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State Prevalence and Ranks of Adolescent Substance Use: Implications for Cancer Prevention
ORIGINAL RESEARCH — Volume 15 — May 31, 2018
PEER REVIEWED
Figure 1.
States’ simulated ranks for adolescent (aged 14–17 y) cigarette smoking as reported in the National Survey on Drug Use and Health (NSDUH) or Youth Risk Behavior Surveillance System (YRBSS), 2011–2015. YRBSS data were collected in 2011, 2013, and 2015; District of Columbia, Minnesota, Oregon, and Washington were excluded from YRBSS because they either chose not to participate or did not achieve adequate response rates. Past-month cigarette smoking was defined as smoking at least 1 cigarette in the previous 30 days. States are ordered by median rank in NSDUH across 100,000 simulations. Error bars indicate 95% confidence intervals.
| State | NSDUH Rank (95% CI) |
YRBSS Rank (95% CI) |
|---|---|---|
| Wyoming | 1 (1, 8) | 4 (1, 9) |
| Montana | 3 (1, 14) | 18 (12, 25) |
| West Virginia | 4 (1, 17) | 2 (1, 5) |
| Kentucky | 6 (1, 19) | 2 (1, 6) |
| Missouri | 6 (1, 20) | 32 (21, 42) |
| South Dakota | 6 (1, 21) | 15 (5, 31) |
| Louisiana | 8 (1, 26) | 12 (4, 25) |
| Mississippi | 10 (3, 27) | 8 (3, 16) |
| Vermont | 11 (3, 29) | 32 (26, 38) |
| New Hampshire | 12 (3, 30) | 20 (11, 30) |
| Arkansas | 13 (3, 34) | 7 (2, 15) |
| New Mexico | 13 (3, 36) | 14 (9, 22) |
| North Dakota | 13 (3, 32) | 11 (6, 19) |
| Oklahoma | 13 (3, 31) | 7 (2, 15) |
| South Carolina | 14 (4, 32) | 17 (9, 28) |
| Wisconsin | 16 (4, 37) | 29 (20, 38) |
| Iowa | 19 (7, 34) | 6 (1, 20) |
| Colorado | 20 (6, 40) | 14 (4, 31) |
| Pennsylvania | 20 (11, 32) | 32 (17, 43) |
| Delaware | 21 (7, 40) | 27 (19, 34) |
| Ohio | 21 (12, 32) | 6 (1, 19) |
| Idaho | 22 (8, 39) | 36 (28, 42) |
| Washington State | 23 (7, 43) | – |
| Indiana | 24 (9, 41) | 20 (10, 32) |
| Tennessee | 24 (9, 40) | 11 (6, 19) |
| Maine | 25 (9, 42) | 30 (25, 35) |
| Michigan | 25 (14, 36) | 35 (27, 42) |
| Georgia | 26 (11, 41) | 18 (9, 29) |
| Alaska | 29 (12, 44) | 36 (26, 43) |
| Minnesota | 30 (14, 44) | – |
| Hawaii | 31 (14, 45) | 42 (38, 44) |
| Kansas | 31 (12, 47) | 31 (22, 39) |
| Oregon | 31 (14, 46) | – |
| Nebraska | 32 (15, 46) | 25 (17, 33) |
| North Carolina | 33 (16, 46) | 17 (10, 25) |
| Massachusetts | 34 (18, 47) | 40 (34, 43) |
| Alabama | 35 (20, 46) | 5 (2, 12) |
| Nevada | 37 (21, 49) | 44 (43, 46) |
| New Jersey | 37 (23, 47) | 24 (13, 35) |
| Illinois | 38 (30, 45) | 26 (18, 35) |
| Connecticut | 42 (26, 50) | 26 (18, 36) |
| Rhode Island | 42 (25, 50) | 45 (43, 46) |
| Arizona | 43 (31, 50) | 27 (18, 36) |
| Maryland | 43 (29, 50) | 40 (34, 43) |
| Virginia | 43 (31, 50) | 38 (29, 43) |
| Washington DC | 44 (30, 51) | – |
| Texas | 44 (36, 49) | 17 (10, 25) |
| New York | 46 (41, 50) | 41 (36, 43) |
| Florida | 48 (43, 50) | 37 (33, 41) |
| California | 49 (45, 51) | 46 (43, 47) |
| Utah | 51 (47, 51) | 47 (46, 47) |
Figure 2.
States’ simulated ranks for adolescent (aged 14–17 y) alcohol consumption as reported in the National Survey on Drug Use and Health (NSDUH) or Youth Risk Behavior Surveillance System (YRBSS), 2011–2015. YRBSS data were collected in 2011, 2013, and 2015; District of Columbia, Minnesota, Oregon, and Washington were excluded from YRBSS because they either chose not to participate or did not achieve adequate response rates. Past-month binge drinking was defined as consuming 5 or more alcoholic drinks per drinking occasion on at least 1 of the previous 30 days. NSDUH data on binge alcohol drinking came from survey years 2011–2014 only. States are ordered by median rank in NSDUH across 100,000 simulations. Error bars indicate 95% confidence intervals.
| State | NSDUH Rank (95% CI) | YRBSS Rank (95% CI) |
|---|---|---|
| New Jersey | 1 (1, 8) | 5 (1, 16) |
| Vermont | 2 (1, 13) | 22 (16, 28) |
| Massachusetts | 5 (1, 20) | 18 (10, 28) |
| Oregon | 6 (1, 24) | – |
| New Hampshire | 7 (2, 25) | 18 (10, 29) |
| New York | 8 (3, 18) | 21 (10, 32) |
| Montana | 9 (2, 32) | 2 (1, 6) |
| South Dakota | 9 (2, 36) | 26 (12, 37) |
| West Virginia | 9 (2, 31) | 9 (4, 16) |
| Louisiana | 12 (2, 38) | 6 (1, 19) |
| Wyoming | 12 (2, 36) | 5 (1, 10) |
| Hawaii | 15 (3, 38) | 43 (38, 46) |
| Kansas | 16 (3, 43) | 24 (13, 34) |
| Maryland | 17 (4, 41) | 35 (28, 40) |
| Pennsylvania | 17 (8, 31) | 43 (33, 46) |
| Missouri | 18 (4, 44) | 7 (2, 17) |
| Arkansas | 19 (4, 45) | 15 (7, 27) |
| Colorado | 20 (5, 44) | 5 (1, 21) |
| Connecticut | 21 (5, 47) | 24 (13, 34) |
| Michigan | 21 (10, 37) | 38 (31, 43) |
| Alabama | 22 (7, 45) | 27 (15, 36) |
| Iowa | 22 (7, 44) | 3 (1, 26) |
| Idaho | 23 (6, 46) | 23 (11, 34) |
| California | 25 (14, 37) | 40 (21, 46) |
| New Mexico | 25 (5, 48) | 22 (13, 30) |
| Washington State | 25 (7, 47) | – |
| Ohio | 27 (15, 40) | 16 (5, 33) |
| Wisconsin | 28 (8, 48) | 12 (5, 25) |
| Rhode Island | 29 (8, 49) | 38 (30, 45) |
| Nevada | 30 (7, 50) | 31 (19, 40) |
| Georgia | 33 (13, 48) | 37 (28, 45) |
| Maine | 34 (13, 49) | 44 (41, 46) |
| Nebraska | 34 (12, 49) | 38 (31, 45) |
| Florida | 35 (22, 45) | 33 (28, 38) |
| Illinois | 35 (21, 45) | 20 (11, 31) |
| North Carolina | 35 (13, 49) | 39 (33, 44) |
| North Dakota | 35 (12, 50) | 11 (5, 20) |
| Texas | 35 (22, 45) | 5 (1, 12) |
| Mississippi | 36 (13, 50) | 30 (19, 39) |
| Washington, DC | 37 (11, 51) | – |
| Indiana | 37 (15, 50) | 27 (12, 37) |
| Oklahoma | 38 (16, 50) | 15 (7, 28) |
| South Carolina | 38 (15, 50) | 34 (23, 42) |
| Arizona | 40 (19, 50) | 10 (3, 23) |
| Virginia | 40 (20, 50) | 44 (38, 46) |
| Delaware | 41 (17, 51) | 23 (14, 31) |
| Minnesota | 45 (26, 51) | – |
| Kentucky | 46 (28, 51) | 13 (6, 24) |
| Alaska | 47 (28, 51) | 43 (37, 46) |
| Tennessee | 47 (32, 51) | 30 (19, 38) |
| Utah | 50 (40, 51) | 47 (47, 47) |
Figure 3.
States’ simulated ranks for adolescent (aged 14–17 y) marijuana use as reported in the National Survey on Drug Use and Health (NSDUH) or Youth Risk Behavior Surveillance System (YRBSS), 2011–2015. Past-month marijuana use was defined as using marijuana at least once in the previous 30 days. YRBSS data were collected in 2011, 2013, and 2015; District of Columbia, Minnesota, Oregon, and Washington were excluded from YRBSS because they either chose not to participate or did not achieve adequate response rates. Data on marijuana use in YRBSS were not available for Hawaii. States are ordered by median rank in NSDUH across 100,000 simulations. Error bars indicate 95% confidence intervals.
| State | NSDUH Rank (95% CI) | YRBSS Rank (95% CI) |
|---|---|---|
| Rhode Island | 1 (1, 4) | 5 (2, 10) |
| Colorado | 2 (1, 8) | 11 (4, 22) |
| Vermont | 3 (1, 7) | 8 (3, 12) |
| Washington, DC | 5 (2, 13) | – |
| Washington State | 5 (2, 17) | – |
| Massachusetts | 7 (3, 17) | 2 (1, 6) |
| New Hampshire | 7 (3, 16) | 5 (2, 10) |
| Oregon | 8 (3, 20) | – |
| Maine | 11 (4, 23) | 18 (13, 24) |
| Alaska | 13 (5, 27) | 23 (13, 32) |
| Michigan | 13 (7, 20) | 31 (24, 38) |
| Montana | 13 (5, 26) | 17 (11, 25) |
| Nevada | 13 (5, 25) | 24 (12, 37) |
| New Mexico | 13 (5, 26) | 1 (1, 2) |
| Hawaii | 14 (6, 26) | – |
| Connecticut | 15 (6, 28) | 8 (3, 13) |
| Maryland | 17 (7, 30) | 18 (12, 25) |
| Wisconsin | 17 (7, 29) | 29 (16, 40) |
| Arizona | 18 (8, 29) | 8 (2, 16) |
| New York | 18 (11, 25) | 22 (14, 29) |
| California | 19 (13, 25) | 10 (2, 30) |
| Delaware | 20 (9, 35) | 4 (2, 9) |
| Indiana | 24 (14, 39) | 32 (23, 40) |
| Pennsylvania | 24 (17, 33) | 34 (22, 42) |
| Georgia | 25 (14, 42) | 19 (10, 30) |
| Missouri | 29 (18, 44) | 32 (21, 41) |
| Florida | 30 (23, 38) | 13 (10, 19) |
| Idaho | 30 (17, 46) | 37 (28, 42) |
| Illinois | 30 (23, 39) | 14 (9, 24) |
| Texas | 30 (23, 40) | 19 (11, 27) |
| New Jersey | 32 (20, 46) | 23(12, 33) |
| Ohio | 33 (25, 41) | 15 (6, 29) |
| North Carolina | 34 (20, 48) | 8 (3, 13) |
| Arkansas | 35 (20, 49) | 36 (28, 42) |
| South Carolina | 36 (23, 48) | 18 (10, 28) |
| Kansas | 37 (23, 50) | 41 (34, 44) |
| Wyoming | 37 (22, 49) | 26 (18, 34) |
| Minnesota | 38 (24, 49) | – |
| South Dakota | 39 (24, 50) | 43 (33, 45) |
| North Dakota | 41 (26, 50) | 42 (39, 44) |
| Oklahoma | 41 (24, 51) | 35 (24, 42) |
| Alabama | 43 (29, 51) | 33 (23, 41) |
| Kentucky | 43 (26, 51) | 35 (25, 41) |
| Tennessee | 43 (30, 50) | 16 (10, 26) |
| Virginia | 43 (28, 51) | 36 (28, 41) |
| West Virginia | 43 (30, 50) | 30 (21, 39) |
| Iowa | 44 (30, 51) | 43 (30, 45) |
| Nebraska | 44 (31, 51) | 45 (43, 45) |
| Mississippi | 46 (33, 51) | 31 (23, 39) |
| Louisiana | 50 (40, 51) | 37 (24, 43) |
| Utah | 50 (33, 51) | 46 (46, 46) |
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