2014 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY. October 22, 2014

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1 2014 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY October 22,

2 Presentation Outline 1. Methodology M.S. and H.S. ATOD Rates 3. Alcohol, Cigarettes, and Marijuana 4. Other Illicit, Rx, and OTC Drugs 2 5. Bullying and Race/Ethnic differences in ATOD Use

3 Methodology Survey administration: February of 2014 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 65,917 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

4 Survey Validation 3,467 respondents (5.) identified and eliminated by one or more of five validation tests: ATOD exaggeration 1,306 Antisocial behavior exaggeration 688 Inconsistency 1,316 Fictitious drug 2,115 No response for more than 75% of the survey questions 814 4

5 Lifetime and Past-30-Day ATOD Prevalence Rates for M.S. and H.S. Students 2014 Results 5

6 Lifetime Prevalence Middle School

7 Lifetime Prevalence High School

8 Blacking Out from Drinking Lifetime Prevalence Among High School Students

9 Past-30-Day Prevalence Middle School Past Two Weeks

10 Past-30-Day Prevalence High School Past Two Weeks

11 Alcohol, Cigarettes and Marijuana Trends Risk of Harm and Disapproval Vehicle Use ATOD Use During School 11

12 Alcohol Past-30-Day Prevalence by Grade Cohort Middle School High School

13 Alcohol Past-30-Day Prevalence for 8th, 10th and 12th Graders MTF FYSAS

14 Binge Drinking Prevalence by Grade Cohort Middle School High School

15 Binge Drinking Prevalence for 8th, 10th and 12th Graders 3 25% % % MTF FYSAS

16 Drinks Consumed per Day (on days when drinking) Among Florida High School Students Who Drink or More

17 Source of Alcohol Among Florida High School Students Who Drink Store Restaurant or Club Public Event Someone Bought for Me Someone Gave to Me 0.3 Took from Store Took from Family Some Other Way

18 Drinking Locations Among Florida High School Students Who Drink Home Another Person's Home Car or Other Vehicle Restaurant, Bar or Club Public Place Public Event School Property Some Other Place

19 Cigarettes Past-30-Day Prevalence by Grade Cohort 25% 2 15% % Middle School High School

20 Cigarettes Past-30-Day Prevalence for 8th, 10th and 12th Graders 25% % % MTF FYSAS

21 Marijuana Past-30-Day Prevalence by Grade Cohort 25% % 1 5% Middle School High School

22 Marijuana Past-30-Day Prevalence for 8th, 10th and 12th Graders 25% % % MTF FYSAS

23 Survey Quality How do you know your data are accurate and precise? 1. Supervise the survey team and review the methodology report 2. Check the data: look for extreme changes and illogical patterns 3. Compare results to an independent, external source 23

24 Trend Line Inconsistency 1. One (or both) of the surveys is methodologically inconsistent Both surveys are accurate, but each population has a different pattern of change.

25 Trend Line Consistency When trend lines show the same pattern over an extended time period, it confirms the methodological consistency of both surveys. 25

26 Synthetic Marijuana Lifetime and Past-30-Day Prevalence among High School Students 2 15% % Lifetime Prevalence Past-30-Day Prevalence 26

27 Synthetic Marijuana Where did you get it? Convenience Store or Gas Station Tobacco Store or Head Shop Bought It On-Line From an Individual Someone Gave it to Me

28 Early ATOD Use Initiation by Age 13 High School Try Alcohol Cigarettes Regular Alcohol Use Marijuana

29 Risk of Harm Percentage Reporting Great Risk Alcohol Cigarettes Try Marijuana

30 Disapproval of ATOD Use Wrong or Very Wrong Cigarettes Alcohol Marijuana

31 Alcohol Trends Summary Past-30-Day Use Binge Drinking Use by Age 13 Risk of Harm Disapproval

32 Cigarette Trends Summary Past-30-Day Use Use by Age 13 Risk of Harm Disappproval

33 Marijuana Trends Summary Past-30-Day Use Use by Age 13 Disapproval Risk of Harm

34 Co-Occurrence of Alcohol, Cigarette, and Marijuana Use Past-30-Day Prevalence No Use 74.6 Alcohol Only 11.2 Cigarettes Only 0.8 Marijuana Only 3.6 Alcohol and Cigarettes 1.0 Alcohol and Marijuana 5.7 Cigarettes and Marijuana 0.5 All Three

35 ATODs and Driving Past-30-Day Prevalence Among High School Students Riding with a DUI Driver Driving Under the Influence 35 Alcohol Marijuana

36 Riding with a Drinking Driver Past-30-Day Prevalence Among Non-Drinkers and Drinkers Non-Drinkers Drinkers

37 Riding with a Marijuana-Using Driver Past-30-Day Prevalence Among Non-Users and Users Non-Users Users

38 ATOD Use Before or During School Past-12-Month Prevalence Alcohol Marijuana Another Drug 38 Middle School High School

39 Other Illicit, Prescription, and Over-the-Counter Drugs Trends 39

40 Inhalants Past-30-Day Prevalence by Grade Cohort 15% % Middle School High School

41 Inhalants Past-30-Day Prevalence for 8th Graders 1 8% 6.2 6% 4% % MTF FYSAS

42 Over-the-Counter Drugs Past-30-Day Prevalence by Grade Cohort 15% 1 5% Middle School High School

43 Depressants Past-30-Day Prevalence by Grade Cohort 1 8% 6% 4% 4.2 2% Middle School High School 43

44 Prescription Pain Relievers Past-30-Day Prevalence by Grade Cohort 15% 1 5% Middle School High School

45 Prescription Pain Relievers Prevalence for 8th, 10th and 12th Graders 15% 1 5% FYSAS 30-Day Rx Pain MTF Annual Vicodin MTF Annual OxyContin FYSAS Lifetime Rx Pain

46 Prescription Amphetamines Past-30-Day Prevalence by Grade Cohort 8% 6% 4% 2% Middle School High School

47 Any Prescription Drug Past-30-Day Prevalence by Grade Cohort 15% % Middle School High School

48 Use of Any Illicit Drug Other than Marijuana Past-30-Day Prevalence by Grade Cohort 15% % Middle School High School

49 Use of Alcohol, Tobacco, or Any Illicit Drug Past-30-Day Prevalence Among Middle School Students 35% % % Middle School Percentage Point Decrease = Middle School 49

50 Use of Alcohol, Tobacco, or Any Illicit Drug Past-30-Day Prevalence Among High School Students 55% % % High School Percentage Point Decrease = High School 50

51 Students Reporting No ATOD Use in the Past 30 Days 9 Middle School Percentage Point Increase = Middle School

52 Students Reporting No ATOD Use in the Past 30 Days 7 High School Percentage Point Increase = High School

53 Percentage Point Change Past-30-Day Prevalence 2% % % % 53 High School Only

54 Percentage Point Change Past-30-Day Prevalence 5% % % 54

55 Youth Alcohol Use has Declined Substantially in the Past Decade Past-30-Day Use : Decrease of 10.2 points among M.S. students Decrease of 13.6 points among H.S. students Binge Drinking : Decrease of 4.7 points among M.S. students Decrease of 8.6 points among H.S. students 55

56 Despite Reductions, High-Risk Alcohol Use is Still Common Among High School Students: 13.7% reported binge drinking in past 2 weeks 18.9% have blacked out from drinking 18.1% rode with a drinking driver in the past 30 days 6.6% drove after drinking in the past 30 days 56

57 The Long-Term Decline in Cigarette Smoking Continues Past-30-Day Use : Decrease of 5.1 points among M.S. students Decrease of 7.8 points among H.S. students Past-30-Day Use : Decrease of 0.7 points among M.S. students Decrease of 2.5 points among H.S. students 57

58 While Other ATOD Rates Decline, Marijuana Use Shows Little Overall Change Past-30-day marijuana use : Decrease of 1.7 points among M.S. students Increase of 1.4 points among H.S. students Past-30-day marijuana use : No change among M.S. students Increase of 0.1 points among H.S. students 58

59 Comparisons to National Data Florida students reported: Higher rates of alcohol use (gap is narrowing) Similar rates of binge drinking (gap has closed) Lower rates of cigarette use Slightly higher rates of marijuana use Slightly higher rates of inhalant use 59

60 Bullying ATOD Use and Race/Ethnicity 2014 Results 60

61 Bullying M.S. and H.S. Prevalence Rates Bullying Caused Worry or Fear Skipped School Because of Bullying Physically Bullied in Past 30 Days Teased or Excluded in Past 30 Days Cyber Bullied in Past 30 Days Physically Bullied Others in Past 30 Days Teased or Excluded Others in Past 30 Days Cyber Bullied Others in Past 30 Days 61 Middle School High School

62 Bullying Female and Male Prevalence Rates Bullying Caused Worry or Fear Skipped School Because of Bullying Physically Bullied in Past 30 Days Teased or Excluded in Past 30 Days Cyber Bullied in Past 30 Days Physically Bullied Others in Past 30 Days Teased or Excluded Others in Past 30 Days Cyber Bullied Others in Past 30 Days 62 Female Male

63 Bullying Trends Middle School Students, Bullying Caused Worry or Fear Skipped School Because of Bullying Physically Bullied in Past 30 Days Teased or Excluded in Past 30 Days Cyber Bullied in Past 30 Days Physically Bullied Others in Past 30 Days Teased or Excluded Others in Past 30 Days Cyber Bullied Others in Past 30 Days

64 Attacking Someone with Intent to Harm Past-12-Month Prevalence 2 15% 1 5% Middle School High School 64

65 ATOD Use and Race/Ethnicity Past-30-Day Prevalence Alcohol Cigarettes Marijuana

66 ATOD Use and Race/Ethnicity Cigarettes: Risk of Harm and Disapproval Perceived Risk Personal Disapproval Peer Disapproval

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