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Substance Use Patterns and Characteristics Using Real World Data from Adolescents Assessed for Substance Use and
Xinyi Jiang1, Gery P Guy1, Kristine Schmit1
1Division of Overdose Prevention, National Center for Injury Prevention and Control, CDC, Atlanta, GA, USA.
Substance Use & Misuse
|July 29, 2024
Summary
Illegally made fentanyl (IMF) drives rising adolescent overdose deaths. This study analyzed adolescent substance use disorder treatment data to identify patterns and inform prevention strategies for this vulnerable population.
Area of Science:
- Adolescent Health
- Public Health
- Substance Use Disorders
Background:
- Adolescent drug overdose deaths have risen since 2020, primarily due to illegally made fentanyl (IMF).
- This trend contrasts with decreasing overall adolescent substance use rates.
- Understanding adolescent substance use patterns is crucial for effective prevention and intervention.
Purpose of the Study:
- To explore substance use patterns among adolescents seeking treatment for substance use disorder (SUD).
- To identify characteristics of adolescents with SUD.
- To inform targeted prevention and response strategies for adolescent substance use and overdose.
Main Methods:
- Analysis of a convenience sample of 5,377 adolescents (aged 10-18) assessed for SUD treatment between September 2017 and December 2021.
- Utilized the Comprehensive Health Assessment for Teens tool.
- Examined lifetime and past 30-day substance use, alongside demographic and clinical characteristics, including overdose and hospital visit history.
Main Results:
- Most participants were male (58.7%), aged 16-18 (50.5%), and non-Hispanic White (43.1%).
- Commonly used substances included marijuana (68.0%), alcohol (54.2%), and prescription opioids (13.6%).
- Adolescents reporting lifetime illegally made fentanyl (IMF) use had the highest rates of past-year overdoses (24.0%).
Conclusions:
- Findings highlight the urgent need for strategies to combat adolescent substance use and IMF-related overdoses.
- Continued implementation of evidence-based education, naloxone distribution, harm reduction, and SUD treatment expansion is recommended.
- Targeted interventions are essential to address the specific risks associated with substances like IMF in adolescents.
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