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Round 2: Illegal Drugs and Naloxone (Narcan) Awareness

Rapid Surveys from the National Center for Health Statistics (NCHS) collect timely, relevant data on topics of public health importance. Surveys are conducted several times a year using probability-based commercial online panels. Each survey includes a unique set of questions about different public health topics. Data collection for Round 2 occurred during October—November 2023.

This page includes estimates in dashboard and table formats. Estimates for illegal drugs and naloxone (Narcan) awareness include indicators such as the percentage of adults ages 18 and older who have ever heard of naloxone or currently carry it, believe naloxone should be in various public places such as in work or school settings, and who knew naloxone was available in various community and health care provider locations. Also included are measures of concern about ingredients in prescription medications that are available online without a prescription and level of agreement with certain opinions or beliefs about illegal drugs.

Explore other Round 2 topics
Illegal drugs and naloxone (Narcan) awareness dashboard

Select the buttons at the top of the dashboard to view bar chart and data table. Use the drop-down menus to show data for selected indicators or demographic variables.

View dashboard data on data.cdc.gov
Table 1. Percent distribution of level of concern about ingredients in prescription medications ordered online without a prescription among adults, by whether these medications had ever been ordered before and select demographics: United States, October–November, 2023
Ever ordered prescription medication online without a prescription Never ordered prescription medication online without a prescription
Total Not at all concerned A little or somewhat concerned Very concerned Total Not at all concerned A little or somewhat concerned Very concerned
Characteristic Percent (95% confidence interval) Percent (95% confidence interval)
Total 100 37.9 (30.2–46.2) 54.7 (46.0–63.3) * 100 9.7 (8.8–10.7) 35.5 (34.1–36.9) 54.8 (53.3–56.2)
Age group
18–44 100 30.6 (20.1–42.7) 59.3 (45.6–72.0) * 100 12.7 (11.0–14.5) 42.0 (39.6–44.4) 45.3 (42.9–47.8)
45–64 100 47.5 (34.6–60.6) 50.6 (37.6–63.6) * 100 8.5 (7.1–10.1) 34.0 (31.6–36.4) 57.5 (55.1–59.9)
65 and older 100 47.7 (33.3–62.5) 45.9 (31.6–60.7) * 100 5.4 (4.2–6.8) 24.2 (21.9–26.5) 70.4 (68.0–72.9)
Gender
Female 100 33.2 (22.6–45.3) 56.0 (42.2–69.2) * 100 7.8 (6.7–9.0) 31.5 (29.7–33.4) 60.7 (58.8–62.7)
Male 100 42.1 (31.8–53.0) 53.6 (42.5–64.4) * 100 11.8 (10.3–13.5) 39.7 (37.6–41.8) 48.5 (46.3–50.6)
Race and Hispanic origin
Hispanic 100 * * * 100 14.1 (11.3–17.3) 41.1 (37.2–45.2) 44.7 (40.8–48.7)
Black or African American, non-Hispanic 100 * * * 100 14.7 (11.2–18.6) 26.8 (22.8–31.2) 58.5 (53.8–63.1)
White, non-Hispanic 100 42.6 (32.1–53.7) 52.6 (41.4–63.6) * 100 7.6 (6.6–8.7) 34.7 (33.1–36.4) 57.7 (56.0–59.4)
Other single or multiple races, non-Hispanic 100 * * * 100 9.7 (6.6–13.7) 44.7 (39.0–50.5) 45.6 (40.0–51.2)
Education
High school degree or GED or less 100 29.3 (17.1–44.1) * * 100 12.5 (10.7–14.4) 36.9 (34.4–39.5) 50.6 (47.9–53.3)
Some college 100 41.2 (28.9–54.3) 51.5 (38.5–64.3) * 100 8.9 (7.3–10.7) 33.2 (30.6–35.8) 57.9 (55.2–60.6)
Bachelor’s degree or higher 100 45.9 (33.3–58.9) 48.5 (35.8–61.4) * 100 7.4 (6.1–8.9) 35.8 (33.6–38.0) 56.8 (54.5–59.1)
Household income as a percentage of the federal poverty level
Less than 100% FPL 100 * * * 100 18.3 (14.4–22.6) 35.1 (30.6–39.9) 46.6 (42.0–51.2)
100% to less than 200% FPL 100 * * * 100 10.0 (7.8–12.7) 36.8 (33.2–40.5) 53.2 (49.5–56.8)
200% and greater FPL 100 42.8 (33.3–52.9) 54.9 (44.9–64.7) * 100 8.1 (7.1–9.2) 35.2 (33.6–36.9) 56.6 (54.9–58.3)
Region
Northeast 100 * * * 100 8.8 (6.6–11.5) 33.2 (29.9–36.6) 58.0 (54.4–61.4)
Midwest 100 * * * 100 8.7 (7.0–10.6) 37.5 (34.5–40.5) 53.9 (50.8–56.9)
South 100 37.0 (25.8–49.3) 57.0 (44.8–68.6) * 100 10.2 (8.6–12.0) 35.5 (33.3–37.9) 54.2 (51.7–56.7)
West 100 31.1 (18.1–46.7) * * 100 10.6 (8.7–12.7) 35.4 (32.4–38.4) 54.0 (51.0–57.0)
Urbanicity
Large central metro 100 39.5 (27.5–52.5) 58.9 (45.9–71.0) * 100 11.9 (10.0–13.9) 35.1 (32.5–37.8) 53.0 (50.3–55.8)
Large fringe metro 100 * * * 100 8.5 (6.7–10.6) 35.2 (32.3–38.2) 56.3 (53.2–59.4)
Medium and small metro 100 32.4 (19.5–47.6) * * 100 9.8 (8.2–11.5) 37.1 (34.6–39.7) 53.1 (50.4–55.8)
Nonmetropolitan 100 * * * 100 7.3 (5.2–9.9) 33.1 (29.3–37.0) 59.6 (55.6–63.6)

*Estimate is not shown, as it does not meet NCHS standards of reliability.

NOTES:
GED = general educational development certificate. FPL = federal poverty level. Percentages may not add to totals due to rounding. All estimates shown meet the NCHS standards of reliability. See technical notes for more details.

SOURCE: National Center for Health Statistics, Rapid Surveys System, Round 2, October–November, 2023.

Table 2. Percentage of adults who think people don't carry naloxone (Narcan) for certain reasons among adults who do not carry naloxone, by select demographics: United States, October–November, 2023
Don’t think it works Don’t know how to use it Don’t know where to get it
Characteristic Percent (95% confidence interval)
Total 9.2 (8.2–10.2) 60.1 (58.4–61.8) 67.3 (65.6–68.9)
Age group
18–44 9.6 (8.0–11.5) 64.7 (61.9–67.5) 72.4 (69.6–75.0)
45–64 8.1 (6.6–9.8) 56.1 (53.2–59.1) 64.6 (61.7–67.4)
65 and older 9.8 (8.1–11.8) 57.0 (54.0–59.9) 61.8 (58.8–64.6)
Gender
Female 9.8 (8.5–11.3) 63.0 (60.7–65.3) 70.2 (68.0–72.4)
Male 8.5 (7.1–10.0) 56.9 (54.4–59.4) 64.0 (61.5–66.4)
Race and Hispanic origin
Hispanic 13.9 (10.1–18.4) 70.9 (65.4–76.0) 79.9 (75.2–84.1)
Black or African American, non-Hispanic 14.2 (10.2–19.0) 58.7 (53.0–64.2) 65.6 (59.8–71.1)
White, non-Hispanic 7.9 (6.9–9.1) 58.2 (56.2–60.1) 64.6 (62.6–66.5)
Other single or multiple races, non-Hispanic 5.7 (3.1–9.4) 63.9 (56.8–70.5) 75.7 (69.5–81.2)
Education
High school degree or GED or less 11.4 (9.5–13.6) 58.1 (54.6–61.6) 64.9 (61.6–68.2)
Some college 9.8 (8.1–11.9) 59.9 (56.9–62.9) 67.3 (64.3–70.1)
Bachelor’s degree or higher 6.8 (5.6–8.2) 62.0 (59.5–64.5) 69.3 (66.8–71.7)
Household income as a percentage of the federal poverty level
Less than 100% FPL 15.4 (11.1–20.5) 60.7 (54.4–66.7) 68.5 (62.5–74.2)
100% to less than 200% FPL 10.5 (7.8–13.6) 60.0 (55.4–64.4) 69.1 (64.7–73.1)
200% and greater FPL 8.1 (7.1–9.3) 60.1 (58.1–62.0) 66.7 (64.8–68.6)
Region
Northeast 8.6 (6.7–10.8) 61.7 (57.5–65.9) 65.8 (61.9–69.6)
Midwest 8.1 (6.3–10.2) 59.4 (55.9–62.8) 63.7 (60.4–67.0)
South 10.0 (8.3–12.0) 58.9 (56.1–61.6) 68.8 (65.9–71.5)
West 9.4 (7.4–11.8) 61.5 (58.0–65.0) 69.8 (66.3–73.2)
Urbanicity
Large central metro 10.4 (8.5–12.7) 65.7 (62.6–68.8) 70.9 (67.8–73.9)
Large fringe metro 7.6 (6.0–9.4) 61.1 (57.7–64.4) 66.6 (63.2–69.8)
Medium and small metro 9.8 (8.1–11.7) 56.7 (53.5–59.8) 66.5 (63.5–69.4)
Nonmetropolitan 8.3 (5.9–11.3) 55.4 (51.0–59.8) 63.5 (59.1–67.7)

NOTES: GED = general educational development certificate. FPL = federal poverty level. These questions were asked of adults who do not carry naloxone, and ask about potential reasons why people in general (not necessarily why they, themselves) do not carry naloxone. Reasons were not mutually exclusive, and respondents may have selected more than one reason. There may be other reasons why people don’t carry naloxone other than the three questions asked in this survey. All estimates shown meet the NCHS standards of reliability. See technical notes for more details.

SOURCE: National Center for Health Statistics, Rapid Surveys System, Round 2, October–November, 2023.

Table 3. Percent distribution of adults who at least somewhat agree or at least somewhat disagree with certain opinions or beliefs about illegal drug use, by select demographics: United States, October–November, 2023
Would be comfortable being in a committed relationship with someone who misuses prescription opioids or uses illegal drugs such as cocaine or heroin A person who misuses prescription drugs or uses illegal drugs such as cocaine or heroin is to blame for his or her problems Would work closely on a job with someone who misuses prescription opioids or uses illegal drugs such as cocaine or heroin
Total Somewhat agree or strongly agree Somewhat disagree or strongly disagree Total Somewhat agree or strongly agree Somewhat disagree or strongly disagree Total Somewhat agree or strongly agree Somewhat disagree or strongly disagree
Characteristic Percent (95% confidence interval) Percent (95% confidence interval) Percent (95% confidence interval)
Total 100 6.7 (5.9–7.5) 93.3 (92.5–94.0) 100 67.9 (66.5–69.3) 32.0 (30.6–33.4) 100 14.9 (13.8–15.9) 85.1 (84.0–86.1)
Age group
18–44 100 9.1 (7.8–10.6) 90.9 (89.4–92.2) 100 61.5 (59.2–63.8) 38.5 (36.2–40.8) 100 17.7 (16.0–19.5) 82.3 (80.5–84.0)
45–64 100 4.7 (3.7–5.8) 95.3 (94.2–96.3) 100 72.0 (69.7–74.2) 28.0 (25.8–30.3) 100 12.3 (10.7–13.9) 87.7 (86.1–89.3)
65 and older 100 4.3 (3.3–5.6) 95.6 (94.4–96.7) 100 76.1 (73.8–78.2) 23.6 (21.4–25.9) 100 12.4 (10.7–14.3) 87.4 (85.5–89.1)
Gender
Female 100 5.5 (4.6–6.5) 94.5 (93.4–95.4) 100 65.1 (63.1–67.0) 34.8 (32.9–36.8) 100 12.9 (11.6–14.3) 87.0 (85.6–88.3)
Male 100 7.9 (6.8–9.2) 92.1 (90.8–93.2) 100 70.9 (68.9–72.9) 29.0 (27.1–31.0) 100 16.9 (15.3–18.6) 83.1 (81.4–84.7)
Race and Hispanic origin
Hispanic 100 7.5 (5.7–9.8) 92.4 (90.1–94.3) 100 70.0 (66.0–73.7) 30.0 (26.3–33.9) 100 17.9 (15.0–21.0) 82.1 (79.0–85.0)
Black or African American, non-Hispanic 100 8.1 (5.7–11.1) 91.9 (88.9–94.2) 100 65.6 (61.1–70.0) 34.2 (29.8–38.7) 100 15.9 (12.9–19.3) 83.9 (80.5–86.8)
White, non-Hispanic 100 6.3 (5.4–7.3) 93.7 (92.7–94.6) 100 67.6 (65.9–69.2) 32.4 (30.8–34.0) 100 13.9 (12.6–15.1) 86.1 (84.8–87.3)
Other single or multiple races, non-Hispanic 100 5.3 (3.2–8.1) 94.7 (91.9–96.8) 100 70.2 (64.9–75.2) 29.7 (24.7–35.0) 100 13.9 (10.3–18.2) 86.1 (81.8–89.7)
Education
High school degree or GED or less 100 9.4 (7.9–11.1) 90.6 (88.9–92.1) 100 71.6 (69.1–73.9) 28.3 (25.9–30.8) 100 17.3 (15.3–19.5) 82.6 (80.3–84.6)
Some college 100 6.4 (5.2–7.8) 93.6 (92.2–94.8) 100 69.1 (66.6–71.5) 30.9 (28.5–33.4) 100 14.0 (12.2–16.0) 86.0 (84.0–87.7)
Bachelor’s degree or higher 100 3.9 (3.1–5.0) 96.0 (95.0–96.9) 100 63.1 (60.9–65.3) 36.8 (34.7–39.0) 100 12.9 (11.4–14.5) 87.1 (85.5–88.6)
Household income as a percentage of the federal poverty level
Less than 100% FPL 100 11.7 (8.9–15.1) 88.2 (84.9–91.0) 100 63.7 (59.1–68.2) 36.1 (31.6–40.8) 100 20.5 (17.0–24.4) 79.2 (75.4–82.8)
100% to less than 200% FPL 100 8.5 (6.6–10.8) 91.4 (89.2–93.4) 100 70.8 (67.3–74.2) 29.1 (25.7–32.7) 100 13.4 (11.1–15.9) 86.6 (84.1–88.9)
200% and greater FPL 100 5.3 (4.5–6.2) 94.7 (93.8–95.5) 100 68.0 (66.4–69.5) 32.0 (30.4–33.5) 100 14.2 (13.1–15.4) 85.8 (84.6–86.9)
Region
Northeast 100 5.5 (3.8–7.8) 94.4 (92.2–96.2) 100 64.8 (61.4–68.2) 35.1 (31.7–38.6) 100 14.2 (11.8–16.9) 85.7 (82.9–88.2)
Midwest 100 6.4 (4.9–8.0) 93.6 (92.0–95.1) 100 67.8 (64.7–70.7) 32.0 (29.2–35.0) 100 14.7 (12.5–17.2) 85.2 (82.7–87.4)
South 100 7.3 (6.0–8.7) 92.7 (91.3–94.0) 100 69.2 (66.9–71.5) 30.7 (28.4–33.1) 100 14.6 (13.0–16.4) 85.3 (83.6–87.0)
West 100 6.9 (5.5–8.5) 93.1 (91.5–94.5) 100 68.3 (65.4–71.1) 31.6 (28.8–34.5) 100 15.9 (13.8–18.3) 84.1 (81.7–86.2)
Urbanicity
Large central metro 100 7.3 (5.9–8.8) 92.7 (91.2–94.1) 100 64.6 (61.9–67.2) 35.4 (32.8–38.0) 100 17.6 (15.6–19.8) 82.3 (80.1–84.3)
Large fringe metro 100 6.2 (4.8–7.9) 93.7 (92.0–95.1) 100 69.4 (66.4–72.2) 30.5 (27.7–33.4) 100 12.1 (10.3–14.1) 87.8 (85.8–89.6)
Medium and small metro 100 7.2 (5.7–8.9) 92.8 (91.1–94.3) 100 68.7 (66.1–71.2) 31.2 (28.8–33.8) 100 15.4 (13.4–17.5) 84.6 (82.5–86.5)
Nonmetropolitan 100 5.1 (3.7–6.8) 94.9 (93.2–96.3) 100 71.2 (67.6–74.5) 28.8 (25.5–32.4) 100 12.5 (10.2–15.1) 87.5 (84.9–89.8)

NOTES: GED = general educational development certificate. FPL = federal poverty level. All estimates shown meet the NCHS standards of reliability. See technical notes for more details.

SOURCE: National Center for Health Statistics, Rapid Surveys System, Round 2, October–November, 2023.

Survey Topics

Explore Rapid Surveys System estimates by health topic.

Technical Notes

See the technical notes [PDF – 68 KB] for more information on these measures.

Limitations

Data collected under the Rapid Surveys System are intended to complement and not replace the current household survey systems at NCHS, including the National Health Interview Survey (NHIS). The Rapid Surveys approach has a greater potential for coverage and nonresponse bias and smaller sample sizes, thus resulting in lower precision (especially for subgroups). The Rapid Surveys System is particularly well suited for time-sensitive data needs, measuring public health attitudes, developmental work to improve concept measurement, and methodological studies.

Data Source

Rapid Surveys System data are cross-sectional data based on commercial probability-sampled online survey panels that are supplemented, if necessary, with alternative modes to improve representativeness. Data were collected from 7,046 adult participants this cycle using two panels – AmeriSpeak (conducted by NORC at the University of Chicago) and KnowledgePanel (conducted by Ipsos). Estimates shown in this dashboard are based on data collected in Round 2 of Rapid Surveys, occurring during October—November 2023. All estimates shown meet the NCHS Data Presentation Standards for Proportions. Data on illegal drugs and naloxone (Narcan) awareness were collected on behalf of CDC’s National Center for Injury Prevention and Control.

Survey Questions
Suggested Citation

NCHS Rapid Surveys Systems. Illegal Drugs and Naloxone (Narcan) Awareness. National Center for Health Statistics. Available from: www.cdc.gov/nchs/rss/round2/illegal-drug-use-naloxone-awareness.html.