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February 14, 2003

Youths’ Choice of Consultant


for Serious Problems Related
to Substance Use
T
he National Household Survey on Drug
In Brief Abuse (NHSDA) asks youths aged 12 to
17 to identify all the persons they would
z In 1999, youths confronted talk to about a serious problem.1 Respondents
were also asked about household composition
with a serious problem were
and past month use of cigarettes, alcohol, and
most likely to say they would various illicit drugs, including marijuana, cocaine
talk to a friend or sibling (including crack), inhalants, hallucinogens,
heroin, or prescription-type drugs used
z Among youths, males were nonmedically.
more likely than females to
say they would talk to their Whom Do Youths Consult About
fathers Serious Problems?
Of the estimated 23 million youths in the United
z Rates of past month States aged 12 to 17 in 1999, the NHSDA
cigarette, alcohol, or showed that most would talk to a friend or sibling
marijuana use were lower about a serious problem (Figure 1). Almost 16
million would turn to non-adult friends or
among youths who would
siblings, nearly 15 million would turn to their
talk to an adult than among mothers, more than 9 million would turn to
youths who would talk to their fathers, over 10 million would turn to
dating partners another adult, and close to 7 million would turn
to their boyfriends or girlfriends. Over 1 million
would turn to nobody.

The NHSDA Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration
(SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA.
Additional copies of this report or other reports from the Office of Applied Studies are available on-line: http://www.DrugAbuseStatistics.samhsa.gov.
Citation of the source is appreciated.
NHSDA REPORT: YOUTHS’ CHOICE OF CONSULTANT FOR SERIOUS PROBLEMS RELATED TO SUBSTANCE USE February 14, 2003

Figure 1. Estimated Numbers (in Millions) of Youths Aged Figure 2. Percentages of Youths Aged 12 to 17 Reporting
12 to 17 Reporting Persons to Whom They Would Turn for Persons to Whom They Would Turn for a Discussion
a Discussion About a Serious Problem: 1999 About a Serious Problem, by Age: 1999

0% 20% 40% 60% 80%


0 5 10 15 20
Friend or 61.9
Friend or 70.6
15.8 Sibling 71.6
Sibling
71.0
Mother 61.7
Mother 14.7 58.2
47.2
Father 39.8
Father 9.4 35.2
50.0
Other Adult* 10.4 Other Adult* 44.1
40.9
Boyfriend or Boyfriend or 19.9
6.6 28.5
Girlfriend Girlfriend 36.4 Age Group
4.1 12 or 13
Nobody 1.1 Nobody 4.8
5.2 14 or 15
16 or 17

Younger youths more frequently End Note


identified adults as confidants than Youths’ Consultant Choices
1. Respondents were asked, “If you wanted to
did older youths (Figure 2). Females and Substance Use talk to someone about a serious problem which
were more likely than males to turn of the following people would you turn to?” In
According to the 1999 NHSDA, 1999, the thirteen response options were: 1)
to others to discuss a serious prob-
rates of past month cigarette, alco- there is nobody I can talk to about serious
lem, although males were more problems; 2) my mother; 3) my father; 4) my
hol, or marijuana use were lower
likely than females to turn to their grandmother or grandfather; 5) my boyfriend or
among youths who reported they girlfriend; 6) my brother or sister; 7) some other
fathers (Figure 3). White youths relative; 8) a friend; 9) a neighbor; 10) a
would talk to an adult about a seri-
were more likely to turn to parents teacher, principal, coach or school counselor;
ous problem than among those who 11) a therapist, psychiatrist, or other private
or other adults than youths from
would talk to a boyfriend or girl- counselor; 12) a pastor, clergy or church
other racial/ethnic groups (Figure 4). group; or 13) some other person. The
friend. For example, youths aged 12
Approximately 92 percent of response categories were not mutually
or 13 who would consult their moth- exclusive, and youths could provide more than
youths lived with their mothers, and
ers, fathers, or other adults were less one response. Responses were grouped into
67 percent of these youths would the following categories: 1) nobody, 2) mother,
likely to use alcohol during the past 3) father, 4) other adult (including grandpar-
turn to their mothers to discuss a se-
month (2 to 3 percent) than youths ents, teacher/principal/coach, therapist/
rious problem compared with 60 psychiatrist), 5) boyfriend or girlfriend, 6) non-
who would consult a dating partner
percent of youths who did not live adult (including siblings or friends), and 7)
(7 percent) (Figure 5). other person (including other relative or a
with their mothers. Likewise, 76 neighbor). Respondents who chose “nobody”
percent of youths lived with their fa- are included in this report; however,
thers, and 48 percent of these youths respondents who did not indicate any of the
choices are not.
would turn to their fathers to discuss
a serious problem compared with 34
percent of youths who did not live
with their fathers.
February 14, 2003 NHSDA REPORT: YOUTHS’ CHOICE OF CONSULTANT FOR SERIOUS PROBLEMS RELATED TO SUBSTANCE USE

Figure 3. Percentages of Youths Aged 12 to 17 Figure 4. Percentages of Youths Aged 12 to 17 Reporting


Reporting Persons to Whom They Would Turn for a Persons to Whom They Would Turn for a Discussion
Discussion About a Serious Problem, by Gender: 1999 About a Serious Problem, by Race/Ethnicity: 1999

0% 20% 40% 60% 80% 0% 20% 40% 60% 80%

Friend or 73.3
76.5
Sibling Friend or 70.2
60.1 57.8
Sibling 56.8
65.5 54.9
Mother
61.7
65.3
35.1 56.4
Father Mother 55.0
45.9
60.5
47.7 61.4
Other Adult*
42.4 45.1
39.8
Boyfriend or 33.4 Father 30.6
Girlfriend 23.5 31.6
29.4
3.9
Nobody Female 48.5
5.4 37.9
Male Other Adult* 36.9
33.3
42.5
30.9
Boyfriend or 21.0
31.0
Girlfriend 22.6 Race/Ethnicity
Figure Notes 24.5
White
Note (all figures): Respondents were asked to mark all the persons they might 4.3
talk to about a serious problem; thus, these categories are not mutually
Asian
5.9
exclusive. Respondents who did not indicate any of the choices have been Nobody 4.5 American Indian/
excluded. 5.0 Alaska Native
5.7 Hispanic
* Other adult includes grandparents, teacher/principal/coach, therapist/
psychiatrist, or pastor/clergy/church/church group. Black
Source (all figures): SAMHSA 1999 NHSDA

Figure 5. Percentages of Youths Aged 12 to 17 Reporting


Past Month Alcohol Use, by Age Group and Person to
Whom They Would Turn for a Discussion About a Serious
Problem: 1999

The National Household Survey on Drug Abuse (NHSDA) is an annual 0% 10% 20% 30% 40%
survey sponsored by the Substance Abuse and Mental Health Services
Administration (SAMHSA). The 1999 data are based on information ob- Friend or 4.5
tained from nearly 70,000 persons aged 12 or older. The survey collects
15.8
Sibling 31.0
data by administering questionnaires to a representative sample of the
population through face-to-face interviews at their place of residence. 2.6
Mother 11.6
The NHSDA Report is prepared by the Office of Applied Studies (OAS), 24.8
SAMHSA, and by RTI in Research Triangle Park, North Carolina.
2.2 Age Group
Information and data for this issue are based on the following publication Father 10.1
and statistics: 23.2 12 or 13
Substance Abuse and Mental Health Services Administration. (2000). 3.4 14 or 15
Summary of findings from the 1999 National Household Survey on Drug Other Adult* 11.3 16 or 17
Abuse (DHHS Publication No. SMA 00-3466). Rockville, MD: Author. 22.9
Also available on-line: http://www.DrugAbuseStatistics.samhsa.gov Boyfriend or 7.4
19.7
Tables available upon request. Girlfriend 32.2
U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES 6.7
Substance Abuse & Mental Health Services Administration Nobody 22.0
Office of Applied Studies
www.samhsa.gov 28.8

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