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MONITORING THE FUTURE NATIONAL SURVEY RESULTS ON DRUG USE, 1975–2010 Volume I Secondary School Students by Lloyd D. Johnston, Ph.D. Patrick M. O’Malley, Ph.D. Jerald G. Bachman, Ph.D. John E. Schulenberg, Ph.D. The University of Michigan Institute for Social Research Sponsored by: The National Institute on Drug Abuse National Institutes of Health This publication was written by the principal investigators and staff of the Monitoring the Future project at the Institute for Social Research, the University of Michigan, under Research Grant No. R01 DA 01411 from the National Institute on Drug Abuse. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the NIH. Public Domain Notice All material appearing in this volume is in the public domain and may be reproduced or copied without permission from the authors. Citation of the source is appreciated. Recommended Citation Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the Future national survey results on drug use, 1975–2010: Volume I, Secondary school students. Ann Arbor: Institute for Social Research, The University of Michigan. Institute for Social Research The University of Michigan Ann Arbor, Michigan Printed May 2011 iii ABBREVIATED CONTENTS* Click on any item below (in blue) to go directly to that page. Detailed Contents .............................................................................................................................v List of Tables ................................................................................................................................ xi List of Figures ............................................................................................................................ xxix Chapter 1 Introduction ............................................................................................................1 Chapter 2 Key Findings: An Overview and Integration Across Five Populations .............................................................................................................9 Chapter 3 Study Design and Procedures .............................................................................63 Chapter 4 Prevalence and Frequency of Drug Use .............................................................81 Chapter 5 Trends in Drug Use ............................................................................................139 Chapter 6 Initiation Rates and Trends in Initiation Rates in Lower Grades ................277 Chapter 7 Degree and Duration of Drug Highs ................................................................319 Chapter 8 Attitudes and Beliefs about Drug Use ..............................................................345 Chapter 9 The Social Context .............................................................................................407 Chapter 10 Other Findings ...................................................................................................455 Appendix A Prevalence and Trend Estimates Adjusted for Absentees and Dropouts ......................................................................................................507 Appendix B Definition of Background and Demographic Subgroups ...............................519 Appendix C Estimation of Sampling Errors .........................................................................523 Appendix D Trends by Subgroup: Supplemental Tables for Secondary School Students ..................................................................................................553 Appendix E Trends in Specific Subclasses of Hallucinogens, Amphetamines, Tranquilizers, Sedatives, and Narcotic Drugs other than Heroin .................707 Appendix F Trends in Drug Use for Three Grades Combined ..........................................721 *See next page for Detailed Contents. iv v DETAILED CONTENTS Click on any item below (in blue) to go directly to that page. Chapter 1 Introduction ..................................................................................................................1 Content Areas Covered ................................................................................................................2 Drug Classes .............................................................................................................................2 Attitudes, Beliefs, and Early Experiences ................................................................................4 Over-the-Counter Substances ...................................................................................................4 Cumulative Lifetime Daily Marijuana Use ..............................................................................4 Sources of Prescription Drugs ..................................................................................................4 Synopses of Other MTF Publications ......................................................................................4 Trends in Use of Specific Alcoholic Beverages .......................................................................4 Appendixes ...............................................................................................................................5 Purposes and Rationale for This Research ..................................................................................5 Chapter 2 Key Findings: An Overview and Integration across Five Populations .......................9 Trends in Illicit Drug Use—The Advent of Cohort Effects ........................................................9 College–Noncollege Differences in Illicit Drug Use ............................................................26 Male–Female Differences in Illicit Drug Use.......................................................................27 Trends in Alcohol Use ...............................................................................................................28 College–Noncollege Differences in Alcohol Use .................................................................28 Male–Female Differences in Alcohol Use............................................................................29 Trends in Cigarette Smoking .....................................................................................................30 Age- and Cohort-Related Differences in Cigarette Smoking ...............................................32 College–Noncollege Differences in Cigarette Smoking .......................................................32 Male–Female Differences in Cigarette Smoking..................................................................33 Racial/Ethnic Comparisons ........................................................................................................34 Drug Use in Eighth Grade .........................................................................................................36 Drug Use by Age 50 ..................................................................................................................37 Summary and Conclusions ........................................................................................................38 Chapter 3 Study Design and Procedures ....................................................................................63 Research Design and Procedures for the Twelfth-Grade Surveys .............................................63 The Populationunder Study .................................................................................................63 The Omission of Dropouts ....................................................................................................64 Sampling Procedures and Sample Weights ..........................................................................64 Questionnaire Administration ...............................................................................................64 Questionnaire Format ...........................................................................................................65 Research Design and Procedures for the Eighth- and Tenth-Grade Surveys ............................65 Mode of Administration .......................................................................................................66 Questionnaire Forms and Sample Proportions .....................................................................66 Research Design and Procedures for the Twelfth-Grade Follow-up Surveys ...........................67 Follow-Up Procedures ..........................................................................................................67 vi DETAILED CONTENTS (Continued) Follow-Up Questionnaire Format .........................................................................................68 Representativeness and Sample Accuracy .................................................................................68 School Participation ..............................................................................................................68 Student Participation .............................................................................................................70 Sampling Accuracy of the Estimates ....................................................................................71 Panel Retention ..........................................................................................................................71 The Problem of Panel Attrition .............................................................................................71 Response Rates .....................................................................................................................72 The Impact of Panel Attrition on Research Results ..............................................................72 Effects on Relational Analyses .............................................................................................74 Validity of Measures of Self-Reported Drug Use .....................................................................75 Consistency and Measurement of Trends .............................................................................76 Chapter 4 Prevalence and Frequency of Drug Use .....................................................................81 Prevalence and Frequency of Drug Use in 2010: All Students .................................................81 Prevalence of Lifetime, Annual, and 30-Day Use ................................................................81 Frequency of Lifetime, Annual, and 30-Day Use .................................................................89 Prevalence of Current Daily Use ..........................................................................................90 Noncontinuation Rates ...............................................................................................................91 Prevalence Comparisons for Important Subgroups ...................................................................92 Gender Differences ...............................................................................................................92 Differences Related to College Plans ...................................................................................94 Regional Differences ............................................................................................................95 Differences Related to Population Density ...........................................................................97 Differences Related to Parental Education ...........................................................................97 Racial/Ethnic Differences .....................................................................................................98 Racial/Ethnic Differences in Parental Education ................................................................101 Chapter 5 Trends in Drug Use ..................................................................................................139 Trends in Prevalence of Use, 1975–2010: Twelfth Graders ....................................................139 Trends in Prevalence of Use, 1991–2010: Eighth and Tenth Graders .....................................156 Trends in Noncontinuation Rates: Twelfth Graders ................................................................164 Implications for Prevention .....................................................................................................167 Trend Comparisons among Subgroups ....................................................................................167 Trend Differences by Gender .............................................................................................168 Trend Differences by College Plans ...................................................................................173 Trend Differences by Region of the Country .....................................................................177 Trend Differences by Population Density ..........................................................................181 Trend Differences by Socioeconomic Status ......................................................................185 Racial/Ethnic Differences in Trends ...................................................................................189 vii DETAILED CONTENTS (Continued) Chapter 6 Initiation Rates and Trends in Initiation Rates in Lower Grades .............................277 Incidence of Use by Grade Level ............................................................................................278 Trends in Lifetime Prevalence at Earlier Grade Levels ...........................................................281 Chapter 7 Degree and Duration of Drug Highs ........................................................................319 Degree and Duration of Highs among Twelfth Graders in 2010 .............................................319 Trends in Degree and Duration of Drug Highs ........................................................................321 Chapter 8 Attitudes and Beliefs about Drug Use .....................................................................345 Perceived Harmfulness of Drug Use .......................................................................................346 Beliefs about Harmfulness among Twelfth Graders ...........................................................346 Eighth and Tenth Graders’ Beliefs about Harmfulness ......................................................347 Trends in Perceived Harmfulness of Drug Use .......................................................................348 Trends in Perceived Harmfulness among Twelfth Graders ................................................348 Trends in Perceived Harmfulness among Eighth and Tenth Graders .................................358 Personal Disapproval of Drug Use ..........................................................................................361 Extent of Disapproval among Twelfth Graders ..................................................................361 Extent of Disapproval among Eighth and Tenth Graders ...................................................362 Trends in Disapprovalof Drug Use .........................................................................................363 Trends in Disapproval among Twelfth Graders .................................................................363 Trends in Disapproval among Eighth and Tenth Graders ..................................................366 Attitudes Regarding the Legality of Drug Use ........................................................................369 Attitudes of Twelfth Graders ..............................................................................................369 Trends in These Attitudes among Twelfth Graders ............................................................370 The Legal Status of Marijuana .................................................................................................371 Attitudes and Predicted Responses to Legalization ............................................................371 Trends in Attitudes and Predicted Responses .....................................................................372 Chapter 9 The Social Context ...................................................................................................407 Perceived Attitudes of Friends: Twelfth Graders ....................................................................407 Perceptions of Friends’ Attitudes .......................................................................................407 A Comparison of the Attitudes of Parents, Peers, and Twelfth Graders ............................408 Trends in Perceptions of Friends’ Attitudes .......................................................................409 Methodological Implications ..............................................................................................411 Friends’ Use of Drugs ..............................................................................................................411 Exposure to Drug Use by Friends and Others: Twelfth Graders, 2010 ..............................412 Friends’ Use of Drugs: Eighth and Tenth Graders, 2010 ...................................................413 Trends in Exposure to Drug Use and Friends’ Use of Drugs ..................................................414 Trends in Exposure to Drug Use by Friends and Others: Twelfth Graders ........................414 Trends in Friends’ Drug Use: Eighth and Tenth Graders ...................................................416 viii DETAILED CONTENTS (Continued) Perceived Availability of Drugs ..............................................................................................417 Perceived Availability of Drugs, 2010: All Grades ............................................................417 Trends in Perceived Availability for Twelfth Graders .......................................................419 Trends in Perceived Availability for Eighth and Tenth Graders ........................................422 The Importance of Supply Reduction Versus Demand Reduction .....................................424 Chapter 10 Other Findings .........................................................................................................455 The Use of Nonprescription Stimulants ...................................................................................455 Prevalence of Use in 2010 among Twelfth Graders ...........................................................456 Subgroup Differences among Twelfth Graders ..................................................................456 Trends in Use among Twelfth Graders ...............................................................................457 Subgroup Differences in Trends among Twelfth Graders ..................................................458 Sources of Certain Prescription Drugs .....................................................................................458 Index of Use of any Prescription Drug among Twelfth Graders .............................................460 Drugs Used in the Treatment of ADHD ..................................................................................461 Prevalence of Use ...............................................................................................................461 Trends in Use ......................................................................................................................462 Subgroup Differences .........................................................................................................462 Performance-Enhancing Substances: Andro and Creatine ......................................................463 Daily Use of Marijuana by Twelfth Graders ...........................................................................464 Lifetime Prevalence of Daily Marijuana Use .....................................................................465 Grade of First Daily Marijuana Use ...................................................................................465 Recency of Daily Marijuana Use ........................................................................................466 Duration of Daily Marijuana Use .......................................................................................466 Subgroup Differences in Daily Marijuana Use...................................................................466 Trends in Use of Marijuana on a Daily Basis .....................................................................467 Other MTF Publications .........................................................................................................467 Relationships between Exercise and Substance Use among American Youth, 1991-2009 .......................................................................................................................467 State-level tobacco control policies and youth smoking cessation measures .....................468 Twelfth-grade student work intensity linked to later educational attainment and substance use: New longitudinal evidence .....................................................................468 Racial/ethnic differences in the relationship between parental education and substance use among U.S. 8th-, 10th-, and 12th-grade students: Findings from the Monitoring the Future project ............................................................................................................469 Age-related changes in reasons for using alcohol and marijuana from ages 18 to 30 in a national sample ...................................................................................................469 Adolescents’ reported reasons for alcohol and marijuana use as predictors of substance use and problems in adulthood ......................................................................470 Other Data on Correlates and Trends ......................................................................................470 Website ....................................................................................................................................471 Appendix A Prevalence and Trend Estimates Adjusted for Absentees and Dropouts .....................................................................................................507 ix DETAILED CONTENTS (Continued) Corrections for Eighth and Tenth Grades ................................................................................507 The Effects of Missing Absentees ...........................................................................................508 The Effects of Missing Dropouts .............................................................................................509 Extrapolation Methods ........................................................................................................509 Effects of Omitting Dropouts in TrendEstimates ..............................................................511 Further Exploration of Corrections for Dropouts ....................................................................512 Examples of Revised Estimates for Two Drugs ......................................................................514 Summary and Conclusions ......................................................................................................514 Appendix B Definition of Background and Demographic Subgroups ..................................519 Appendix C Estimation of Sampling Errors..........................................................................523 Calculating Confidence Intervals .............................................................................................523 Significance of Difference between Two Proportions ........................................................524 Design Effects in Complex Samples .......................................................................................524 Estimating Design Effects ..................................................................................................525 Factors Affecting Design Effects ........................................................................................526 Design Effects for Differences between Two Proportions .................................................527 Determining an Effective n ......................................................................................................529 A Special Note on Racial/Ethnic Subgroups ......................................................................529 A Note on Interpretation of Differences and Statistical Significance .....................................530 Appendix D Trends by Subgroup: Supplemental Tables for Secondary School Students ................................................................................................553 Appendix E Trends in Specific Subclasses of Hallucinogens, Amphetamines, Tranquilizers, Sedatives, and Narcotic Drugs other than Heroin .....................707 Appendix F Trends in Drug Use for Three Grades Combined .............................................721 x xi LIST OF TABLES Click on any item below (in blue) to go directly to that page. Table 2-1 Trends in Lifetime Prevalence of Use of Various Drugs for 8th, 10th, and 12th Graders, College Students, and Young Adults (Ages 19–28) ..........................................................................................................43 Table 2-2 Trends in Annual Prevalence of Use of Various Drugs for 8th, 10th, and 12th Graders, College Students, and Young Adults (Ages 19–28) ..................................................................................50 Table 2-3 Trends in 30-Day Prevalence of Use of Various Drugs for 8th, 10th, and 12th Graders, College Students, and Young Adults (Ages 19–28) ..................................................................................56 Table 2-4 Trends in 30-Day Prevalence of Daily Use of Various Drugs for 8th, 10th, and 12th Graders, College Students, and Young Adults (Ages 19–28) ..............................................................................................61 Table 3-1 Sample Sizes and Response Rates .........................................................................77 Table 4-1a Ninety-Five Percent Confidence Limits: Lifetime Prevalence of Use for 8th, 10th, and 12th Graders, 2010 ........................................................................102 Table 4-1b Ninety-Five Percent Confidence Limits: Annual Prevalence of Use for 8th, 10th, and 12th Graders, 2010 ........................................................................103 Table 4-1c Ninety-Five Percent Confidence Limits: 30-Day Prevalence of Use for 8th, 10th, and 12th Graders, 2010 ........................................................................104 Table 4-1d Ninety-Five Percent Confidence Limits: Daily Prevalence of Use for 8th, 10th, and 12th Graders, 2010 ........................................................................105 Table 4-2 Prevalence of Use of Various Drugs for 8th, 10th, and 12th Graders, 2010 .......................................................................................................106 Table 4-3 Prevalence of Use of Heroin with and without a Needle for 8th, 10th, and 12th Graders, 2010 ........................................................................108 Table 4-4a Frequency of Use of Various Drugs: Lifetime, Annual, and 30-Day for 8th, 10th, and 12th Graders, 2010 ..................................................................109 Table 4-4b Frequency of Occasions of Heavy Drinking, Cigarette Smoking, and Smokeless Tobacco Use for 8th, 10th, and 12th Graders, 2010 ..........................115 xii LIST OF TABLES (Continued) Table 4-4c Frequency of Use of Nonprescription Cough and Cold Medicines to Get High for 8th, 10th, and 12th Graders, 2010 ..................................................116 Table 4-5 Lifetime Prevalence of Use of Various Drugs by Subgroups for 8th, 10th, and 12th Graders, 2010 ........................................................................117 Table 4-6 Annual Prevalence of Use of Various Drugs by Subgroups for 8th, 10th, and 12th Graders, 2010 ........................................................................122 Table 4-7 Thirty-Day Prevalence of Use of Various Drugs by Subgroups for 8th, 10th, and 12th Graders, 2010 ........................................................................127 Table 4-8 Thirty-Day Prevalence of Daily Use of Various Drugs by Subgroups for 8th, 10th, and 12th Graders, 2010 ...........................................131 Table 5-1 Long-Term Trends in Lifetime Prevalence of Use of Various Drugs in Grade 12 ...........................................................................................................197 Table 5-2 Long-Term Trends in Annual Prevalence of Use of Various Drugs in Grade 12 ...........................................................................................................200 Table 5-3 Long-Term Trends in 30-Day Prevalence of Use of Various Drugs in Grade 12 ................................................................................................204 Table 5-4 Long-Term Trends in 30-Day Prevalence of Daily Use of Various Drugs in Grade 12 ..................................................................................206 Table 5-5a Trends in Lifetime Prevalence of Use of Various Drugs in Grades 8, 10, and 12 .........................................................................................................208 Table 5-5b Trends in Annual Prevalence of Use of Various Drugs in Grades 8, 10, and 12 .........................................................................................................213 Table 5-5c Trends in 30-Day Prevalence of Use of Various Drugs in Grades 8, 10, and 12 .........................................................................................................218 Table 5-5d Trends in 30-Day Prevalence of Daily Use of Various Drugs in Grades 8, 10, and 12 ........................................................................................222 xiii LIST OF TABLES (Continued) Table 5-6a Trends in Lifetime Prevalence of Use of Heroin with and without a Needle in Grades 8, 10, and 12 .........................................................................223 Table 5-6b Trends in Annual Prevalence of Use of Heroin with and without aNeedle in Grades 8, 10, and 12 .........................................................................224 Table 5-6c Trends in 30-Day Prevalence of Use of Heroin with and without a Needle in Grades 8, 10, and 12 .........................................................................225 Table 5-7a Trends in Noncontinuation Rates among 12th Graders Who Ever Used Drug in Lifetime .........................................................................................226 Table 5-7b Trends in Noncontinuation Rates among 12th Graders Who Used Drug 10 or More Times in Lifetime ...........................................................229 Table 6-1 Incidence of Use of Various Drugs by Grade for 8th Graders, 2010 ..................290 Table 6-2 Incidence of Use of Various Drugs by Grade for 10th Graders, 2010 ................291 Table 6-3 Incidence of Use of Various Drugs by Grade for 12th Graders, 2010 ................292 Table 6-4 Incidence of Use of Various Drugs: A Comparison of Responses from 8th, 10th, and 12th Graders, 2010 .............................................................. 293 Table 7-1 Marijuana: Trends in Degree and Duration of Feeling High in Grade 12 ...............................................................................................................325 Table 7-2 LSD: Trends in Degree and Duration of Feeling High in Grade 12 ....................327 Table 7-3 Hallucinogens other than LSD: Trends in Degree and Duration of Feeling High in Grade 12 .....................................................................................329 Table 7-4 Cocaine: Trends in Degree and Duration of Feeling High in Grade 12 ...............................................................................................................331 Table 7-5 Narcotics other than Heroin: Trends in Degree and Duration of Feeling High in Grade 12 ..................................................................................................333 Table 7-6 Amphetamines: Trends in Degree and Duration of Feeling High in Grade 12 ...............................................................................................................335 Table 7-7 Tranquilizers: Trends in Degree and Duration of Feeling High in Grade 12 ...............................................................................................................337 xiv LIST OF TABLES (Continued) Table 7-8 Alcohol: Trends in Degree and Duration of Feeling High in Grade 12 ...............................................................................................................339 Table 8-1 Trends in Harmfulness of Drugs as Perceived by 8th Graders ............................373 Table 8-2 Trends in Harmfulness of Drugs as Perceived by 10th Graders ..........................374 Table 8-3 Trends in Harmfulness of Drugs as Perceived by 12th Graders ..........................375 Table 8-4 Trends in Disapproval of Drug Use in Grade 8 ...................................................378 Table 8-5 Trends in Disapproval of Drug Use in Grade 10 .................................................379 Table 8-6 Trends in Disapproval of Drug Use in Grade 12 .................................................380 Table 8-7 Trends in 12th Graders’ Attitudes Regarding Legality of Drug Use ...................382 Table 8-8 Trends in 12th Graders’ Attitudes Regarding Marijuana Laws ...........................384 Table 9-1 Trends in Proportion of Friends Disapproving of Drug Use for 12th Graders .........................................................................................................426 Table 9-2 Trends in 12th Graders’ Exposure to Drug Use ...................................................428 Table 9-3 Trends in Friends’ Use of Drugs as Estimated by 8th Graders............................431 Table 9-4 Trends in Friends’ Use of Drugs as Estimated by 10th Graders..........................432 Table 9-5a Trends in Friends’ Use of Drugs as Estimated by 12th Graders .........................433 Table 9-5b Trends in Friends’ Use of Drugs as Estimated by 12th Graders..........................435 Table 9-6 Trends in Availability of Drugs as Perceived by 8th Graders .............................438 Table 9-7 Trends in Availability of Drugs as Perceived by 10th Graders ...........................439 Table 9-8 Trends in Availability of Drugs as Perceived by 12th Graders ...........................440 xv LIST OF TABLES (Continued) Table 10-1a Nonprescription Diet Pills: Trends in Lifetime, Annual, and 30-Day Prevalence of Use by Gender in Grade 12 ..............................................472 Table 10-1b Stay-Awake Pills: Trends in Lifetime, Annual, and 30-Day Prevalence of Use by Gender in Grade 12 ...........................................................473 Table 10-1c Look-Alikes: Trends in Lifetime, Annual, and 30-Day Prevalence of Use by Gender in Grade 12 ...........................................................474 Table 10-2a Nonprescription Diet Pills: Trends in Annual Prevalence of Use by Subgroups in Grade 12....................................................................................475 Table 10-2b Stay-Awake Pills: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................477 Table 10-2c Look-Alikes: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................479 Table 10-3 Percentage of 12th Graders in Each Category of an Illicit Drug Use Index Who Have Tried Various Over-the-Counter Stimulants, 2010......................................................................................................................481 Table 10-4 Source of Prescription Drugs among Those Who Used in Last Year, Grade 12, 2007–2010 ..........................................................................................482 Table 10-5 Use of Any Prescription Drug without Medical Supervision in Grade 12 ..........483 Table 10-6 Any Prescription Drug without Medical Supervision: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .....................................................484 Table 10-7 Trends in Use of ADHD Drugs in Grade 8 ..........................................................485 Table 10-8 Trends in Use of ADHD Drugs in Grade 10 ........................................................486 Table 10-9 Trends in Use of ADHD Drugs in Grade 12 ........................................................487 Table 10-10 Trends in Lifetime Use of ADHD Drugs by Subgroups in Grade 8 ....................488 xvi LIST OF TABLES (Continued) Table 10-11 Trends in Current Use of ADHD Drugs by Subgroups in Grade 8 .....................489 Table 10-12 Trends in Lifetime Use of ADHD Drugs by Subgroups in Grade 10 ..................490 Table 10-13 Trends in Current Use of ADHD Drugs by Subgroups in Grade 10 ...................491 Table 10-14 Trends in Lifetime Use of ADHD Drugs by Subgroups in Grade 12 ..................492 Table 10-15 Trends in Current Use of ADHD Drugs by Subgroups in Grade 12 ...................493 Table 10-16a Androstenedione: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............................................................................................................494 Table 10-16b Androstenedione: Trends in Annual Prevalence of Use by Subgroups in Grade 10...........................................................................................................495 Table 10-16c Androstenedione: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................496 Table 10-17a Creatine: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .................................................................................................................497 Table 10-17b Creatine: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...............................................................................................................498 Table 10-17c Creatine: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...............................................................................................................499 Table 10-18a Steroids and Androstenedione: Trends in Annual Prevalence of Use by Gender in Grade 8 ...........................................................................................500 Table 10-18b Steroids and Androstenedione: Trends in Annual Prevalence of Use by Gender in Grade 10 .........................................................................................501 Table 10-18c Steroids and Androstenedione: Trends in Annual Prevalence of Use by Gender in Grade 12 .........................................................................................502 Table 10-19 Daily Marijuana Use: Responses to Selected Questions by Subgroups in Grade 12, 2010 .................................................................................................503 xvii LIST OF TABLES (Continued) Table 10-20a Daily Marijuana Use for a Month or More in Lifetime: Trends by Subgroups in Grade 12.........................................................................................504 Table 10-20b Daily Marijuana Use for a Month or More Prior to 10th Grade: Trends by Subgroups in Grade 12....................................................................................505 Table A-1 Comparison of 2002 Monitoring the Future Seniors, NSDUH Seniors, and NSDUH Dropouts ...........................................................................515 Table A-2 Estimated Prevalence Rates for Marijuana and Cocaine, 2002, Based on Data from Monitoring the Future and The National Survey on Drug Use and Health ..........................................................................516 Table C-1a Design Effects for 1-Year Trends in Prevalence of Use: Any Illicit Drug other than Marijuana .................................................................532 Table C-1b Design Effects for 1-Year Trends in Prevalence of Use: Any Illicit Drug, Any Illicit Drug Including Inhalants, and Marijuana ................................533 Table C-1c Design Effects for 1-Year Trends in Prevalence of Use: Hallucinogens, LSD, Cocaine, and Other Cocaine .......................................................................534 Table C-1d Design Effects for 1-Year Trends in Prevalence of Use: Nitrites, PCP, Crack Cocaine, Heroin, Methamphetamine, Crystal Methamphetamine (Ice), Methaqualone, OTC Cough/Cold Medicines, Rohypnol, GHB, Ketamine, Steroids, Salvia, and Provigil ..............535 Table C-1e Design Effects for 1-Year Trends in Prevalence of Use: Hallucinogens other than LSD, Ecstasy (MDMA), Narcotics other than Heroin, OxyContin, Ritalin, Sedatives (Barbiturates), Tranquilizers, Flavored Alcoholic Beverages, Bidis, Kreteks, Androstenedione, Creatine, and Adderall .........................................................................................................536 Table C-1f Design Effects for 1-Year Trends in Prevalence of Use: Inhalants, Vicodin, and Amphetamines ...............................................................537 Table C-1g Design Effects for 1-Year Trends in Prevalence of Use: Alcohol, Been Drunk, Cigarettes, and Smokeless Tobacco ................................538 xviii LIST OF TABLES (Continued) Table C-2a Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Any Illicit Drug other than Marijuana ............................................................................................539 Table C-2b Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Any Illicit Drug, Any Illicit Drug Including Inhalants, and Marijuana ...........................................540 Table C-2c Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Hallucinogens, LSD, Cocaine, and Other Cocaine ................................................................................541 Table C-2d Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Nitrites, PCP, Crack Cocaine, Heroin, Methamphetamine, Crystal Methamphetamine (Ice), Methaqualone, OTC Cough/Cold Medicines, Rohypnol, GHB, Ketamine, Steroids, Salvia, and Provigil ...................................................542 Table C-2e Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Hallucinogens other than LSD, Ecstasy (MDMA), Narcotics other than Heroin, OxyContin, Ritalin, Sedatives (Barbiturates), Tranquilizers, Flavored Alcoholic Beverages, Bidis, Kreteks, Androstenedione, Creatine, and Adderall ................543 Table C-2f Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Inhalants, Vicodin, and Amphetamines ................................................................................544 Table C-2g Design Effects for (a) Prevalence of Use or (b) a Change in Prevalence of Use across Nonadjacent Years: Alcohol, Been Drunk, Cigarettes, and Smokeless Tobacco .....................................................................545 Table C-3a Design Effects for Subgroup Comparisons within Any Single Year: Any Illicit Drug other than Marijuana .................................................................546 Table C-3b Design Effects for Subgroup Comparisons within Any Single Year: Any Illicit Drug, Any Illicit Drug Including Inhalants, and Marijuana .............................................................................................................547 Table C-3c Design Effects for Subgroup Comparisons within Any Single Year: Hallucinogens, LSD, Cocaine, and Other Cocaine ..............................................548 xix LIST OF TABLES (Continued) Table C-3d Design Effects for Subgroup Comparisons within Any Single Year: Nitirites, PCP, Crack Cocaine, Heroin, Methamphetamine, Crystal Methamphetamine (Ice), Methaqualone, OTC Cough/Cold Medicines, Rohypnol, GHB, Ketamine, Steroids, Salvia, and Provigil ..............549 Table C-3e Design Effects for Subgroup Comparisons within Any Single Year: Hallucinogens other than LSD, Ecstasy (MDMA), Narcotics other than Heroin, OxyContin, Ritalin, Sedatives (Barbiturates), Tranquilizers, Flavored Alcoholic Beverages, Bidis, Kreteks, Androstenedione, Creatine, and Adderall ............................................................550 Table C-3f Design Effects for Subgroup Comparisons within Any Single Year: Inhalants, Vicodin, and Amphetamines ...............................................................551 Table C-3g Design Effects for Subgroup Comparisons within Any Single Year: Alcohol, BeenDrunk, Cigarettes, and Smokeless Tobacco ................................552 Table D-1 Any Illicit Drug: Trends in Annual Prevalence of Use by Subgroups in Grade 8...........................................................................................556 Table D-2 Any Illicit Drug: Trends in Annual Prevalence of Use by Subgroups in Grade 10.........................................................................................557 Table D-3 Any Illicit Drug: Trends in Annual Prevalence of Use by Subgroups in Grade 12.........................................................................................558 Table D-4 Any Illicit Drug other than Marijuana: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ..........................................................................560 Table D-5 Any Illicit Drug other than Marijuana: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ........................................................................561 Table D-6 Any Illicit Drug other than Marijuana: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ........................................................................562 Table D-7 Marijuana: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ........564 Table D-8 Marijuana: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ......565 Table D-9 Marijuana: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ......566 Table D-10 Inhalants: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ..........568 xx LIST OF TABLES (Continued) Table D-11 Inhalants: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ........569 Table D-12 Inhalants: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ........570 Table D-13 Hallucinogens: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ................................................................................................................572 Table D-14 Hallucinogens: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...............................................................................................................573 Table D-15 Hallucinogens: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...............................................................................................................574 Table D-16 LSD: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .................576 Table D-17 LSD: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...............577 Table D-18 LSD: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...............578 Table D-19 Hallucinogens other than LSD: Trends in Annual Prevalence of Use by Subgroups in Grade 8...........................................................................................580 Table D-20 Hallucinogens other than LSD: Trends in Annual Prevalence of Use by Subgroups in Grade 10.........................................................................................581 Table D-21 Hallucinogens other than LSD: Trends in Annual Prevalence of Use by Subgroups in Grade 12.........................................................................................582 Table D-22 Ecstasy (MDMA): Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............................................................................................................584 Table D-23 Ecstasy (MDMA): Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................585 Table D-24 Ecstasy (MDMA): Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................586 Table D-25 Salvia: Trends in Annual Prevalence of Use by Subgroups in Grades 8, 10, and 12 .........................................................................................................587 Table D-26 Cocaine: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ...........588 Table D-27 Cocaine: Trends in Annual Prevalence of Use by Subgroups in Grade 10 .........589 xxi LIST OF TABLES (Continued) Table D-28 Cocaine: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .........590 Table D-29 Crack: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ...............592 Table D-30 Crack: Trends in Annual Prevalence of Use by Subgroups in Grade 10 .............593 Table D-31 Crack: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .............594 Table D-32 Other Cocaine: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............................................................................................................596 Table D-33 Other Cocaine: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................597 Table D-34 Other Cocaine: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................598 Table D-35 Heroin: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............600 Table D-36 Heroin: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...........601 Table D-37 Heroin: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........602 Table D-38 Heroin with a Needle: Trends in Annual Prevalence of Use by Subgroups in Grade 8...........................................................................................604 Table D-39 Heroin with a Needle: Trends in Annual Prevalence of Use by Subgroups in Grade 10.........................................................................................605 Table D-40 Heroin with a Needle: Trends in Annual Prevalence of Use by Subgroups in Grade 12.........................................................................................606 Table D-41 Heroin without a Needle: Trends in Annual Prevalence of Use by Subgroups in Grade 8...........................................................................................607 Table D-42 Heroin without a Needle: Trends in Annual Prevalence of Use by Subgroups in Grade 10.........................................................................................608 Table D-43 Heroin without a Needle: Trends in Annual Prevalence of Use by Subgroups in Grade 12.........................................................................................609 xxii LIST OF TABLES (Continued) Table D-44 Narcotics other than Heroin: Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................610 Table D-45 OxyContin: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ................................................................................................................612 Table D-46 OxyContin: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...............................................................................................................613 Table D-47 OxyContin: Trends in Annual Prevalence of Use by Sugroups in Grade 12 ...............................................................................................................614 Table D-48 Vicodin: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ...........615 Table D-49 Vicodin: Trends in Annual Prevalence of Useby Subgroups in Grade 10 .........616 Table D-50 Vicodin: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .........617 Table D-51 Amphetamines: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............................................................................................................618 Table D-52 Amphetamines: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................619 Table D-53 Amphetamines: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................620 Table D-54 Ritalin: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ............622 Table D-55 Ritalin: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........623 Table D-56 Ritalin: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........624 Table D-57 Adderall: Trends in Annual Prevalence of Use by Subgroups in Grades 8, 10, and 12 .........................................................................................................625 Table D-58 Provigil: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .........626 Table D-59 Methamphetamine: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............................................................................................................627 Table D-60 Methamphetamine: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................628 xxiii LIST OF TABLES (Continued) Table D-61 Methamphetamine: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................629 Table D-62 Crystal Methamphetamine (Ice): Trends in Annual Prevalence of Use by Subgroups in Grade 12....................................................................................630 Table D-63 Sedatives (Barbiturates): Trends in Annual Prevalence of Use by Subgroups in Grade 12.........................................................................................631 Table D-64 Tranquilizers: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .............................................................................................................633 Table D-65 Tranquilizers: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................634 Table D-66 Tranquilizers: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................635 Table D-67 Over-the-Counter Cough/Cold Medicines: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ..............................................................................637 Table D-68 Over-the-Counter Cough/Cold Medicines: Trends in Annual Prevalence of Use by Subgroups in Grade 10 ............................................................................638 Table D-69 Over-the-Counter Cough/Cold Medicines: Trends in Annual Prevalence of Use by Subgroups in Grade 12 ............................................................................639 Table D-70 Rohypnol: Trends in Annual Prevalence of Use by Subgroups in Grade 8 .........640 Table D-71 Rohypnol: Trends in Annual Prevalence of Use by Subgroups in Grade 10 .......641 Table D-72 Rohypnol: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .......642 Table D-73 Alcohol: Trends in 30-Day Prevalence of Use by Subgroups in Grade 8 ...........643 Table D-74 Alcohol: Trends in 30-Day Prevalence of Use by Subgroups in Grade 10 .........644 Table D-75 Alcohol: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 .........645 Table D-76 Been Drunk: Trends in 30-Day Prevalence by Subgroups in Grade 8 ................647 Table D-77 Been Drunk: Trends in 30-Day Prevalence by Subgroups in Grade 10 ..............648 xxiv LIST OF TABLES (Continued) Table D-78 Been Drunk: Trends in 30-Day Prevalence by Subgroups in Grade 12 ..............649 Table D-79 Alcohol: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 8......................................................................................650 Table D-80 Alcohol: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 10....................................................................................651 Table D-81 Alcohol: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 12....................................................................................652 Table D-82 Beer: Trends in 30-Day Prevalence of Use by Subgroups in Grade 8 .................654 Table D-83 Beer: Trends in 30-Day Prevalence of Use by Subgroups in Grade 10 ...............655 Table D-84 Beer: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 ...............656 Table D-85 Beer: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 8......................................................................................658 Table D-86 Beer: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 10....................................................................................659 Table D-87 Beer: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 12....................................................................................660 Table D-88 Liquor: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 ...........662 Table D-89 Liquor: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 12....................................................................................664 Table D-90 Wine: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 .............666 Table D-91 Wine: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 12.........................................................................................668 Table D-92 Wine Coolers: Trends in 30-Day Prevalence of Use by Subgroups in Grade 8 .............................................................................................................670 Table D-93 Wine Coolers: Trends in 30-Day Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................671 xxv LIST OF TABLES (Continued) Table D-94 Wine Coolers: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................672 Table D-95 Wine Coolers: Trends in 2-Week Prevalence of 5 or More Drinks in a Row by Subgroups in Grade 12 ....................................................................674 Table D-96 Flavored Alcoholic Beverages: Trends in 30-Day Prevalence of Use by Subgroups in Grade 8......................................................................................676 Table D-97 Flavored Alcoholic Beverages: Trends in 30-Day Prevalence of Use by Subgroups in Grade 10....................................................................................677 Table D-98 Flavored Alcoholic Beverages: Trends in 30-Day Prevalence of Use by Subgroups in Grades 12 ..................................................................................678Table D-99 Cigarettes: Trends in 30-Day Prevalence of Use by Subgroups in Grade 8 ........679 Table D-100 Cigarettes: Trends in 30-Day Prevalence of Use by Subgroups in Grade 10 ......680 Table D-101 Cigarettes: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 ......681 Table D-102 Cigarettes: Trends in 30-Day Prevalence of Daily Use by Subgroups in Grade 8 .............................................................................................................683 Table D-103 Cigarettes: Trends in 30-Day Prevalence of Daily Use by Subgroups in Grade 10 ...........................................................................................................684 Table D-104 Cigarettes: Trends in 30-Day Prevalence of Daily Use by Subgroups in Grade 12 ...........................................................................................................685 Table D-105 Cigarettes: Trends in 30-Day Prevalence of Use of Half Pack a Day or More by Subgroups in Grade 8........................................................................687 Table D-106 Cigarettes: Trends in 30-Day Prevalence of Use of Half Pack a Day or More by Subgroups in Grade 10......................................................................688 Table D-107 Cigarettes: Trends in 30-Day Prevalence of Use of Half Pack a Day or More by Subgroups in Grade 12......................................................................689 Table D-108 Smokeless Tobacco: Trends in 30-Day Prevalence of Use by Subgroups in Grade 8 .............................................................................................................691 xxvi LIST OF TABLES (Continued) Table D-109 Smokeless Tobacco: Trends in 30-Day Prevalence of Use by Subgroups in Grade 10 ...........................................................................................................692 Table D-110 Smokeless Tobacco: Trends in 30-Day Prevalence of Use by Subgroups in Grade 12 ...........................................................................................................693 Table D-111 Smokeless Tobacco: Trends in 30-Day Prevalence of Daily Use by Subgroups in Grade 8...........................................................................................695 Table D-112 Smokeless Tobacco: Trends in 30-Day Prevalence of Daily Use by Subgroups in Grade 10.........................................................................................696 Table D-113 Smokeless Tobacco: Trends in 30-Day Prevalence of Daily Use by Subgroups in Grade 12.........................................................................................697 Table D-114 Steroids: Trends in Annual Prevalence of Use by Subgroups in Grade 8 ...........699 Table D-115 Steroids: Trends in Annual Prevalence of Use by Subgroups in Grade 10 .........700 Table D-116 Steroids: Trends in Annual Prevalence of Use by Subgroups in Grade 12 .........701 Table D-S1 Approximate Weighted Ns by Subgroups in Grade 8 ..........................................702 Table D-S2 Approximate Weighted Ns by Subgroups in Grade 10 ........................................703 Table D-S3 Approximate Weighted Ns by Subgroups in Grade 12 ........................................704 Table E-1 Specific Hallucinogens other than LSD: Trends in Annual Prevalence of Use for All Seniors .........................................................................................710 Table E-2 Specific Amphetamines: Trends in Annual Prevalence of Use for All Seniors .................................................................................................................712 Table E-3 Specific Tranquilizers: Trends in Annual Prevalence of Use for All Seniors .................................................................................................................714 Table E-4 Specific Narcotics other than Heroin: Trends in Annual Prevalence of Use for All Seniors .....................................................................................................716 Table E-5 Specific Sedatives: Trends in Annual Prevalence of Use for All Seniors ..........718 xxvii LIST OF TABLES (Continued) Table F-1 Trends in Lifetime Prevalence of Use of Various Drugs for Grades 8, 10, and 12 Combined ..........................................................................................722 Table F-2 Trend in Annual Prevalence of Use of Various Drugs for Grades 8, 10, and 12 Combined ................................................................................................723 Table F-3 Trends in 30-Day Prevalence of Use of Various Drugs for Grades 8, 10, and 12 Combined ..........................................................................................724 Table F-4 Trends in Daily Prevalence of Use of Selected Drugs for Grades 8, 10, and 12 Combined ..........................................................................................725 xxviii xxix LIST OF FIGURES Figure 2-1 Trends in Annual Prevalence of an Illicit Drug Use Index across 5 Populations ...............................................................................................62 Figure 3-1 Schools included in 1 Year’s Data Collection: 8th, 10th, and 12th Grades ............................................................................................................78 Figure 3-2 School Participation Rates .....................................................................................79 Figure 4-1 Prevalence and Recency of Use of Various Types of Drugs in Grades 8, 10, and 12, 2010 ..................................................................................132 Figure 4-2 Thirty-Day Prevalence of Daily Use of Various Types of Drugs in Grade 12, 2010 .....................................................................................................135 Figure 4-3 Noncontinuation Rates: Percentage of Lifetime Users Who Did Not Use in Last 12 Months in Grades 8, 10, and 12, 2010 ..................................136 Figure 4-4 States included in the 4 Regions of the Country ..................................................138 Figure 5-1 An Illicit Drug Use Index: Trends in Lifetime Prevalence in Grade 12 ..............232 Figure 5-2 An Illicit Drug Use Index: Trends in Annual Prevalence in Grade 12 ................233 Figure 5-3 An Illicit Drug Use Index: Trends in 30-Day Prevalence in Grade 12 ............... 234 Figure 5-4a Marijuana: Trends in 30-Day Prevalence and 30-Day Prevalence of Daily Use in Grades 8, 10, and 12 .................................................................................235 Figure 5-4b Amphetamines: Trends in Annual Prevalence in Grades 8, 10, and 12 .........................................................................................................236 Figure 5-4c Inhalants and Amyl/Butyl Nitrites: Trends in Annual Prevalence in Grades 8, 10, and 12 .........................................................................................................237 Figure 5-4d Tranquilizers and Methaqualone: Trends in Annual Prevalence in Grades 8, 10, and 12 .........................................................................................................238 Figure 5-4e Adjusted Sedatives and Sedatives (Barbiturates): Trends in Annual Prevalence in Grade 12 ........................................................................................239 Figure 5-4f Hallucinogens and PCP: Trends in Annual Prevalence in Grades 8, 10, and 12 ...................................................................................................................240xxx LIST OF FIGURES (Continued) Figure 5-4g LSD and Hallucinogens other than LSD: Trends in Annual Prevalence in Grades 8, 10, and 12 ............................................................................................241 Figure 5-4h Cocaine, Crack, and Other Cocaine: Trends in Annual Prevalence in Grades 8, 10, and 12 ............................................................................................242 Figure 5-4i Heroin: Trends in Annual Prevalence in Grades 8, 10, and 12 ............................243 Figure 5-4j Methamphetamine and Crystal Methamphetamine (Ice): Trends in Annual Prevalence in Grades 8, 10, and 12 .........................................................244 Figure 5-4k Narcotics other than Heroin: Trends in Annual Prevalence in Grade 12 ............245 Figure 5-4l Ecstasy (MDMA) and Rohypnol: Trends in Annual Prevalence in Grades 8, 10, and 12 ............................................................................................246 Figure 5-4m Alcohol and Been Drunk: Trends in Annual Prevalence in Grades 8, 10, and 12 ...................................................................................................................247 Figure 5-4n Five or More Drinks in a Row: Trends in 2-Week Prevalence in Grades 8, 10 and 12 .............................................................................................248 Figure 5-4o Cigarettes: Trends in 30-Day Prevalence and 30-Day Prevalence of Daily Use in Grades 8, 10, and 12 .................................................................................249 Figure 5-4p Smokeless Tobacco: Trends in 30-Day Prevalence and 30-Day Prevalence of Daily Use in Grades 8, 10, and 12 ................................................250 Figure 5-4q Steroids: Trends in Annual Prevalence in Grades 8, 10, and 12 ..........................251 Figure 5-5a Marijuana: Trends in 30-Day Prevalence of Daily Use in Grade 12 by Total and by Gender ......................................................................................................252 Figure 5-5b Alcohol: Trends in 30-Day Prevalence of Daily Use in Grade 12 by Total and by Gender ......................................................................................................253 Figure 5-5c Cigarettes: Trends in 30-Day Prevalence of Daily Use in Grade 12 by Total and by Gender ......................................................................................................254 Figure 5-6a Alcohol: Trends in 2-Week Prevalence of Heavy Drinking in Grade 12 by Gender .............................................................................................255 Figure 5-6b Steroids: Trends in Annual Prevalence in Grade 12 by Gender ..........................256 xxxi LIST OF FIGURES (Continued) Figure 5-7 An Illicit Drug Use Index: Trends in Annual Prevalence in Grade 12 by Gender .............................................................................................257 Figure 5-8 An Illicit Drug Use Index: Trends in Annual Prevalence in Grade 12 by College Plans ...................................................................................258 Figure 5-9 Cigarettes: Trends in 30-Day Prevalence in Grades 8, 10, and 12 by College Plans ..................................................................................................259 Figure 5-10a An Illicit Drug Use Index: Trends in Annual Prevalence in Grade 12 by Region of the Country .....................................................................................260 Figure 5-10b Cocaine: Trends in Lifetime Prevalence in Grade 12 by Region of the Country...........................................................................................................261 Figure 5-10c Cigarettes: Trends in 30-Day Prevalence in Grade 12 by Region of the Country...........................................................................................................262 Figure 5-11a An Illicit Drug Use Index: Trends in Annual Prevalence in Grade 12 by Population Density ..........................................................................................263 Figure 5-11b Alcohol and Marijuana: Trends in Annual Prevalence in Grade 12 by Population Density ...............................................................................................264 Figure 5-11c Cocaine and Ecstasy (MDMA): Trends in Annual Prevalence in Grade 12 by Population Density ..........................................................................................265 Figure 5-11d Cigarettes and Smokeless Tobacco: Trends in 30-Day Prevalence in Grade 12 by Population Density ..........................................................................266 Figure 5-12a Marijuana: Trends in Annual Prevalence in Grade 12 by Average Education of Parents ............................................................................................267 Figure 5-12b Cocaine: Trends in Annual Prevalence in Grade 12 by Average Education of Parents ............................................................................................268 Figure 5-12c LSD: Trends in Annual Prevalence in Grade 12 by Average Education of Parents ...........................................................................................269 Figure 5-12d Amphetamines: Trends in Annual Prevalence in Grade 12 by Average Education of Parents ............................................................................................270 Figure 5-12e Alcohol: Trends in 2-Week Prevalence of 5 or More Drinks in a Row in Grade 12 by Average Education of Parents .....................................271 xxxii LIST OF FIGURES (Continued) Figure 5-12f Cigarettes: Trends in Daily Prevalence in Grade 12 by Average Education of Parents ............................................................................................272 Figure 5-13a Marijuana and Cocaine: Trends in Annual Prevalence in Grade 12 by Race/Ethnicity .................................................................................................273 Figure 5-13b Alcohol and Cigarettes: Trends in Prevalence in Grade 12 by Race/Ethnicity ......................................................................................................274 Figure 5-13c Inhalants and LSD: Trends in Annual Prevalence in Grade 12 by Race/Ethnicity .................................................................................................275 Figure 6-1 Use of Any Illicit Drug: Trends in Lifetime Prevalence at Earlier Grade Levels based on Retrospective Reports from 12th Graders ......................294 Figure 6-2 Use of Any Illicit Drug other than Marijuana: Trends in Lifetime Prevalence at Earlier Grade Levels based on Retrospective Reports from 12th Graders ...................................................................................295 Figure 6-3 Use of Any Illicit Drug other than Marijuana or Amphetamines: Trends in Lifetime Prevalence at Earlier Grade Levels based on Retrospective Reports from 12th Graders ............................................................296 Figure 6-4 Marijuana: Trends in Lifetime Prevalence at Earlier Grade Levels based on Retrospective Reports from 12th and 8th Graders ...............................................297 Figure 6-5 Inhalants: Trends in Lifetime Prevalence at Earlier Grade Levels based on Retrospective Reports from 12th and 8th Graders ...............................................298 Figure 6-6 Nitrites: Trends in Lifetime Prevalence at Earlier Grade Levels based on Retrospective Reports from 12th Graders ............................................................299
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