1. Abuse of Pain Relievers: Results from the 2002 National Survey on Drug Use and Health (NSDUH) Joe Gfroerer Office of Applied Studies Substance Abuse and Mental Health Services Administration September 9, 2003

2. 2 NSDUH Design Representative nationally and in each State Civilian, noninstitutionalized population Aged 12 or older Anonymous face-to-face interview Computer-assisted interviewing Part self-administered 68,126 respondents in 2002

3. 3 Impact of NSDUH Changes in 2002 Increased reporting of substance use Data not comparable with prior surveys

4. 4 Nonmedical Prescription Drug Use: NSDUH Definition “Not prescribed for you” OR “You took the drug only for the experience or feeling it caused” (Excludes OTC)

5. 5 Pain Relievers Pillcard for 2002 NSDUH Questionnaire

6. 6 Lifetime Nonmedical Use of Selected Pain Relievers, Age 12 or Older: 2002 Numbers (in Millions) Darvocet ®, Darvon ®, or Tylenol ® with Codeine Vicodin ®, Lortab ®, or Lorcet ® Percocet ®, Percodan ®, or Tylox ® ® ® ® ®

7. 7 Nonmedical Pain Reliever Use, Age 12 or Older: 2002 Numbers (in Millions) Lifetime Use Past Year Dependence or Abuse Past Month Use Past Year Use

8. 8 Illicit Drug Dependence or Abuse, Age 12 or Older: 2002 Numbers (in Millions)

9. 9 Lifetime Nonmedical Pain Reliever Use, by Age Group: 1965-2002 Aged 18-25 Percent Using in Lifetime Aged 12-17 19651970197519801985199019952000

10. 10 Lifetime Nonmedical Use of OxyContin ®, Age 12 or Older: 1999-2002 Numbers (in Millions) (0.1%) (0.2%) (0.4%) (0.8%)

11. 11 Annual Numbers of New Nonmedical Users of Pain Relievers: 1965-2001 Thousands of New Users 19651970197519801985199019952000

12. 12 Lifetime Use of Selected Drugs among New Users of Pain Relievers Nonmedically, Age 12 or Older: 2002 Percent of New Users MarijuanaOxyContin ® CocaineHallucinogensHeroin Note: New users are defined as persons who used pain relievers nonmedically for the first time in 1999, 2000, or 2001.

13. 13 Lifetime Use of Other Drugs among Lifetime Nonmedical OxyContin ® Users, Age 12 or Older : 2002 Percent of Lifetime OxyContin ® Users Other Pain Relievers Nonmedically CocaineHallucinogensMarijuanaHeroin

14. 14 Lifetime Nonmedical Use of Pain Relievers among Lifetime Nonmedical OxyContin ® Users, Age 12 or Older: 2002 Percent Darvocet ®, Darvon ®, or Tylenol ® with Codeine Vicodin ®, Lortab ®, or Lorcet ® Percocet ®, Percodan ®, or Tylox ® ® ® ®

15. 15 Percent Past Year Pain Reliever Dependence or Abuse Aged 12-17 Aged 18-25 Aged 26-34 Aged 35-49 Aged 50 or Older Lifetime Nonmedical OxyContin ® Use Rates of Pain Reliever Dependence or Abuse and Lifetime Nonmedical OxyContin ® Use, by Age Group, Age 12 or Older: 2002

16. 16 Percent Male Female Lifetime Nonmedical OxyContin ® Use Past Year Pain Reliever Dependence or Abuse Rates of Pain Reliever Dependence or Abuse and Lifetime Nonmedical OxyContin ® Use, by Gender, Age 12 or Older: 2002

17. 17 Percent White, Not Hispanic Black/African American, Not Hispanic Hispanic or Latino Lifetime Nonmedical OxyContin ® Use Past Year Pain Reliever Dependence or Abuse Rates of Pain Reliever Dependence or Abuse and Lifetime Nonmedical OxyContin ® Use, by Race/Ethnicity, Age 12 or Older: 2002

18. 18 Rates of Pain Reliever Dependence or Abuse and Lifetime Nonmedical OxyContin ® Use, by County Type, Age 12 or Older: 2002 Percent Large Metro Small Metro Nonmetro Lifetime Nonmedical OxyContin ® Use Past Year Pain Reliever Dependence or Abuse

19. 19 Pain Reliever Dependence or Abuse among Lifetime Nonmedical Users of Any Pain Reliever, OxyContin ®, and Dilaudid ®, Age 12 or Older: 2002 Users of OxyContin ® Percent with Pain Reliever Dependence or Abuse Users of Pain Relievers, But Not OxyContin ® Users of Dilaudid ® Users of Pain Relievers, But Not Dilaudid ®

20. 20 Conclusions Nonmedical pain reliever and OxyContin ® use increasing Nonmedical OxyContin ® use mainly among abusers of other drugs OxyContin ® and Dilaudid ® users more likely to have dependence on or abuse of pain relievers than other nonmedical pain reliever users