![]() Using public-use-file data** from combined 2015–2018 NSDUHs, weighted counts, annual average rates per 1,000 adults, and corresponding 95% confidence intervals (CIs) were estimated for lifetime methamphetamine use and past-year methamphetamine use overall and by demographic, substance use, and mental illness variables. Using a predictive model, past-year any mental illness and serious mental illness ¶ were determined for each adult NSDUH respondent. NSDUHs assessed past-year substance use disorders for specific substances (e.g., methamphetamine) using self-reported responses to questions based on the individual diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Self-reported substance use in NSDUHs included lifetime and past-year use of methamphetamine past-year use of cocaine and heroin past-year misuse of prescription opioids, sedatives, tranquilizers, and stimulants past-month binge drinking (i.e., drinking five or more or four or more drinks on the same occasion on ≥1 day within the past month) and past-month nicotine dependence as determined using the Nicotine Dependence Syndrome Scale ( 6). NSDUH variables included sex, age, race/ethnicity, urbanization status of county, education, annual household income, insurance status, and self-reported substance use, mental illness status, and receipt of substance use treatment. The average overall weighted response rate for the 2015–2018 NSDUHs was 51%. An independent, multistage area probability sample design for each state and the District of Columbia allows for production of national and state estimates. § NSDUHs collected information about the use of drugs, alcohol, and tobacco through in-person interviews with noninstitutionalized U.S. Additional efforts to build state and local prevention and response capacity, expand linkages to care, and enhance public health and public safety collaborations are needed to combat increasing methamphetamine harms.ĭata are from 171,766 adults participating in the 2015–2018 NSDUHs, managed by the Substance Abuse and Mental Health Services Administration. ![]() Controlling for other factors, higher adjusted odds ratios for past-year use were found among men persons aged 26–34, 35–49, and ≥50 years and those with lower educational attainment, annual household income <$50,000, Medicaid only or no insurance, those living in small metro and nonmetro counties, † and those with co-occurring substance use and co-occurring mental illness. Among adults reporting past-year methamphetamine use, an estimated 27.3% reported using on ≥200 days, 52.9% had a methamphetamine use disorder, and 22.3% injected methamphetamine. During 2015–2018, the estimated rate of past-year methamphetamine use among adults was 6.6 per 1,000. Multivariable logistic regression examined characteristics associated with past-year use. Frequency of past-year use and prevalence of other substance use and mental illness among adults reporting past-year use were assessed. Rates (per 1,000 adults aged ≥18 years) for past-year methamphetamine use were estimated overall, by demographic group, and by state. This report uses data from the 2015–2018 National Surveys on Drug Use and Health (NSDUHs) to estimate methamphetamine use rates in the United States and to identify characteristics associated with past-year methamphetamine use. Although overall population rates of methamphetamine use have remained relatively stable in recent years ( 3), methamphetamine availability and methamphetamine-related harms (e.g., methamphetamine involvement in overdose deaths and number of treatment admissions) have increased in the United States* ( 4, 5) however, analyses examining methamphetamine use patterns and characteristics associated with its use are limited. Methamphetamine use is associated with a range of health harms, including psychosis and other mental disorders, cardiovascular and renal dysfunction, infectious disease transmission, and overdose ( 1, 2). Methamphetamine is a highly addictive central nervous system stimulant.
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