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Monitoring the future: National survey results on drug use

youth drug use survey results: female hands with painted fingernails lighting up a joint
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Author(s): University of MichiganInstitute for Social Research

Richard A. Miech | Lloyd D. Johnston | Megan E. Patrick | Patrick M. O’Malley | Jerald G. Bachman | John E. Schulenberg

Published: Dec. 15, 2022

Report Intro/Brief:
“The Monitoring the Future survey is given annually to students in eighth, 10th, and 12th grades who self-report their substance use behaviors over various time periods, such as past 30 days, past 12 months, and lifetime. The survey also documents students’ perception of harm, disapproval of use, and perceived availability of drugs. Notably, the survey results are released the same year the data are collected.

The survey found that adolescents most commonly reported use of alcohol, nicotine vaping, and cannabis in the past year, and levels generally held steady with those reported in 2021. For substances where reported past-year use did increase between 2021 and 2022, the vast majority of reported use remained at or below the pre-pandemic levels observed in 2020. Compared to levels observed in 2021, data reported in 2022 show:

  • Nicotine vaping remained stable for all three grades surveyed, with 12% of eighth graders, 20.5% of 10th graders, and 27.3% of 12th graders reporting vaping nicotine in the past year.
  • Cannabis use also remained stable for all three grades surveyed, with 8.3% of eighth graders, 19.5% of 10th graders, and 30.7% of 12th graders reporting cannabis use in the past year. Of note, 6.0% of eighth graders, 15.0% of 10th graders, and 20.6% of 12th graders reported vaping cannabis within the past year, reflecting a stable trend at the prepandemic level among eighth and 12th graders, and a small increase in reported use among 10th graders, though reported use among 10th graders in 2022 is still significantly below prepandemic levels.
  • Alcohol use remained stable for eighth and 10th graders (with 15.2% and 31.3% reporting use in the past year, respectively) but returned to prepandemic levels for 12th graders in 2022 (with 51.9% of 12th graders reporting alcohol use in the past year).
  • Any illicit drug use other than marijuana also remained stable for all three grades surveyed, with 4.9% of eighth graders, 5.7% of 10th graders, and 8.0% of 12th graders reporting any illicit drug use other than marijuana in the past year. These data build on longterm trends documenting low and fairly steady use of illicit substances reported among teenagers – including past-year use of cocaine, heroin, amphetamines, and nonmedical use of prescription drugs, generally.
  • Use of narcotics other than heroin (including Vicodin, OxyContin, Percocet, etc.) increased slightly among 12th graders between 2021 and 2022 (with 1.7% of 12th graders reporting use within the past year), consistent with the prepandemic levels observed in 2019 and 2020 (2.7% and 2.1%, respectively).

When asked a range of questions about the perceived harmfulness of occasionally taking specific prescription medications (such as OxyContin and Vicodin), or the risk of “narcotics other than heroin” overall, the percentage of students who reported perceiving a “great risk” ranged from 22.9% among eighth graders to 52.9% among 12th graders. The percentage of respondents who reported perceiving a “great risk” associated with taking Adderall occasionally ranged from 28.1% among eighth graders to 39.6% among 12th graders.

Though the data have indicated stable or declining use of illicit drugs among young people over many years, other research has reported a recent dramatic rise in overdose deaths among young people ages 14-18. This increase is largely attributed to illicit fentanyl, a potent synthetic drug, contaminating the supply of counterfeit pills made to resemble prescription medications like benzodiazepines, ADHD medications, and opioids.”


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