Substance Abuse

Database Detail

Name	Substance Abuse
Summary	Drug, alcohol, tobacco use and mental health status
Additional Background	This database reports survey results on the use of illegal drugs, prescription drugs, alcohol, tobacco and the misuse of prescription drugs, substance use disorder, and substance use treatment conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA). It also reports on major depressive episodes and depression care, including psychological distress, mental illness, and mental health care. Data are reported at the U.S., state, and county levels. Note that data are available for 2016 and 2018 only. Annual data reported reflect a three-year average, i.e., 2016 reflects 2014-2016. County data are available only in 2016 and 2018 due to methodological concerns raised by the source. The survey includes persons aged 12 and over in the civilian noninstitutionalized population of the United States, and in each state and the District of Columbia. The survey covers residents of households (including those living in houses, townhouses, apartments, and condominiums), persons in noninstitutional group quarters (including those in shelters, boarding houses, college dormitories, migratory work camps, and halfway houses), and civilians living on military bases. Persons excluded from the survey include people experiencing homelessness who do not use shelters, active military personnel, and residents of institutional group quarters such as jails, nursing homes, mental institutions, and long-term care hospitals. For additional details, see here.
Geographic Coverage	U.S., States, Counties
Periodicity	Annually
Series Begins/Ends	2016 - 2023
Data Source	Substance Abuse and Mental Health Services Administration

Note: Database contains variables for all categories, areas, and time periods for which data are available from the originating source.

Summary	Drug, alcohol, tobacco use and mental health status
Geographic Coverage	U.S., States, Counties
Series Begins/Ends	2016 - 2023
Reporting Period	Annually
New Database added	Jul. 20, 2025
Estimated next update	Jul. 01, 2026
Original Source	Substance Abuse and Mental Health Services Administration
Sample File	Sample_CSV__Substance_Abuse.zip
Number of records	75,647
Values Missing or Not Reported	83.8%
File Size	133.4 MB
Latest data available	Year 2023
Source (APA):	StatsUSA. (2025, July 20). Substance Abuse. https://statsusa.org/us/stats/substance-abuse.html Set APA as default format Substance Abuse. StatsUSA. Last modified July 20, 2025. https://statsusa.org/us/stats/substance-abuse.html. Set Chicago as default format Substance Abuse. StatsUSA, 20 Jul 2025, https://statsusa.org/us/stats/substance-abuse.html. Set MLA as default format Substance Abuse. StatsUSA. Updated July 20, 2025. Accessed May 1, 2026. https://statsusa.org/us/stats/substance-abuse.html Set AMA as default format
Additional Background	This database reports survey results on the use of illegal drugs, prescription drugs, alcohol, tobacco and the misuse of prescription drugs, substance use disorder, and substance use treatment conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA). It also reports on major depressive episodes and depression care, including psychological distress, mental illness, and mental health care. Data are reported at the U.S., state, and county levels. Note that data are available for 2016 and 2018 only. Annual data reported reflect a three-year average, i.e., 2016 reflects 2014-2016. County data are available only in 2016 and 2018 due to methodological concerns raised by the source. The survey includes persons aged 12 and over in the civilian noninstitutionalized population of the United States, and in each state and the District of Columbia. The survey covers residents of households (including those living in houses, townhouses, apartments, and condominiums), persons in noninstitutional group quarters (including those in shelters, boarding houses, college dormitories, migratory work camps, and halfway houses), and civilians living on military bases. Persons excluded from the survey include people experiencing homelessness who do not use shelters, active military personnel, and residents of institutional group quarters such as jails, nursing homes, mental institutions, and long-term care hospitals. For additional details, see here.

Please choose a state or county. County data are available only in 2018 due to methodological concerns raised by the source.

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Category Definition

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Parent Category	Category	Number	Definition
Alcohol	Alcohol use disorder in the past year	Percent	Percentage of individuals reporting alcohol dependence or abuse characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences in the past year
Alcohol	Alcohol use in the past month	Percent	Percentage of respondents reporting any use of alcohol within the past 30 days.
Alcohol	Binge alcohol use in the past month	Percent	Percentage of persons reporting having five or more drinks on at least one occasion (for men) and having at least four drinks on at least one occasion (for women) within the past 30 days.
Alcohol	Needing but not receiving treatment at a specialty facility for alcohol use in the past year	Percent	Percent of persons responding that they were in need of alcohol abuse treatment but they did not receive during the past year on the National Survey on Drug Use and Health.
Alcohol	Perceptions of great risk from having five or more drinks of an alcoholic beverage once or twice a week	Percent	Percentage of respondents who believed there was great risk of harm from "Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week"
Drugs	Cocaine use in the past year	Percent	The percentage of individuals who reported using cocaine at least once in the past year.
Drugs	Nicotine Vaping in the Past Month	Percent	NA
Drugs	Nicotine Vaping in the Past Month	Percent	NA
Drugs	Nicotine Vaping in the Past Month	Percent	NA
Drugs	Nicotine Vaping in the Past Month	Percent	NA
Drugs	Nicotine Vaping in the Past Month	Percent	NA
Drugs	Nicotine Vaping in the Past Month	Percent	NA
Mental Illness	Nicotine Vaping in the Past Month	Percent	NA
Mental Illness	Nicotine Vaping in the Past Month	Percent	NA
Tobacco	Nicotine Vaping in the Past Month	Percent	NA
Drugs	First use of marijuana	Percent	Percentage of average annual initiation of marijuana. This is defined as 100 * {[X1 ÷ (0.5 * X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 * X1 + X2).
Drugs	Heroin use in the past year	Percent	The percentage of individuals who reported using heroin at least once in the past year.
Drugs	Illicit drug use disorder in the past year	Percent	Percentage of individuals who had problematic behavior patterns in which people continue to use a substance despite having problems caused by its use.Possible substances include the following: cocaine, crack,heroin, LSD, ecstasy, marijuana, inhalants, nonmedical use of psychotherapeutics, pain relievers, tranquilizers, sedatives, stimulants, and methamphetamines
Drugs	Illicit drug use in the past month	Percent	Percentage of individuals who respond they have consumed a particular illicit substance in the past month. Possible substances include the following: cocaine, crack, heroin, LSD, ecstasy, marijuana, inhalants, nonmedical use of psychotherapeutics, pain relievers, tranquilizers, sedatives, stimulants, and methamphetamines
Drugs	Illicit drug use other than marijuana in the past month	Percent	Percentage of persons reporting illicit drug use other than Marijuana in the past month
Drugs	Marijuana use in the past month	Percent	Percentage of persons reporting use of marijuana in the past month
Drugs	Marijuana use in the past year	Percent	Percentage of persons reporting use of marijuana in the past year
Drugs	Methamphetamine use in the past year	Percent	Percentage of respondents reporting any use of Methamphetamine in the past year
Drugs	Needing but not receiving treatment at a specialty facility for illicit drug use in the past year	Percent	Percent of persons responding that they were in need of illicit drug use treatment but they did not receive during the past year on the National Survey on Drug Use and Health.
Drugs	Needing but not receiving treatment at a specialty facility for substance use in the past year	Percent	Percent of persons responding that they were in need of substance use treatment that they did not receive during the past year.
Drugs	Pain reliever misuse in the past year	Percent	Percentage of individuals who reported use of prescription pain relievers not prescribed to them at least once in the past year
Drugs	Pain reliever use disorder in the past year	Percent	Pain reliever use disorder is percentage of people with problematic pattern of pain reliever use that leads to serious impairment or distress and withdrawal symptoms when discontinued in the past year.
Drugs	Perceptions of great risk from smoking marijuana once a month	Percent	Percent of adults surveyed who believe there is a great risk of harm in smoking marijuana once a month
Drugs	Perceptions of great risk from trying heroin once or twice	Percent	Percent of respondents who believed there was great risk of harm from trying heroin once or twice in the past year
Drugs	Perceptions of great risk from using cocaine once a month	Percent	Percent of adults surveyed who believe there is a great risk of harm in using cocaine once a month
Drugs	Substance use disorder in the past year	Percent	The percentage of individuals reporting patterns of symptoms resulting from the use of a substance that you continue to take, despite experiencing problems as a result.
Mental Illness	Attempted Suicide in the Past Year	Percent	Percentage of respondents who have attempted suicide in the past year. A suicide attempt is defined, as a self-destructive act deliberately carried out where there is a clear expectation of death
Mental Illness	Any mental illness in the past year	Percent	Percentage of respondents with mental illness that is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder
Mental Illness	Had serious thoughts of suicide in the past year	Percent	Percentage of people who seriously thought about trying to kill themselves in the past 12 months.
Mental Illness	Made Any Suicide Plans in the Past Year	Percent	Percentage of people who had thoughts about self-harm, with deliberate consideration or planning of possible techniques of causing one's own death
Mental Illness	Major depressive episode in the past year	Percent	Percentage of respondents who had a period of at least 2 weeks when they experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
Mental Illness	Received mental health services in the past year	Percent	Percentage of people having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
Mental Illness	Serious mental illness in the past year	Percent	Percentage of respondents with mental illness other than a developmental or substance use disorder resulting in serious functional impairment.
Tobacco	Cigarette use in the past month	Percent	Percentage of respondents reporting any use of cigarettes within the past 30 days
Tobacco	Perceptions of great risk from smoking one or more packs of cigarettes per day	Percent	Percent of respondents who believed there was great risk of harm from smoking one or more packs of cigarettes every day.
Tobacco	Tobacco product use in the past month	Percent	Percentage of respondents reporting any use of tobacco products within the past 30 days. Tobacco products include Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.

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