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Driving Under the Influence of Alcohol or Illicit Drugs: Data from the National Survey on Drug Use and Health (NSDUH) Joe Gfroerer Director, Division of Population Surveys, OAS, SAMHSA Presentation for NHTSA March 22, 2006

Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Page 1: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

Driving Under the Influence of Alcohol or Illicit Drugs: Data from the National Survey on Drug Use

and Health (NSDUH)

Joe Gfroerer

Director, Division of Population Surveys, OAS, SAMHSA

Presentation for NHTSA

March 22, 2006

Page 2: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Overview of NSDUH• Conducted Since 1971; annually since 1990

• Prior to 2002, called the National Household Survey on Drug Abuse

• Representative nationally and (since 1999) in each State

• Civilian, noninstitutionalized population, age 12+

• 2002, 2003 and 2004 data comparable; not comparable with data prior to 2002

Page 3: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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NSDUH Sample DesignStage 1: 7,200 area segments

- 50% overlap in consecutive yrs

Stage 2: 180,000 addresses screened

Stage 3: 67,500 completed interviews

- 3,600 in each large state (8)

- 900 in each small state (43)

Page 4: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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NSDUH Data Collection

Part self-administered, ACASI

$30 incentive payment (beginning 2002)

Household screener (5min.)

Select 0, 1, or 2 HH members

Face-to-face interview, CAI (1hr.)

Quarterly samples of dwelling units - 12 month field period

Oversample ages 12 - 25

Page 5: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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NSDUH Questionnaire - Core

Tobacco, Alcohol, Illicit Drug Use

- Recency- Frequency- Initiation

Demographics

Page 6: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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NSDUH Questionnaire -Supplemental Topics

Attitudes about drugsRisk/protective factors

TreatmentMental health

Workplace issuesIncome, program participation

Dependence, abuse (DSM-IV)

Page 7: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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DUI Questions from 2005 NSDUH

SP06a During the past 12 months, have you driven a vehicle while you were under the influence of a combination of alcohol and illegal drugs used together?

SP06b During the past 12 months, have you driven a vehicle while you were under the influence of alcohol?

ORDuring the past 12 months, have you driven a vehicle while you were under the influence of alcohol only?

SP06c During the past 12 months, have you driven a vehicle while you were under the influence of illegal drugs?

ORDuring the past 12 months, have you driven a vehicle while you were under the influence of illegal drugs only?

Page 8: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Other DUI-related Questions from2005 NSDUH

RK04c How often do you wear a seatbelt when you drive a car?

SP03j In the past 12 months, were you arrested and booked for driving under the influence of alcohol or drugs?

Page 9: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Comparing Different Surveys

Mode/setting differences:• School > Face to face > Telephone• Self Admin. > Interviewer Admin.Design differences:• Coverage/Target Population• Response rate• Definitions, question wording, context

Page 10: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Driving a Vehicle Under the Influence of Illicit Drugs or Alcohol in the Past Year, by Age: 2004

Percent Driving Under the Influence in Past Year

1.43.0

9.2

16.720.2

25.0

33.030.4

25.5

19.3 19.7

15.412.2

8.55.7

2.4

26.228.5

18.0

28.1

32.4

0.50.20

5

10

15

20

25

30

35

Age in Years

12 13 14 15 16 17 18 19 20 21 22 23 24 25 30-34 40-44 50-54 60-6426-29 35-39 45-49 55-59 65 or

Older

Page 11: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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DUI by Type of Substance and Age: 2004

Percent DUI in Past Year

10.2

20.2

28.2

16.8

6.29.2

14.512.6

20.9

0.73.8

6.9

0.0

5.0

10.0

15.0

20.0

25.0

30.0

16-17 18-20 21-25 26-34 35-49 50+

Alcohol Illicit Drug

Page 12: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older,

by Race/Ethnicity: 2003

Percent Driving Under the Influence in Past Year

15.3

11.4 11.18.4

17.618.3

0

4

8

12

16

20

24

AmericanIndian/AlaskaNative

Non-Hispanic

White

NativeHawaiianor OtherPacific

Islander

Hispanic Non-Hispanic

Black

Asian

Page 13: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Trends in DUI among Persons Aged 18 or Older: 2002-2004

Percent DUI in Past Year

4.8

16.4

4.7

15.714.6

4.5

15.615.4 14.7

02468

1012141618

Alcohol Illicit Drugs Either Alcohol or IllicitDrugs

2002 2003 2004

Page 14: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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DUI Alcohol Among Persons Aged 18 or Older, by Gender: 2002-2004

Percent DUI In Past Year

10.6

20

9.9

19.6

10

20.7

0

5

10

15

20

25

Male Female

200220032004

b

Page 15: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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DUI Illicit Drugs Among Persons Aged 18 or Older, by Gender: 2002-2004

Percent DUI In Past Year

3.1

6.9

2.8

6.5

2.7

6.6

0

2

4

6

8

Male Female

2002 2003 2004

b

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DUI among Persons Aged 18 or Older, by Type of Substance

and Educational Attainment: 2004Percent Driving Under the Influence in Past Year

9.0

12.3

17.9

4.5 4.5 4.5

0.02.04.06.08.0

10.012.014.016.018.020.0

Less than High School High School Some College or CollegeGrad

Alcohol Illicit Drug

Page 17: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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DUI among Persons Aged 18 or Older Who Have Used Substances, by Type of Substance

and Educational Attainment: 2004Percent of Users Driving Under the Influence in Past Year

17.7 19.023.2

31.3 33.0 33.6

0.05.0

10.015.020.025.030.035.040.0

Less than High School High School Some College or CollegeGrad

Alcohol Illicit Drug

Page 18: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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DUI among Persons Aged 18 or Older, by Type of Substance and County Type: 2004

14.9 15.713.3

10.3

13.7

4.4 5.3 4.72.8 3.6

0.02.04.06.08.0

10.012.014.016.018.020.0

Large Small Urbanized LessUrbanized

Rural

Alcohol Illicit DrugPercent DUI in Past Year

Metropolitan AreasNonmetropolitan Areas

Page 19: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Driving Under the Influence of Alcohol in the Past Year among Persons Aged 18 or Older: Percentages, Annual

Averages Based on 2002, 2003, and 2004 NSDUHs

Page 20: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Driving Under the Influence of Illicit Drugs in the Past Year among Persons Aged 18 or Older: Percentages,

Annual Averages Based on 2002, 2003, and 2004 NSDUHs

Page 21: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Percentages of Drivers Aged 15 to 17 Reporting Driving Under the Influence of Alcohol in the Past Year, by GDL Rating: Annual Averages Based on

1999-2001 NHSDAs

9.110.2

11.5

9.5

8.0

0

2

4

6

8

10

12

Overall MostRestrictive

ModeratelyRestrictive

LessRestrictive

LeastRestrictive

Percent Driving Under the Influence in Past Year

Page 22: Driving Under the Influence of Alcohol or Illicit Drugs ... · Driving a Vehicle Under the Influence of Alcohol or Illicit Drugs Among Persons Aged 18 or Older, by Race/Ethnicity:

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Questions?