440

    (422-459)

    1,298

    (1,271-1,325)

    143

    (127-161)

    43

    (36-52)

    8

    (6-11)

    New York, NY

    1,640

    (1,619-1,662)

    3,461

    (3,437-3,485)

    425

    (411-439)

    170

    (163-178)

    75

    (70-81)

    Newark, NJ

    361

    (346-377)

    932

    (907-958)

    93

    (81-107)

    29

    (24-34)

    21

    (15-29)

    Oakland, CA

    403

    (391-416)

    1,123

    (1,098-1,148)

    197

    (178-217)

    88

    (79-98)

    25

    (20-32)

    Philadelphia, PA-NJ

    1,045

    (1,017-1,073)

    2,387

    (2,344-2,430)

    231

    (206-258)

    90

    (78-103)

    26

    (21-33)

    Phoenix, AZ

    440

    (422-457)

    951

    (923-978)

    121

    (105-138)

    71

    (61-82)

    18

    (14-23)

    San Antonio, TX

    271

    (257-286)

    566

    (536-596)

    45

    (35-58)

    23

    (17-29)

    8

    (5-12)

    San Bernardino, CA

    495

    (475-515)

    1,042

    (1,011-1,074)

    158

    (140-177)

    98

    (86-110)

    14

    (10-18)

    San Diego, CA

    465

    (446-484)

    1,025

    (995-1,056)

    148

    (130-168)

    75

    (65-87)

    19

    (15-26)

    St. Louis, MO-IL

    507

    (492-522)

    1,104

    (1,078-1,130)

    104

    (91-118)

    51

    (44-58)

    19

    (15-24)

    Tampa-St. Petersburg, FL

    466

    (451-480)

    751

    (724-778)

    96

    (83-111)

    37

    (30-45)

    10

    (8-13)

    Washington, DC

    756

    (749-763)

    1,800

    (1,793-1,808)

    180

    (176-184)

    86

    (84-89)

    34

    (33-36)

    Appendix C. Estimated Number of Persons with Substance Abuse Behaviors for 26 States. Estimates Based on Data From the 1991-1993 NHSDA. 95% Confidence Intervals

     

     

    State

    Past Year Dependence

    Past Year Treatment

    Past Year Arrest

    Dependent On Illicit Drugs

    Dependent On Alcohol

    Received Treatment For Illicit Drug Use

    Received Treatment For Alcohol Use

    Needed Treatment For Illicit Drug Use

    Total United States

    2,549

    (2,444-2,658)

    6,350

    (6,126-6,582)

    1,447

    (1,365-1,533)

    1,429

    (1,336-1,529)

    5,877

    (5,690-6,071)

    3,689

    (3,549-3,835)

    North East Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    New Jersey

    81

    (72-92)

    160

    (138-185)

    44

    (36-53)

    41

    (32-53)

    131

    (114-151)

    87

    (75-100)

    New York

    162

    (149-175)

    301

    (270-334)

    95

    (82-111)

    62

    (50-76)

    367

    (340-395)

    196

    (180-213)

    Pennsylvania

    87

    (78-98)

    275

    (240-315)

    55

    (47-65)

    68

    (55-85)

    217

    (194-243)

    128

    (115-142)

    South Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Florida

    105

    (94-117)

    266

    (233-303)

    78

    (67-90)

    65

    (53-79)

    277

    (248-309)

    181

    (166-197)

    Georgia

    66

    (58-75)

    197

    (164-235)

    39

    (32-47)

    25

    (18-34)

    206

    (176-240)

    136

    (123-150)

    Kentucky

    28

    (24-31)

    63

    (53-75)

    17

    (14-21)

    15

    (11-20)

    69

    (59-81)

    51

    (45-57)

    Louisiana

    34

    (29-39)

    133

    (112-158)

    22

    (18-26)

    20

    (14-28)

    94

    (77-114)

    79

    (70-89)

    North Carolina

    64

    (58-72)

    144

    (125-166)

    36

    (30-43)

    28

    (22-36)

    136

    (119-154)

    95

    (86-105)

    Oklahoma

    39

    (34-43)

    104

    (85-126)

    22

    (18-27)

    38

    (25-58)

    97

    (79-119)

    35

    (30-41)

    South Carolina

    35

    (30-40)

    89

    (71-111)

    15

    (12-19)

    16

    (11-24)

    63

    (50-78)

    53

    (46-61)

    Tennessee

    38

    (33-43)

    85

    (70-103)

    25

    (21-29)

    22

    (15-31)

    86

    (71-104)

    87

    (75-99)

    Texas

    202

    (182-225)

    463

    (405-528)

    84

    (71-100)

    95

    (75-119)

    421

    (376-472)

    254

    (228-282)

    Virginia

    58

    (53-64)

    158

    (138-182)

    34

    (29-40)

    32

    (26-39)

    152

    (133-174)

    80

    (73-89)

    West Virginia

    13

    (11-15)

    32

    (26-39)

    7

    (6-9)

    11

    (8-15)

    32

    (27-39)

    19

    (17-22)

    North Central Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Illinois

    82

    (76-89)

    289

    (265-315)

    50

    (45-55)

    62

    (52-73)

    218

    (201-235)

    162

    (147-178)

    Indiana

    45

    (40-50)

    98

    (83-117)

    24

    (20-28)

    30

    (23-41)

    91

    (78-105)

    105

    (95-117)

    Kansas

    23

    (20-25)

    70

    (58-86)

    13

    (11-16)

    17

    (12-25)

    55

    (45-67)

    48

    (42-55)

    Michigan

    82

    (73-93)

    256

    (215-304)

    58

    (50-68)

    53

    (40-71)

    232

    (200-269)

    151

    (136-168)

    Minnesota

    36

    (31-41)

    112

    (92-135)

    30

    (25-37)

    29

    (21-39)

    78

    (66-93)

    60

    (52-68)

    Missouri

    43

    (39-48)

    91

    (77-108)

    30

    (25-35)

    29

    (21-39)

    138

    (119-159)

    89

    (78-100)

    Ohio

    86

    (78-95)

    244

    (211-281)

    63

    (53-74)

    72

    (57-91)

    229

    (204-256)

    202

    (184-221)

    Wisconsin

    40

    (35-44)

    118

    (97-145)

    25

    (21-29)

    24

    (18-32)

    97

    (80-117)

    62

    (52-72)

    West Region

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    California

    464

    (433-498)

    1,186

    (1,124-1,251)

    236

    (213-262)

    198

    (172-228)

    1,029

    (971-1,090)

    524

    (483-568)

    New Mexico

    19

    (17-22)

    44

    (35-55)

    9

    (7-12)

    11

    (7-19)

    40

    (31-50)

    32

    (25-40)

    Oregon

    48

    (43-53)

    66

    (56-78)

    22

    (18-26)

    15

    (10-20)

    53

    (46-62)

    45

    (39-52)

    Washington

    80

    (71-90)

    144

    (120-172)

    35

    (29-41)

    21

    (15-29)

    145

    (123-171)

    78

    (66-93)

     

    MSAs

    Past Year Dependence

    Past Year Treatment

    Past Year Arrest

    Dependent On Illicit Drugs

    Dependent On Alcohol

    Received Treatment For Illicit Drug Use

    Received Treatment For Alcohol Use

    Needed Treatment For Illicit Drug Use

    Anaheim-Santa Ana, CA

    43

    (38-50)

    120

    (107-134)

    20

    (15-26)

    11

    (8-16)

    89

    (78-101)

    31

    (24-39)

    Atlanta, GA

    30

    (26-35)

    108

    (93-126)

    18

    (14-22)

    9

    (7-13)

    117

    (102-134)

    42

    (37-48)

    Baltimore, MD

    18

    (15-21)

    43

    (35-53)

    12

    (9-15)

    9

    (6-13)

    45

    (38-54)

    26

    (22-30)

    Boston, MA

    53

    (46-60)

    138

    (120-157)

    30

    (24-38)

    69

    (53-88)

    122

    (107-139)

    52

    (44-62)

    Chicago, IL

    45

    (41-49)

    172

    (166-179)

    27

    (24-29)

    36

    (33-38)

    137

    (131-144)

    75

    (70-81)

    Dallas, TX

    35

    (31-39)

    70

    (59-83)

    14

    (11-17)

    10

    (7-14)

    52

    (44-61)

    33

    (28-39)

    Denver, CO

    17

    (16-18)

    61

    (59-64)

    9

    (8-9)

    13

    (12-14)

    52

    (50-54)

    30

    (29-32)

    Detroit, MI

    42

    (37-49)

    129

    (112-149)

    28

    (24-33)

    18

    (14-25)

    129

    (113-146)

    63

    (55-73)

    El Paso, TX

    4

    (3-5)

    17

    (12-23)

    3

    (2-4)

    2

    (1-5)

    11

    (9-15)

    7

    (5-10)

    Houston, TX

    56

    (50-63)

    52

    (41-66)

    22

    (18-26)

    19

    (14-25)

    103

    (90-116)

    41

    (35-49)

    Los Angeles, CA

    107

    (99-115)

    508

    (496-521)

    54

    (46-63)

    36

    (33-39)

    288

    (277-300)

    132

    (124-141)

    Miami-Hialeah, FL

    12

    (11-13)

    33

    (31-34)

    9

    (7-11)

    8

    (7-8)

    35

    (33-37)

    20

    (18-21)

    Minneapolis-St. Paul, MN

    23

    (20-27)

    70

    (60-83)

    19

    (15-24)

    19

    (13-27)

    49

    (42-57)

    36

    (31-42)

    Nassau-Suffolk, NY

    22

    (19-25)

    24

    (18-31)

    14

    (11-18)

    11

    (8-15)

    41

    (34-49)

    25

    (20-30)

    New York, NY

    66

    (61-73)

    125

    (119-132)

    47

    (37-59)

    18

    (16-21)

    177

    (168-186)

    56

    (51-62)

    Newark, NJ

    21

    (19-25)

    38

    (30-47)

    13

    (11-16)

    12

    (9-15)

    28

    (23-35)

    21

    (17-27)

    Oakland, CA

    51

    (46-57)

    67

    (56-80)

    24

    (21-27)

    36

    (29-44)

    90

    (80-101)

    33

    (28-39)

    Philadelphia, PA-NJ

    40

    (34-46)

    114

    (99-131)

    33

    (29-38)

    25

    (19-32)

    121

    (108-135)

    55

    (48-63)

    Phoenix, AZ

    27

    (24-31)

    64

    (54-76)

    12

    (9-14)

    12

    (8-17)

    56

    (48-65)

    26

    (20-35)

    San Antonio, TX

    14

    (12-17)

    26

    (18-39)

    5

    (4-8)

    4

    (2-8)

    30

    (23-40)

    17

    (14-20)

    San Bernardino, CA

    44

    (39-51)

    83

    (72-95)

    24

    (20-29)

    25

    (19-34)

    81

    (71-93)

    51

    (43-61)

    San Diego, CA

    29

    (24-35)

    62

    (52-74)

    15

    (12-20)

    11

    (7-16)

    67

    (57-78)

    45

    (38-54)

    St. Louis, MO-IL

    19

    (17-22)

    49

    (42-58)

    15

    (12-18)

    12

    (9-17)

    55

    (47-64)

    42

    (36-49)

    Tampa-St. Petersburg, FL

    18

    (15-21)

    38

    (30-48)

    12

    (10-15)

    8

    (5-11)

    38

    (32-45)

    26

    (22-31)

    Washington, DC

    36

    (34-38)

    120

    (117-124)

    19

    (17-20)

    29

    (28-31)

    89

    (86-92)

    45

    (42-47)

     

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