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Monitoring the Future national survey results on drug use, 1975-2017: Overview, key findings on adolescent drug use
Open accessAbstract
i tracked adolescent drug use.Nicotine vaping prevalence rates in 2018 were 11%, 25%, and 30%, respectively.Marijuana vaping also increased substantially in 2018 as this new way of using marijuana becomes more mainstream.In 2018 prevalence of use in the last 12 months increased 1.3, 4.2, and 3.6 percentage points in 8 th , 10 th , and 12 th grades to levels of 4.4%, 12.4%, and 13.1%, respectively.Vaping just flavoring also substantially increased in 2018 to past-year prevalence levels of 15%, 25%, and 26% in 8 th , 10 th , and 12 th grades.Adolescents associate little risk of harm with vaping.MTF asks separately about regular use of "e-cigarettes" and also regular vaping of nicotine.Levels of perceived risk for these behaviors rank near the lowest of all substances, with little change in recent years. Alcohol Use Continues Declining in Upper GradesAlcohol remains the substance most widely used by today's teenagers.Despite recent declines, by the end of high school six out of every ten students (59%) have consumed alcohol (more than just a few sips) at some time in their lives (after a significant 3 percentage point drop in 2018); and about a quarter (24%) have done so by 8 th grade.(Only the 12 th grade showed significant change in 2018.)Alcohol use began a substantial decline in the 1980s.To some degree, alcohol trends have tended to parallel the trends in illicit drug use.These include a modest increase in binge drinking (defined as having five or more drinks in a row at least once in the past two weeks) in the early to mid-1990s, though it was a proportionally smaller increase than was seen for cigarettes and most of the illicit drugs.Fortunately, binge drinking rates leveled off in the early 2000s, just about when the illicit drug rates began to turn around, and in 2002, a drop in drinking and drunkenness resumed in all grades.Gradual declines in thirty-day prevalence continued in the upper grades into 2018, which marked the lowest levels for alcohol use and drunkenness ever recorded by the survey in the three grades combined.However, the decline in the annual prevalence of alcohol use has halted in the two lower grades.Only in 12 th grade is decline continuing, likely as the result of a cohort effect.This development may herald the end of the long-term decline in adolescent alcohol use.Still, prior to this year lifetime prevalence and annual prevalence for the three grades combined both declined by roughly 40-45% from the peak levels of use reached in the mid-1990s; 30-day prevalence was down by about one-half since then; and daily prevalence by three-fourths.These are dramatic declines for such a culturally ingrained behavior and good news to many parents.3 Prevalence refers to the proportion or percentage of the sample reporting use of the given substance on one or more occasions in a given time interval-e.g., lifetime, past 12 months, or past 30 days.For most drugs, the prevalence of daily use refers to reported use on 20 or more occasions in the past 30 days, except for cigarettes and smokeless tobacco, for which actual daily use is measured, and for binge drinking, defined as having 5+ drinks on at least one occasion in the prior two weeks.
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“these findings clearly suggest that adolescent drug use is geared toward legal substances, which is most likely due to ease of obtainment.”
From The long-term cognitive consequences of adolescent exposure to recreational drugs of abuse (2018) · cites this paper as Johnston et al. 2018
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The conception of the ABCD study: From substance use to a broad NIH collaboration
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“Substance use behavior varies by race and ethnicity as well as by socioeconomic status and gender—for example, tobacco use among most minority youth is less prevalent than among Whites (Johnston et al., 2017), even though some minorities have worse socioeconomic status and higher levels of daily stress from discrimina…”
The Neuroscience of Drug Reward and Addiction
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“…sedative/tranquilizer misuse and use disorder have remained relatively stable among both adolescents and adults in the U.S. (CBHSQ, 2015a, 2018b; Johnston et al., 2018; Palamar et al., 2019), including among those with opioid misuse (Boggis et al., 2019) (see Supplementary Materials for data on…”
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“Cannabis is the second most commonly used drug, with 35.6% of 12th graders using it in the past year (Johnston et al., 2017).”
InfluentialHammond, D. G., Reid, J. L., Rynard, V. L., Fong, G. T., Cummings, K. M., McNeill, A. D., Hitchman, S. C., Thrasher, J. F., Goniewicz, M. L., Bansal‐Travers, M., et al. (2019) · BMJ · doi:10.1136/bmj.l2219 · Cited by 325
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“For marijuana, the most commonly used of the illicit drugs, by mid-adolescence only 14% of the general population have used in the past 30 days (Johnston et al., 2017).”
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“Two of the largest adolescent drug surveys in the US are the Youth Risk Behavior Survey, which asks about misuse of “pain medications” broadly, and Monitoring the Future, which asks about misuse of “narcotics other than heroin” [17,18].”
BackgroundLevy, D. T., Warner, K. E., Cummings, K. M., Hammond, D. G., Kuo, C. C.-L., Fong, G. T., Thrasher, J. F., Goniewicz, M. L., & Borland, R. (2018) · Tobacco Control · doi:10.1136/tobaccocontrol-2018-054446 · Cited by 220
Smoking and Lung Cancer Mortality in the United States From 2015 to 2065
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“However, many of these changes seem to be reflected in recent birth cohorts, which have shown dramatic reductions in smoking rates in recent years (42, 43).”
Adolescents drink less: How, who and why? A review of the recent research literature
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Adverse childhood experiences (ACEs), peer victimization, and substance use among adolescents
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“While combustible cannabis products (e.g. joints, blunts, bongs, water pipes) remain the most common method of use, youth have expanded to other types of cannabis products and ways of using (Hopfer, 2014; Johnston et al., 2018).”
BackgroundMethodInfluentialTasty THC: Promises and Challenges of Cannabis Edibles
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BackgroundUnderestimating digital media harm
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“Data from the 11 studies came from four large national surveys: Monitoring the Future (MTF, n = 2) [54]; National Longitudinal Survey of Youth (NLSY, n = 2) [55]; National Survey on Drug Use and Health (NSDUH, n = 4) [56]; and the Youth Risk Behavior Survey (YRBS, n = 3) [57].”
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“1 Responses were collapsed into a 3-level variable for smoking and vaping frequency within the past 30 days consisting of (1) no use (0 days), (2) infrequent use (1-2 days), and (3) frequent use (≥3 days) as in previous research owing to lower frequency counts in categories of greater use (eFigures 1 and 2 in the Supp…”
MethodEmerging Trends in Cannabis Administration Among Adolescent Cannabis Users
Knapp, A. A., Lee, D. C., Borodovsky, J. T., Auty, S. G., Gabrielli, J., & Budney, A. J. (2018) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2018.07.012 · Cited by 179
“, Facebook and Instagram) to assess a large, national sample of adolescents who had used cannabis to ask more fine-grained questions about cannabis use patterns 17–19 The survey assessed (1) rates, patterns, and characteristics related to cannabis administration methods of smoking, vaping, and edible use, (2) age of i…”
BackgroundPrevalence of Electronic Cigarette Dependence Among Youth and Its Association With Future Use
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“Recent research indicated that e-cigarette use declined among adolescent students in 2016, likely in part because of population-based efforts to prevent youths’ e-cigarette initiation and use (1,9).”
Nicotine Gateway Effects on Adolescent Substance Use
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Patterns of nicotine concentrations in electronic cigarettes sold in the United States, 2013-2018
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“In a nationally representative survey from 2017, 12% of 8th graders, 19% of 10th graders, and 21% of 12th graders reported using e-cigarettes to deliver “flavoring only,” (Johnston et al., 2018) yet 98.”
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“Past-month e-cigarette use was assessed with the following item: “During the last 30 days, on how many occasions (if any) have you used electronic cigarettes (e-cigarettes)?” The response options ranged from (1) none to (6) 20–30 days, and were dichotomized (yes / no) based on previous work [2,18,20].”
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“Alcohol use has negative effects on cognition and the brain (Jacobus and Tapert, 2013) and on health and safety (Nhtsa, 2014), yet drinking in high quantities increases during adolescence as nearly 25% of high school seniors report getting drunk in the last 30 days (Johnston et al., 2017).”
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“Introduction Substance use typically begins in adolescence (Johnston et al., 2018), a developmental period characterized by increased sensation-seeking and risk-taking behaviors and the continued refinement of cognitive and affective brain systems (Luna et al., 2015).”
Prevalence and correlates of JUUL use among a national sample of youth and young adults
Vallone, D., Bennett, M., Xiao, H., Pitzer, L., & Hair, E. C. (2018) · Tobacco Control · doi:10.1136/tobaccocontrol-2018-054693 · Cited by 144
The long-term cognitive consequences of adolescent exposure to recreational drugs of abuse
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“Despite these age restrictions, use of these substances is high among the adolescent population (Johnston et al. 2018), which draws concern about the long-term consequences of exposure to psychoactive substances during a critical developmental period.”
BackgroundMethodInfluentialPatterns of simultaneous and concurrent alcohol and marijuana use among adolescents
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“Considerable political and social attention on tobacco and alcohol harm reduction in the early 2000s coincided with increased use of some illegal substances including cannabis in developed countries (Kraus and Nociar 2016; Johnston et al. 2018).”
BackgroundA Review of the Use and Appeal of Flavored Electronic Cigarettes
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Impact of Marijuana Legalization in Colorado on Adolescent Emergency and Urgent Care Visits
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“…and cigarettes earlier, heavier, more frequently, and have greater dependence rates than women (Carliner et al., 2017; Higgins et al., 2015; Johnston et al., 2018; White et al., 2015), women may have more severe consequences from substance abuse and enter treatment earlier than men (Diehl…”
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InfluentialThe Impact of the COVID-19 Pandemic on Adolescent Mental Health and Substance Use
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“While youth may under-report engagement in problem behaviors, rates reported in Add Health are similar to other epidemiological studies (Eaton et al. 2012; Johnston et al. 2015).”
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The Epidemiology of Drug Abuse
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Synthetic cathinone adulteration of illegal drugs
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“…data after 2011 are not available, it should be noted that in light of the prevalence of ecstasy use decreasing dramatically after the early 2000s (Johnston et al. 2018), ED visits related to “ecstasy” use increased several-fold from 4452 in 2001 to 22,498 in 2011 (Substance Abuse and Mental…”
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“In addition to using prescription opioids as self-medication to relieve physical pain symptoms (SAMHSA, 2017), other motives behind why adolescents misuse prescription opioids include the desire to feel good or get high, to increase the effects of some other drugs, and for purposes of experimentation (Johnston et al.,…”
BackgroundMethodInfluentialAdolescent substance use: Latent class and transition analysis
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“One possible explanation is that females are more likely than males to be influenced by peer attitudes toward substances (Mason et al., 2014) and the general disapproval of substance use among youth is increasing (Johnston et al., 2017).”
BackgroundChen, Y., Harris, S. K., Worthington, E. L., & VanderWeele, T. J. (2018) · The Journal of Positive Psychology · doi:10.1080/17439760.2018.1519591 · Cited by 75
Saladino, V., Mosca, O., Petruccelli, F., Hoelzlhammer, L., Lauriola, M., Verrastro, V., & Cabras, C. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.673954 · Cited by 75
Colder, C. R., Frndak, S., Lengua, L. J., Read, J. P., Hawk, L. W., & Wieczorek, W. F. (2017) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-017-0277-6 · Cited by 85
O’Hara, K. L., Sandler, I. N., Wolchik, S. A., & Tein, J. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000981 · Cited by 88
“At T5, youth completed a self-administered questionnaire with selected items from the Monitoring the Future Scale (Johnston et al., 2018), which has established reliability and validity psychometric qualities.”
MethodKim, S., & Selya, A. (2019) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntz157 · Cited by 73
Alley, Z. M., Kerr, D., & Bae, H. T. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.106212 · Cited by 75
Digital Media and Risks for Adolescent Substance Abuse and Problematic Gambling
Romer, D., & Moreno, M. A. (2017) · PEDIATRICS · doi:10.1542/peds.2016-1758l · Cited by 73
Simons‐Morton, B. G., Haynie, D. L., Liu, D., Chaurasia, A. K., Li, K., & Hingson, R. (2016) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2016.77.121 · Cited by 76
Getting better all the time: Trends in risk behavior among American adolescents since 1990.
Arnett, J. J. (2018) · Archives of Scientific Psychology · doi:10.1037/arc0000046 · Cited by 70
“…been steep since 1990 in the United States, American adolescents now have far lower rates of use of both alcohol and cigarettes; rates of smoking or excessive drinking in the past month are over three times higher in Europe (EMCDDA, 2017; Johnston et al., 2018; World Health Organization, 2016).”
InfluentialYouth Participatory Action Research for Youth Substance Use Prevention: A Systematic Review
Valdez, E. S., Skobic, I., Valdez, L. A., Garcia, D. O., Korchmaros, J. D., Stevens, S. J., Sabo, S. J., & Carvajal, S. C. (2019) · Substance Use & Misuse · doi:10.1080/10826084.2019.1668014 · Cited by 71
“Alarmingly, this is the first year that no decrease in prevalence was demonstrated, and may herald the end of the long-term decline in youth alcohol use (Johnston et al., 2018).”
BackgroundMethodInfluentialPopova, L., Owusu, D., Weaver, S. R., Kemp, C. B., Mertz, C. K., Pechacek, T. F., & Slovic, P. (2018) · BMC Public Health · doi:10.1186/s12889-018-5306-z · Cited by 69
Tobacco and cannabis co-use and interrelatedness among adults
Akbar, S. A., Tomko, R. L., Salazar, C. A., Squeglia, L. M., & McClure, E. A. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.11.036 · Cited by 69
Garofoli, M. (2020) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2020.02.013 · Cited by 69
Mason, W. A., Stevens, A. L., & Fleming, C. B. (2019) · Addiction · doi:10.1111/add.14697 · Cited by 69
Richter, L., Pugh, B., Smith, P. H., & Ball, S. A. (2016) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2016.1193511 · Cited by 69
Hunting for What Works: Adolescents in Addiction Treatment
Silvers, J. A., Squeglia, L. M., Thomsen, K. R., Hudson, K. A., & Ewing, S. W. F. (2019) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.13984 · Cited by 74
“In terms of tobacco, one quarter of American youth have tried tobacco, with 7% initiating use before age 13; this rises to a third of youth by age 18, with 10% smoking 10+ cigarettes/day (Johnston et al., 2018, CDC, 2016).”
BackgroundInfluentialPrescription Opioid Misuse Associated With Risk Behaviors Among Adolescents
Clayton, H. B., Bohm, M. K., Lowry, R., Ashley, C. L., & Ethier, K. A. (2019) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2019.05.017 · Cited by 68
Harm and Addiction Perceptions of the JUUL E-Cigarette Among Adolescents
Russell, C., Katsampouris, E., & McKeganey, N. (2019) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntz183 · Cited by 68
Active cannabis marketing and adolescent past-year cannabis use
Trangenstein, P. J., Whitehill, J. M., Jenkins, M. C., Jernigan, D. H., & Moreno, M. A. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107548 · Cited by 67
“Youth may assume that cannabis is safe and/or has potential health benefits because cannabis use is legalized for medicinal purposes in some states, and adolescents are quickly becoming more likely to perceive no or fewer risks from cannabis use (Johnston et al., 2018; Sarvet et al., 2018).”
BackgroundEl Kazdouh, H., El-Ammari, A., Bouftini, S., El Fakir, S., & El Achhab, Y. (2018) · Substance Abuse Treatment, Prevention, and Policy · doi:10.1186/s13011-018-0169-y · Cited by 67
“Alcohol, tobacco, and illicit drugs are the most used substances by adolescents worldwide, and these substances share similar patterns of use [3, 4].”
BackgroundPredictors of Substance Use Initiation by Early Adolescence
Green, R., Wolf, B. J., Chen, A. A., Kirkland, A. E., Ferguson, P. L., Browning, B. D., Bryant, B. E., Tomko, R., Gray, K. M., Mewton, L., et al. (2024) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20230882 · Cited by 67
Silveira, M., Green, V. R., Iannaccone, R., Kimmel, H., & Conway, K. (2019) · Addiction · doi:10.1111/add.14547 · Cited by 58
Implications of the ABCD study for developmental neuroscience
Ewing, S. W. F., Bjork, J. M., & Luciana, M. M. (2018) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2018.05.003 · Cited by 64
“Epidemiological surveys, such as Monitoring the Future (Johnston et al., 2018) and the United States National Survey on Drug Use and Health (NSDUH) (Substance Abuse and Mental Health Services Administration, 2014), have allowed researchers and clinicians to appreciate the significance of associations between an early…”
Cannabis health knowledge and risk perceptions among Canadian youth and young adults
Leos‐Toro, C., Fong, G. T., Meyer, S. B., & Hammond, D. G. (2020) · Harm Reduction Journal · doi:10.1186/s12954-020-00397-w · Cited by 64
Benzodiazepine Misuse: An Epidemic Within a Pandemic
Sarangi, A., McMahon, T. C., & Gude, J. G. (2021) · Cureus · doi:10.7759/cureus.15816 · Cited by 72
The Cambridge Handbook of Substance and Behavioral Addictions
Sussman, S. Y. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591 · Cited by 64
Wang, P., & Yen, C. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1546-1 · Cited by 64
“In the United States, 14% of grade 12 adolescents have used tobacco, and the lifetime prevalence of adolescent cannabis use is 23% [9].”
BackgroundThe Health Effects of Electronic Cigarettes
Polosa, R., & Caponnetto, P. (2016) · New England Journal of Medicine · doi:10.1056/nejmc1613869 · Cited by 63
Metadata
- Authors
- Johnston, L. D., Miech, R. A., O'Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E.
- Affiliations
- National Institutes of Health (US)
- Publisher
- Monitoring the Future
- Published
- 2018
- OpenAlex
- W2754382760
- Cited by
- 1,199
- References
- 0
- Citations by year
- 2026: 6 · 2025: 48 · 2024: 58 · 2023: 94 · 2022: 94 · 2021: 90 · 2020: 203 · 2019: 247 · 2018: 155
- Type
- report
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Deep Blue (University of Michigan) (submittedVersion, cc-by)
- Funders
- University of Michigan
- National Institute on Drug Abuse (001411, DA001411, R01DA001411)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Youth, Drugs, and Violence
- Keywords
- adolescent drug use, adolescent alcohol use, binge drinking, cannabis use, nicotine vaping, electronic cigarettes, illicit drug use, substance use trends, drunkenness, tobacco use, Monitoring the Future, high school students
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