Part 1: 2013 Ontario Student Drug Use and Health Survey Results

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1 Part 1: 2013 Ontario Student Drug Use and Health Survey Results Thursday June 5, :00 11:30 AM EDT Co-hosted by: Click to edit Master subtitle style

2 2-Part Webinar Series Part Ontario Student Drug Use and Health Survey Results Partners: Part 2 OSDUHS: Evidence to Action Partners: 2

3 Your Co-Hosts Provides system support, capacity building, content expertise and access to information and research for Ontario health promotion and public health audiences related to: Mental health promotion Substance misuse Consults with CAMH colleagues from across the organization (clinical, research, etc.) Funding provided by the Health Promotion Division of MOHLTC Aims to make Ontario s mental health and addictions system more evidence-informed. Promotes the use of evidence in decision-making, develops targeted knowledge translation products and tools, and supports interactive exchanges. Funding provided by Health Canada s Drug Treatment Funding Program and the Centre for Addiction and Mental Health. 3

4 What is the OSDUHS? the OSDUHS is repeated, crosssectional, anonymous survey of students in grades 7-12 in Ontario s publicly funded schools the survey monitors drug use, mental health, physical health, bullying, gambling and other risk behaviours it has been conducted every two years since 1977, making it the longest ongoing student survey in Canada and one of the longest in the world

5 Overview of OSDUHS Topics Demographics Family Life, School Life Drug Use & Related Harm Indicators Drug Perceptions, Context Mental Health Indicators Physical Health Indicators Antisocial Behaviours Violence at School Bullying at School, Cyberbullying Gambling Activities & Problems Video Gaming & Problems

6 2013 Survey Design Survey Sample region-by-school level stratified sample 2-stage cluster selection (school, class) public and Catholic schools randomly selected according to enrolment size oversampled schools in Northern Ontario and 7 public health regions classes randomly selected the survey sample is representative of just under one million Ontario students in publicly funded schools Key Procedures active parental consent/student assent procedure used administered by trained field staff from the Institute for Social Research (ISR) French questionnaires used in French language schools average completion time was 30 minutes

7 2013 OSDUHS Participation 42 public and Catholic school boards 198 schools 671 classes 10,272 students in grades ,211 students in grades 7, 9, and 11 (this sub-sample is used for long-term trend analyses) 63% of eligible students participated

8

9 Highlights from the 2013 OSDUHS Drug Use Report Overview of Drug Use in 2013 Long-Term Trends Early Initiation of Drug Use Drug Specific Highlights Vehicle-Related Risks School Context

10 Overview of Drug Use in 2013

11 Percentage of Students Reporting Past Year Drug Use by Grade Level, 2013 OSDUHS Poll: In the past year, what were the three highest reported drugs (including alcohol, cigarettes and high-caffeine energy drinks) reported by: a) Students in Gr. 7-8? b) Students in Gr. 9-12?

12 Percentage of Students Reporting Past Year Drug Use by Grade Level, 2013 OSDUHS High-Caffeine Energy Drinks Alcohol OTC Cough/Cold Medication Opioid Pain Relievers (NM) Inhalants (Glue, Solvents) Cannabis Cigarettes Waterpipe ('Hookah') Grades 7 & 8 Alcohol High-Caffeine Energy Drinks Cannabis Opioid Pain Relievers (NM) Waterpipe ('Hookah') Cigarettes OTC Cough/Cold Medication Smokeless Tobacco Mushrooms/Mesc. Salvia Divinorum Ecstasy Cocaine Tranquillizers (NM) Inhalants (Glue, Solvents) Synthetic Cannabis ('Spice') OxyContin/OxyNEO (NM) ADHD Drugs (NM) LSD Jimson Weed Methamphetamine Modafinil (NM) Crack Grades % Notes: (1) NM = nonmedical use, without a doctor's prescription; (2) estimates for smokeless tobacco, synthetic cannabis ('spice'), salvia, OxyContin, and ADHD drugs among Grades 7 & 8 were suppressed due to unreliability; (3) estimates for heroin, ketamine, methoxetamine, BZP pills, and mephedrone ('bath salts') among Grades 9-12 were suppressed due to unreliability

13 Frequency of Drug Use in the Past Year Among Users, 2013 OSDUHS (Grades 9-12 only) 1-2 Times 3-9 Times 10+ Times Cannabis Waterpipe ('Hookah') Cocaine Smokeless Tobacco Opioid Pain Relievers (NM) Tranquillizers/Sedatives (NM) ADHD Drugs (NM) Synthetic Cannabis ('Spice') LSD OxyContin/OxyNEO (NM) Ecstasy Inhalants (Glue, Solvents) OTC Cough/Cold Medication Mushrooms/Mescaline Salvia Divinorum % Notes: NM=nonmedical use, without a doctor's prescription; frequencies displayed only for drugs with 50 or more users

14 Statistically Significant Sex Differences in Past Year Drug Use, 2013 OSDUHS High-Caffeine Energy Drinks Cannabis Waterpipe ('Hookah') OTC Cough/Cold Medication Smokeless (Chewing) Tobacco Salvia Divinorum ADHD Drugs (NM) Mushrooms/Mescaline Methamphetamine % Males % Females Notes: (1) all drugs asked of Grades 7-12, except for mushrooms and methamphetamine which were asked of Grades 9-12 only; (2) estimate for methamphetamine use among females was suppressed; (3) NM=nonmedical use, without a doctor's prescription

15 Statistically Significant Regional Differences in Past Year Drug Use, 2013 OSDUHS Alcohol Binge Drinking Any Prescription Drug (NM) Opioid Pain Relievers (NM) Ontario Toronto North West East % Notes: binge drinking refers to the past 4 weeks; NM=nonmedical use, without a doctor's prescription

16 % Statistically Significant Decreases in Past Year Use Between 2011 and 2013 (Grades 7-12) % 49.5% 49.5% % % 3.4% 0 Alcohol High-Caffeine Energy Drinks Inhalants (Glue or Solvents) Notes: error bars represent 95% confidence intervals; all three drugs showed a significant decrease between 2011 and 2013 (p<.01)

17 % Past Year Abstinence: Percentage Reporting No Drug Use in the Past Year, (Grades 7, 9, 11 only) Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) the number of drugs asked about increases over time

18 Early Initiation of Drug Use

19 Early Initiation Among 7th Graders One way of monitoring changes in early initiation is to examine initiation of drug use among the youngest cohort of students, namely the 7th graders (ages 12-13). We asked students which grade they: o first smoked a whole cigarette o first drank an alcoholic drink o first tried cannabis

20 Early Cigarette Smoking Grade First Smoked a Whole Cigarette Among All 7th Graders, Grade 4 Grade 5 Grade 6 Grade 7 Grade at First Whole Cigarette Fewer 7th graders today tried smoking at an early age. For example, less than 2% of 7th graders in 2013 reported smoking their first whole cigarette before the end of grade 6, compared with 9% in 2003, 27% in 1997, and 41% in 1981.

21 Early Alcohol Use Grade First Drank Alcohol Among All 7th Graders, Fewer 7th graders today tried alcohol at an early age. For example, about 13% of 7th graders in 2013 used alcohol before the end of grade 6, compared with 31% in 2007, 42% in 2003, and 50% in Grade 4 Grade 5 Grade 6 Grade 7 Grade at First Alcoholic Drink

22 Early Cannabis Use Grade First Tried Cannabis Among All 7th Graders, Fewer 7th graders today tried cannabis at an early age. For example, in 2013 about 2% reported trying cannabis for the first time before the end of grade 7, compared with 9% in Grade 4 Grade 5 Grade 6 Grade 7 Grade at First Cannabis Use

23 Percentage of 7th Graders Reporting Smoking Cigarettes, Drinking Alcohol, and Using Cannabis in the Past Year, % Cigarettes Alcohol Cannabis

24 Age Average Age at First Whole Cigarette Among 12th Grade Smokers, First Alcoholic Drink Among 12th Grade Drinkers, and First Cannabis Use Among 12th Grade Users, First Cigarette First Alcohol First Cannabis

25 Drug-Specific Highlights

26 Cigarettes and Alternative Products

27 Percentage of Students Reporting Past Year Drug Use by Grade Level, 2013 OSDUHS High-Caffeine Energy Drinks Alcohol OTC Cough/Cold Medication Opioid Pain Relievers (NM) Inhalants (Glue, Solvents) Cannabis Cigarettes Waterpipe ('Hookah') Grades 7 & 8 Poll: In the past year, what Alcohol High-Caffeine Energy Drinks 42.8 Cannabis Opioid Pain Relievers (NM) Waterpipe ('Hookah') Cigarettes OTC Cough/Cold Medication Smokeless Tobacco (gr ) reported Mushrooms/Mesc. Salvia Divinorum Ecstasy Cocaine Tranquillizers (NM) cigarette smoking? Inhalants (Glue, Solvents) Synthetic Cannabis ('Spice') 2.2 OxyContin/OxyNEO (NM) 2.0 ADHD Drugs (NM) 1.6 LSD 1.5 Jimson Weed 1.3 Methamphetamine 0.9 Modafinil (NM) 0.8 Crack 0.7 percentage of students Grades % Notes: (1) NM = nonmedical use, without a doctor's prescription; (2) estimates for smokeless tobacco, synthetic cannabis ('spice'), salvia, OxyContin, and ADHD drugs among Grades 7 & 8 were suppressed due to unreliability; (3) estimates for heroin, ketamine, methoxetamine, BZP pills, and mephedrone ('bath salts') among Grades 9-12 were suppressed due to unreliability

28 % Percentage Reporting Cigarette Smoking in the Past Year by Sex, Grade and Region, 2013 OSDUHS Total M F G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) estimates for Grades 7 and 8 were suppressed; (4) significant difference by grade (p<.05), no significant difference by sex or by region

29 Cigarette Smoking Trends past year cigarette smoking among the total sample of students in grades 7-12 in 2013 (9%) did not differ from the prevalence found in 2011 (9%) since 1999, cigarette smoking has declined among the total sample of students in grades 7-12 (all sex, grade, and region subgroups show a decline) since 1977, cigarette smoking has declined dramatically among students in grades 7, 9, and 11 (all sex, grade, and region subgroups show a decline)

30 Long-Term Trend: Percentage Reporting Past Year Use,

31 % Lifetime Cigarette Smoking, (Grades 7, 9, 11 only) Never Smoked Few Puffs/1 Cigarette 2-99 Cigarettes 100+ Cigarettes

32 % Percentage Reporting Using a Waterpipe (Hookah) in the Past Year by Sex, Grade, and Region, 2013 OSDUHS Total M F G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) estimates for Grades 7 and 8 were suppressed; (4) significant difference by sex and by grade (p<.05), no significant difference by region

33 % Lifetime Use of Electronic Cigarettes, 2013 OSDUHS (Grades 9-12) % % 10.5% 4.1% Never used Never heard of them Yes, without nicotine Yes, with nicotine Note: error bars represent 95% confidence intervals

34 Alcohol

35 % Percentage Reporting Drinking Alcohol in the Past Year (more than a few sips) by Sex, Grade, and Region, 2013 OSDUHS Total M F G7 G8 G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) significant difference by grade and by region (p<.05), no significant difference by sex

36 Long-Term Trend: Percentage Reporting Past Year Use,

37 % Percentage Reporting Binge Drinking in the Past Month by Sex, Grade, and Region, 2013 OSDUHS Total M F G8 G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) estimate for Grade 7 was suppressed; (4) significant difference by grade and by region (p<.05), no significant difference by sex

38 % % % % 50 Percentage Reporting Binge Drinking in the Past Month by Sex, Grade, and Region, (Grades 7-12) Binge Drinking: total 50 Binge Drinking: sex Males Females Binge Drinking: grade G7 G8 G9 G10 G11 G12 50 Binge Drinking: region Toronto North West East Note: the Grade 7 estimate in 2013 was suppressed due to unreliability

39 Alcohol Mixed with an Energy Drink this was a new question in the 2013 OSDUHS 16% of all students reported drinking alcohol mixed with an energy drink at least once during the 12 months before the survey (represents about 145,500 students in grades 7-12) no significant difference between males and females significantly increases with grade no significant regional differences

40 Coexisting Alcohol and Mental Health Problems 6% of students indicate both hazardous/harmful drinking and psychological distress, measuring symptoms of anxiety and depression (represents about 60,800 students in grades 7-12) females are significantly more likely than males to report these two coexisting problems coexisting problems significantly increase with grade no significant regional differences

41 Cannabis

42 Percentage Reporting Cannabis Use at Least Once in the Past Year by Sex, Grade, and Region, 2013 OSDUHS % Total M F G7 G8 G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) significant difference by sex and by grade (p<.05), no significant difference by region

43 Cannabis Trends past year prevalence of cannabis use did not significantly change between 2011 (22%) and 2013 (23%) among the total sample of students in grades 7-12 there was a downward trend between 1999 (28%) and 2011, remaining stable in 2013 Long-term trends (among students in grades 7, 9, 11 only) show that the 2013 level is significantly lower than the historical peak years in the late 1970s and in 1999/early 2000s, but still remains above the low levels evident in the late 1980s/early 1990s.

44 % Long-Term Trend: Percentage Reporting Past Year Use, Cannabis

45 Nonmedical (NM) Use of Prescription Opioid Pain Relievers

46 Percentage Reporting NM Opioid Pain Reliever Use in the Past Year by Sex, Grade, and Region, 2013 OSDUHS % Total M F G7 G8 G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) significant difference by grade and by region (p<.05), no significant difference by sex

47 Recreational Use of Cough or Cold Medication

48 Percentage Reporting Recreational Use of Cough/Cold Medication in the Past Year by Sex, Grade, and Region, 2013 OSDUHS % Total M F G7 G8 G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) significant difference by sex (p<.05), no significant difference by grade or by region

49 Percentage Reporting Recreational Use of Cough/Cold Medication in the Past Year by Sex, (Grades 7-12) % Total Males Females Notes: error bars represent 95% confidence intervals; significant increase between 2009 and 2013 for total and males (p<.01); no significant change among females

50 Vehicle-Related Risks

51 Percentage Reporting Being a Passenger at Least Once in the Past Year with a Driver Who Had Been Drinking Alcohol, or Who Had Been Using Drugs, 2013 OSDUHS (Grades 7-12) % % (est. 173,500 students) 14% 10 (est. 135,200 students) 0 Passenger with Driver Used Alcohol Passenger with Driver Used Drugs Note: error bars represent 95% confidence intervals

52 % Percentage of 11th Grade Drivers Reporting Drinking and Driving in the Past Year, Once 2+ Times

53 The School Context

54 Percentage Reporting Being Drunk or High at School at Least Once in the Past Year by Sex, Grade, and Region, 2013 OSDUHS % Total M F G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) estimates for Grades 7 and 8 were suppressed; (4) significant difference by grade (p<.05), no significant difference by sex or by region

55 Percentage Reporting Being Offered, Given, or Sold an Illegal Drug at School at Least Once in the Past Year by Sex, Grade, and Region, 2013 OSDUHS % Total M F G7 G8 G9 G10 G11 G12 TO N W E Notes: (1) vertical 'whiskers' represent 95% confidence intervals; (2) horizontal band represents 95% CI for total estimate; (3) significant difference by sex and by grade (p<.05), no significant difference by region

56 Panel Discussion Dr. Hayley Hamilton Research Scientist Social and Epidemiological Research Department, CAMH Gloria Chaim Deputy Clinical Director Child, Youth & Family Program, CAMH Dr. Robert Mann Senior Scientist Social and Epidemiological Research Department, CAMH Angela Boak Research Coordinator and Analyst Social and Epidemiological Research Department CAMH 56

57 Positive findings

58 Some concerns

59 OSDUHS Reports detailed & highlights reports on drug use detailed & highlights reports on mental health and well-being plus, see our ebulletin page for factsheets

60 Questions/Comments? Please type your questions in the chat box 60

61 Thank you! NEXT WEBINAR: Part 2 OSDUHS: Evidence to Action June 17, :00 11:30 AM EDT Partners: p.s.: Please don t forget to fill out the evaluation! 61

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