Epidemiological Survey Findings on Alcohol, Marijuana, and Tobacco Use Trends

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Explore the insightful outcomes from the APNA Survey Modelling Quarterly Meeting presenting preliminary data models and statistical analyses related to alcohol, marijuana, and tobacco use patterns. The data covers lifetime and past 30-day usage rates, including binge drinking, categorized by gender, grade level, and changes over consecutive years from 2014 to 2019. Significant findings and trends are highlighted, shedding light on behavioral patterns among various demographics.

  • Epidemiological Survey
  • Alcohol Use
  • Marijuana Use
  • Tobacco Use
  • Data Analysis

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  1. Statewide Epidemiological Outcomes Workgroup: APNA Survey Modelling Quarterly Meeting 08/05/2020 Supported by SAMHSA PFS Grant #6H79SP080990-01M001.

  2. Preliminary APNA Survey Data Models 2

  3. Preliminary APNA Survey Data Models Statistical analyses Outcome variables analyzed: Lifetime and past 30 days alcohol use and past 30 days binge drinking Lifetime and past 30 days marijuana use Lifetime and past 30 days cigarette use and lifetime e- Cig use Lifetime and past 30 days smokeless tobacco use Rates of use were calculated for each county overall and by gender and grade level within each county 3

  4. Preliminary APNA Survey Data Models Statistical Analyses Repeated Measures Mixed effects models estimated overall annual means and means by gender and grade level Differences between genders, consecutive grades, consecutive years, and 2014 vs. 2019 were estimated and tested for significance P-values were adjusted by the False Discovery Rate(FDR) procedure Significant changes reported when FDR p-value < 0.05 4

  5. Lifetime Alcohol Use Overall 2014 > 2019 No significant consecutive year changes Grade Use as grade 10th / 12thboth 2014:2019 10thgrade 2015:2016 12th grade 2017:2018 Sex Females, Males both 2014:2019 Females > Males in 2016 & 2019 5

  6. Past 30-Day Alcohol Use Overall 2014 > 2019 No significant consecutive year changes Grade Use as grade 10th / 12thboth 2014:2019 12th grade 2014:2015, 2017:2018 10thgrade 2015:2016 Sex Females, Males both 2014:2019 Males 2014:2015, 2015:2016, 2017:2018 6

  7. Past 30-Day Alcohol Binge Overall 2014 > 2019 2014:2015 Grade Use as grade 10th / 12thboth 2014:2019 12th grade 2014:2015, 2017:2018 Sex Females, Males both 2014:2019 7

  8. Lifetime Marijuana Use Overall 2014 > 2019 2014:2015 Grade Use as grade 10th / 12thboth 2014:2019 12thgrade 2016:2017 Sex Males 2014:2019, 2014:2015 Females > Males in 2019 8

  9. 30-Day Marijuana Use Overall 2014 > 2019 2014:2015 Grade Use as grade 10thgrade 2014:2019 Sex Males 2014:2019, 2014:2015 Females < Males in 2014 9

  10. Lifetime Cigarette Use Overall 2014 > 2019 Grade Use as grade 8th, 10th, 12thgrades 2014:2019 10th 2015:2016 12th 2017:2018, 2018:2019 Sex Females & Males 2014:2019 Females 2016:2017 10

  11. 30-Day Cigarette Use Overall 2014 > 2019, 2014:2015, 2017:2018 Grade Use as grade 8th, 10th, 12thgrades 2014:2019 10th 2015:2016 12th 2017:2018, 2018:2019 Sex Females & Males 2014:2019, Females < Males in 2014, 2017, 2019 Females 2018:2019, Males 2014:2015, 2017:2016, 2017:2018 11

  12. Lifetime eCigarette Use Overall 2014 < 2019, 2016:2017, 2017:2018 Grade Use as grade All 4 grades 2014:2019 8th, 10th, 12th 2016:2017, 2017:2018 10th 2015:2016 Sex Females & Males 2014:2019, 2016:2017, 2017:2018 Females < Males in 2014-2017 by 2018 Females caught up to Males 12

  13. Lifetime Smokeless Tobacco Use Overall 2014 > 2019 Grade Use as grade 8th, 10th 12th, grade 2014:2019 Sex Females < Males every year, from about 15% to about 10% Males 2014:2019 Females appear steady, the decreasing gender difference is due to males decreasing. 13

  14. 30-Day Smokeless Tobacco Use Overall 2014 > 2019, also 2017:2018 Grade Use as grade 8th, 10th 12th, grade 2014:2019 10th 2015:2016, 12th 2016:2017, 2017:2018 Sex Females < Males every year, from about 10% to about 5% Males 2014:2019, 2015:2016, 2017:2018 Similar story 14

  15. Preliminary APNA Survey Data Models Summary Virtually every substance used is 2014:2019: overall, within each grade(except 6th), and within each gender Except eCigs which are , but the strong from 2016 to 2018 appears to have slowed in 2019 Females were lagging behind males in eCig use, but have 'caught up' grades have consistently use rates Males have smokeless tobacco use than Females, but male use is while female use is steady(but low) 15

  16. Discussion 16

  17. We ! Thank you! 17

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