2016 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY October 4, 2016 1

Presentation Outline 1. Methodology 2. ATOD prevalence rate comparisons 3. Three key findings from the 2002-2016 FYSAS 4. ATOD trend summary 5. Special FYSAS topics 2

Methodology Survey administration: February of 2016  Sampling strategy: schools were selected to generate  statistically representative state-level and county-level estimates  Students surveyed in all 67 Florida counties Final sample size was 65,776 across grades 6 through  12 The margin of error is less than 1.0 percentage point  for M.S. and H.S. prevalence rates 3

Survey Validation 3,391 respondents (4.9%) identified and eliminated by one or more of five validation tests:  ATOD exaggeration—1,085  Antisocial behavior exaggeration—500  Inconsistency—1,249  Fictitious drug—1,756  No response for more than 75% of the survey questions—1,100 4

ATOD Prevalence Rate Comparisons Lifetime prevalence—one or more  uses in student’s lifetime  Indicates percentage of students who have tried or experimented Past-30-day prevalence—one or more  uses in past 30 days  Indicates percentage of students who are current users 5

Lifetime Prevalence Middle School 100% 80% 60% 40% 21.8 14.6 20% 8.0 7.0 6.4 3.3 3.2 2.2 1.3 1.0 0.8 0.7 0.6 0.5 0.4 0% 6

Lifetime Prevalence High School 100% 80% 60% 51.4 40% 33.9 31.7 18.5 15.9 20% 6.5 5.8 5.3 4.9 4.8 4.7 4.6 3.0 2.5 1.0 0.8 0.8 0.5 0.4 0% 7

Past-30-Day Prevalence Middle School 100% 80% 60% 40% 20% 8.3 5.1 3.2 3.2 2.2 1.8 1.6 1.4 0.8 0.5 0.3 0.3 0.3 0.3 0.2 0.1 0% Past Two Weeks 8

Past-30-Day Prevalence High School 100% 80% 60% 40% 25.5 17.0 20% 12.8 10.9 4.8 2.4 2.1 2.0 1.6 1.4 1.2 1.0 0.8 0.8 0.5 0.4 0.2 0.2 0% 9 Past Two Weeks

Key Long-T erm Finding #1  Reduced alcohol use  Higher-risk alcohol use also down  Reduced cigarette use  Early initiation becoming less common 10

Changes Have Been:  Dramatic  Falling by nearly half or more than half for most indicators  Continuous  Reductions in the majority of survey years, trend line continuing down  Widespread  Occurring across demographic groups 11

Alcohol Past-30-Day Prevalence by Grade Cohort 50% 42.0 40.8 40% 30% 28.4 25.5 20.3 19.7 20% 10% 10.1 8.3 0% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School High School 12

Alcohol Past-30-Day Prevalence for 8th, 10th and 12th Graders 50% 39.4 40.2 40% 32.1 34.5 30% 26.6 23.3 23.3 22.2 20% 10% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 MTF FYSAS 13

Early Alcohol Use Initiation by Age 13—High School 40% 37.7 30% 21.8 20% 19.4 10% 7.3 3.9 3.5 0% 2002 2004 2006 2008 2010 2012 2014 2016 Try Alcohol Regular Alcohol Use 14

Binge Drinking Prevalence by Grade Cohort 40% 30% 23.0 22.3 20% 13.7 8.6 10.9 10% 3.9 3.2 0% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School High School 15

Binge Drinking Prevalence for 8th, 10th and 12th Graders 30% 25% 22.4 21.9 20% 18.0 19.7 15% 12.6 12.0 10% 10.9 9.9 5% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 MTF FYSAS 16

Cigarettes Past-30-Day Prevalence by Grade Cohort 25% 20% 14.9 15% 10% 7.1 7.1 5% 4.8 2.0 1.4 0% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School High School 17

Cigarettes Past-30-Day Prevalence for 8th, 10th and 12th Graders 25% 20% 18.4 15% 14.7 10% 8.3 7.1 6.6 5% 4.6 0% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 MTF FYSAS 18

Early Cigarette Use Initiation by Age 13—High School 50% 40% 31.4 30% 20% 11.9 10% 9.3 0% 2002 2004 2006 2008 2010 2012 2014 2016 Smoked a Cigarette, Even Just a Puff 19

Key Long-T erm Finding #2 All illicit drugs (other than marijuana)  show reductions in use over the long term Almost all illicit drugs (other than  marijuana) show reductions in use since 2014 Reductions not as large as alcohol and  cigarettes 20

Use of Any Illicit Drug (Other than Marijuana) Past-30-Day Prevalence by Grade Cohort 15% 10.9 10.6 10% 9.6 8.5 7.7 6.2 5% 5.6 0% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School High School 21

Inhalants Past-30-Day Prevalence by Grade Cohort 15% 10% 6.6 5.1 5% 3.1 2.8 2.2 1.3 2.3 1.2 0% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School High School 22

Inhalants Past-30-Day Prevalence for 8th Graders 10% 8% 6.2 6% 5.2 4.5 4% 3.8 3.1 2% 1.5 1.3 1.3 0% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 MTF FYSAS 23

Synthetic Marijuana Lifetime and Past-30-Day Prevalence among High School Students 20% 15% 13.0 11.9 10.4 10% 8.8 6.2 4.9 4.3 5% 3.3 1.8 1.4 1.0 1.0 0% 2011 2012 2013 2014 2015 2016 2011 2012 2013 2014 2015 2016 Lifetime Prevalence Past-30-Day Prevalence 24

Key Long-T erm Finding #3  Marijuana trend different than other ATODs  Short-term reduction in use, but long-term pattern is mixed  Attitudes toward marijuana use are different than other ATODs 25

Marijuana Past-30-Day Prevalence by Grade Cohort 25% 20% 17.2 18.6 18.6 17.0 15% 10% 5.9 5.7 5% 4.2 3.2 0% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School High School 26

Marijuana Past-30-Day Prevalence for 8th, 10th and 12th Graders 25% 20% 16.5 15.7 15% 15.9 14.8 14.4 14.2 10% 5% 0% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 MTF FYSAS 27

Early Marijuana Use Initiation by Age 13—High School 30% 20% 13.4 11.4 10.6 10.6 10% 0% 2002 2004 2006 2008 2010 2012 2014 2016 Smoked Marijuana 28

Risk of Harm Percentage Reporting “Great Risk” 80% 69.1 68.4 63.7 60% 42.5 42.8 38.5 40% 32.5 30.0 25.3 24.9 20% 2002 2004 2006 2008 2010 2012 2014 2016 Alcohol Cigarettes Try Marijuana 29

Disapproval of ATOD Use “Wrong” or “Very Wrong” 100% 91.0 90% 88.6 79.9 80% 74.7 74.0 77.9 73.8 73.2 70% 66.4 62.8 60% 50% 2002 2004 2006 2008 2010 2012 2014 2016 Cigarettes Alcohol Marijuana 30

Overall ATOD Use  Dramatic reductions since 2004  Rate of decline has increased since 2010  Reductions occurring in both M.S. and H.S. 31

Use of Alcohol, T obacco, or Any Illicit Drug Past-30-Day Prevalence Among Middle School Students 35% 30% 27.5 26.7 25% 20% Middle School 2004-2016 15% Percentage Point Decrease = 14.8 15.0 12.7 10% 2002 2004 2006 2008 2010 2012 2014 2016 Middle School 32

Use of Alcohol, T obacco, or Any Illicit Drug Past-30-Day Prevalence Among High School Students 55% 50% 48.0 46.6 45% 40% 37.3 High School 2004-2016 35% Percentage Point Decrease = 14.7 33.3 30% 2002 2004 2006 2008 2010 2012 2014 2016 High School 33

Students Reporting No ATOD Use in the Past 30 Days 90% 87.3 85.0 Middle School 2004-2016 Percentage Point Increase = 14.8 80% 73.3 72.5 70% 60% 2002 2004 2006 2008 2010 2012 2014 2016 34 Middle School

Students Reporting No ATOD Use in the Past 30 Days 70% 66.7 High School 2004-2016 62.7 Percentage Point Increase = 14.7 60% 53.4 50% 52.0 40% 2002 2004 2006 2008 2010 2012 2014 2016 High School 35

Percentage Point Change 2014-2016 Past-30-Day Prevalence 2% 0.3 0.0 0.0 0% -0.1 -0.1 -0.1 -0.1 -0.1 -0.1 -0.3 -0.4 -0.5 -1.2 -1.5 -2% -1.8 -2.2 -4% -6% 36 High School Only

Percentage Point Change 2002-2016 Past-30-Day Prevalence 5% 0% -0.4 -0.2 -0.5 -0.2 -0.9 -1.1 -1.7 -2.0 -5% -8.0 -8.3 -10% -12.9 -15% -20% 37

Special FYSAS T opics ATOD Use and Driving ATOD Use by Gender/Race/Ethnicity Symptoms of Depression ATOD Use at School 38

ATODs and Driving Past-30-Day Prevalence Among High School Students 60% 40% 22.7 16.4 20% 10.3 5.4 0% Riding with a DUI Driver Driving Under the Influence Alcohol Marijuana 39

ATODs and Driving Trends Past-30-Day Prevalence Among High School Students 60% 40% 25.4 23.5 22.7 21.4 18.1 20% 16.4 11.2 10.9 10.3 8.1 6.6 5.4 0% 2012 2014 2016 2012 2014 2016 2012 2014 2016 2012 2014 2016 Riding with Riding with Driving Driving Drinking Marijuana after after Marijuana Driver Driver Drinking 40

Riding with a Drinking Driver Past-30-Day Prevalence Among Non-Drinkers and Drinkers 100% 80% 60% 40% 33.5 20% 10.2 0% Non-Drinkers Drinkers 41

Riding with a Marijuana-Using Driver Past-30-Day Prevalence Among Non-Users and Users 100% 80% 71.9 60% 40% 20% 12.3 0% Marijuana Non-Users Marijuana Users 42

ATOD Use and Gender Past-30-Day and Lifetime Prevalence 50% 40% Alcohol Blacking Out Vaping/E-Cigs Marijuana 30% 19.9 20% 17.0 16.5 15.4 11.5 10.9 10.6 8.4 10% 0% 43

ATOD Use and Race/Ethnicity Past-30-Day Prevalence 50% 40% Marijuana Alcohol Vaping/E-Cigs 30% 21.4 18.6 20% 11.8 12.3 12.4 10.7 9.6 9.1 10% 5.5 0% 44

2016 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY October 4, 2016 1 - PowerPoint PPT Presentation

2016 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY October 4, 2016 1 Presentation Outline 1. Methodology 2. ATOD prevalence rate comparisons 3. Three key findings from the 2002-2016 FYSAS 4. ATOD trend summary 5. Special FYSAS topics 2

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