Teens

Adolescent Substance Use: America’s #1 Public Health Problem


Nearly half of all U.S. high school students currently smoke, drink or use other drugs, and a third of users meets the medical criteria for addiction, according to a new 400- page report by The National Center on Addiction and Substance Abuse, or CASA, at Columbia University.

Other report findings include:

  • Three-fourths of high school students have smoked cigarettes, drunk alcohol or used another drug.
  • Alcohol is the most preferred addictive substance among high school students, followed by cigarettes, marijuana and prescription drugs.
  • Two-thirds of high school students have used more than one addictive substance.
  • Although 1.6 million U.S. high school students meet the clinical criteria for an alcohol or drug use disorder, only about 100,000 have received treatment in the past year.

The younger people are when they start using addictive substances, the greater the likelihood for addiction. Ninety percent of Americans who meet the medical criteria for addiction started smoking, drinking, or using other drugs before age 18. People who use addictive substances before age 18 are six times more likely to develop a substance use disorder than those who didn’t start using until they were 21 or older. One in four Americans who began using any addictive substance before age 18 developed an addiction, compared to one in 25 Americans who started using at age 21 or older. (CASA)

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