1

2017FLORIDA YOUTHSUBSTANCE ABUSE SURVEYOctober 5, 2017

Presentation Outline

1. Methodology

2. ATOD prevalence rate comparisons

3. Three key findings from the 2002-2017FYSAS

4. ATOD trend summary

5. New FYSAS data2

Methodology Survey administration: February of 2017

Sampling strategy (odd-year): schools were selected togenerate statistically representative state-levelestimates

Students surveyed in 38 out of 67 Florida counties

Final sample size was 10,869 across grades 6 through12

The margin of error is less than 2.0 percentage pointsfor M.S. and H.S. prevalence rates

3

Survey Validation

ATOD exaggeration—199

Antisocial behavior exaggeration—115

Inconsistency—233

Fictitious drug—350

No response for more than 75% of the surveyquestions—219

652 respondents (5.7%) identified and eliminated byone or more of five validation tests:

4

5

ATOD Prevalence RateComparisons

Lifetime prevalence—one or more usesin student’s lifetime Indicates percentage of students who have

tried or experimented

Past-30-day prevalence—one or moreuses in past 30 days Indicates percentage of students who are

current users

Lifetime PrevalenceMiddle School

21.1

12.87.2 6.7 6.7 3.8 3.6 2.2 1.4 0.9 0.8 0.8 0.6 0.5 0.3

0%

20%

40%

60%

80%

100%

6

Lifetime PrevalenceHigh School

49.2

31.5 30.7

16.413.9

6.6 5.1 4.9 4.3 4.2 4.1 3.5 2.5 1.7 0.9 0.8 0.8 0.5 0.40%

20%

40%

60%

80%

100%

7

Past-30-Day PrevalenceMiddle School

7.3 4.3 3.1 2.7 2.4 1.7 1.6 1.2 0.5 0.5 0.4 0.3 0.3 0.3 0.2 0.10%

20%

40%

60%

80%

100%

8 Past Two Weeks

Past-30-Day PrevalenceHigh School

23.2 16.110.5 10.1 3.7 2.1 2.0 1.8 1.4 1.3 1.1 0.8 0.6 0.6 0.6 0.5 0.3 0.2

0%

20%

40%

60%

80%

100%

9 Past Two Weeks

ATODs and DrivingPast-30-Day Prevalence Among High School Students

15.5

4.5

22.6

9.4

0%

20%

40%

60%

Riding with a DUI Driver Driving Under the Influence

Alcohol Marijuana10

11

Key Finding #1

The long-term reductions in alcoholuse and cigarette use continue

Higher-risk alcohol use also down

Early initiation continues to decline

AlcoholPast-30-Day Prevalence by Grade Cohort

19.7 20.3

8.3 7.3

40.8 42.0

25.523.2

0%

10%

20%

30%

40%

50%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School High School12

AlcoholPast-30-Day Prevalence for 8th, 10th and 12th Graders

34.532.1

22.2 20.1

39.4 40.2

23.321.8

10%

20%

30%

40%

50%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

MTF FYSAS13

Early Alcohol UseInitiation by Age 13—High School

37.7

19.4 18.7

7.3 3.5 2.9

0%

10%

20%

30%

40%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Try Alcohol Drinking at Least Once a Month14

Binge DrinkingPrevalence by Grade Cohort

8.6

3.2 2.7

22.3 23.0

10.9 10.5

0%

10%

20%

30%

40%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School High School

15

Binge DrinkingPrevalence for 8th, 10th and 12th Graders

19.7 18.0

10.99.5

21.9 22.4

9.9

9.1

5%

10%

15%

20%

25%

30%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

MTF FYSAS16

Blacking Out from DrinkingLifetime Prevalence Among High School Students

18.917.3

15.913.9

0%

10%

20%

30%

2014 2015 2016 2017

17

On how manyoccasions (if any)in your lifetimehave you wokenup after a night ofdrinking alcoholicbeverages and notbeen able toremember thethings that you didor places that youwent?

21.418.1 16.4 14.5

8.1 6.6 5.4 4.50%

20%

40%

60%

2012 2014 2016 2017 2012 2014 2016 2017

18

Riding with a Drinking Driver

Alcohol and Driving TrendsPast-30-Day Prevalence Among High School Students

Driving after Drinking

CigarettesPast-30-Day Prevalence by Grade Cohort

7.1

1.41.2

14.9

4.8

3.7

0%

5%

10%

15%

20%

25%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School High School19

CigarettesPast-30-Day Prevalence for 8th, 10th and 12th Graders

18.4

7.1

6.0

14.7

4.63.4

0%

5%

10%

15%

20%

25%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

MTF FYSAS

20

Early Cigarette UseInitiation by Age 13—High School

31.4

9.38.0

0%

10%

20%

30%

40%

50%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Smoked a Cigarette, Even Just a Puff

21

Electronic VaporizersPast-30-Day Prevalence

5.1

12.8

4.3

10.1

0%

10%

20%

30%

Middle School High School

2016 201722

23

Key Finding #2

All illicit drugs (other than marijuana)show reductions in use over the long term

Trend is continuing for many illicit drugs,but slowing for others

Reductions not as large as for alcohol andcigarettes

Use of Any Illicit Drug (Other than Marijuana)Past-30-Day Prevalence by Grade Cohort

9.6

10.9

5.6 5.3

10.6

7.77.1

0%

5%

10%

15%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School High School24

Any Prescription DrugPast-30-Day Prevalence by Grade Cohort

3.6

2.4 2.2

7.0

4.63.9

0%

5%

10%

15%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School High School

25

11.9

13.0

10.4

8.8

6.2

4.9

3.5 3.34.3

1.8 1.4 1.0 1.0 0.80%

5%

10%

15%

2011 2012 2013 2014 2015 2016 2017 2011 2012 2013 2014 2015 2016 2017

Synthetic MarijuanaLifetime and Past-30-Day Prevalence

among High School Students

26Lifetime Prevalence Past-30-Day Prevalence

27

Key Finding #3

Modest short-term reductions inmarijuana use, particularly among highschool students

Unlike other ATODs, long-term pattern ismixed

Attitudes toward marijuana use aredifferent than other ATODs

MarijuanaPast-30-Day Prevalence by Grade Cohort

5.9 5.7

3.2 3.1

17.218.6

17.016.1

0%

5%

10%

15%

20%

25%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School High School28

MarijuanaPast-30-Day Prevalence for 8th, 10th and 12th Graders

15.9 14.2 14.0

15.714.4 14.1

0%

5%

10%

15%

20%

25%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

MTF FYSAS

29

Early Marijuana UseInitiation by Age 13—High School

13.4

10.6 10.6

9.4

0%

10%

20%

30%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Smoked Marijuana30

38.542.8

46.7

63.7 68.4 67.7

30.032.5

24.9 24.6

20%

40%

60%

80%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Alcohol Cigarettes Try Marijuana

31

Risk of HarmPercentage Reporting “Great Risk”

77.9

91.0 91.6

66.4 62.8

74.7 74.5

79.9

73.8 73.1

60%

70%

80%

90%

100%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Cigarettes Alcohol Marijuana32

Disapproval of ATOD Use“Wrong” or “Very Wrong”

33

Overall ATOD Use

Dramatic reductions since 2004

Rate of decline has increased since2010

Reductions occurring in both M.S. andH.S.

Use of Alcohol, Tobacco, or Any Illicit DrugPast-30-Day Prevalence Among Middle School Students

26.7 27.5

12.711.6

10%

15%

20%

25%

30%

35%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School

34

Middle School 2004-2017

Percentage Point Decrease = 15.9

Use of Alcohol, Tobacco, or Any Illicit DrugPast-30-Day Prevalence Among High School Students

46.648.0

33.331.7

30%

35%

40%

45%

50%

55%

2002 2004 2006 2008 2010 2012 2014 2016 2017

High School

High School 2004-2017

Percentage Point Decrease = 16.3

35

Students Reporting No ATOD Usein the Past 30 Days

73.3 72.5

87.3 88.4

60%

70%

80%

90%

100%

2002 2004 2006 2008 2010 2012 2014 2016 2017

Middle School36

Middle School 2004-2017

Percentage Point Increase = 15.9

Students Reporting No ATOD Usein the Past 30 Days

53.452.0

66.768.3

40%

50%

60%

70%

80%

2002 2004 2006 2008 2010 2012 2014 2016 2017

High School

37

High School 2004-2017

Percentage Point Increase = 16.3

Percentage Point Change 2002-2017Past-30-Day Prevalence

-14.7

-8.8 -8.8

-2.0 -1.8 -1.5 -1.5-0.4 -0.4 -0.4 -0.2

-15%

-10%

-5%

0%

5%

38

Percentage Point Change 2016-2017Past-30-Day Prevalence

-1.9-1.8

-0.8-0.6

-0.5-0.4

-0.2 -0.2 -0.1 -0.1 -0.1 -0.1

0.0 0.0 0.0 0.0 0.00.1

-2%

-1%

0%

1%

39

New FYSAS Data

Unstructured/Unsupervised TimeImpulsiveness

Sleep

40

Unstructured and Unsupervised TimeHours per Week

24.3

18.7

24.4

16.1

6.73.5

6.30%

20%

40%

60%

0 Hours 1 to 2Hours

3 to 5Hours

6 to 10Hours

11 to 15Hours

16 to 20Hours

More than20 Hours41

How many hours per week do you spend hangingout with friends, not doing anything in particular,where no adults are present?

22

31

21

1617

28

19

12

15

22

17

1011

15

10

86

9

6 53

54 4

2 3 3 40%

10%

20%

30%

40%

42

Binge Drinking

Unstructured Time and ATOD UsePast-30-Day Prevalence Rates

Marijuana Vapor ProductsIllicit Drugs OtherThan Marijuana

Impulsiveness“Agree” or “Strongly Agree”

29.7

22.825.5 25.7

34.4

40.2

0%

20%

40%

60%

Do what bringsme pleasure

now

Moreconcerned with

short run

Getting introuble isexciting

Excitementmore

important thansecurity

Stay awaywhen I'm angry

Get upset whenI disagree

43

ImpulsivenessNumber of Items with “Agree” or “Strongly Agree”

30.2

20.1 19.4

13.7

8.84.7 3.1

0%

20%

40%

60%

No Items 1 Item 2 Items 3 Items 4 Items 5 Items All 6 Items

44

46

4 2

69

54

6

11

86

10

16

12

8

12

16

1112

15

19

15 15

18

22 23

16

0%

10%

20%

30%

40%

45

Binge Drinking

Impulsiveness and ATOD UsePast-30-Day Prevalence Rates

Marijuana Vapor ProductsIllicit Drugs OtherThan Marijuana

Hours of Sleep on a School Night

5 610

19

32

19

1011

18

24 25

17

4 20%

20%

40%

60%

4 Hoursor Less

5 Hours 6 Hours 7 Hours 8 Hours 9 Hours 10+ Hours

Middle School High School46

43

52

40

57

38

52

35

53

26

42

25

42

22

36

20

38

18

30

17

33

16

28

15

31

15

33

18

35

0%

20%

40%

60%

80%

47

Life not worth it

Sleep and Symptoms of Depression

I am no goodat all

I am a failure Depressed or sadmost days