DRUG USE LEVELS IN FRANCE IN 2010 First results from the Health Barometer survey (OFDT /INPES analysis) OFDT 3 avenue du Stade de France 93218 Saint-Denis La Plaine cedex Tel : 01 41 62 77 16 Fax : 01 41 62 77 00 www.ofdt.fr Marie-Line Tovar 2012 Annual Expert meeting - 26-27 June - Lisbon
Introduction The Health Barometer survey (INPES the French national institute for prevention and education in health) SERIES OF SURVEYS REFERENCE POPULATION SAMPLING SIZE SAMPLING DESIGNS DATA COLLECTION RESPONSE RATE 1995-2010 (five-yearly) Households. 15-75/85 years olds. 25,000 / 30,000 Two-stages random design ( households, individuals). Telephone interviews (mobile phone only and landline) 61 % 2
OBJECTIVE MAIN OBJECTIVE To provide information on various French health behaviours and attitudes Specific drugs objectives, related to the population aged 15 to 64 : To estimate the prevalence (%) of psychoactive substance use To describe the diversity of practices (lifetime use, current use, regular use ) To follow the evolutions of different psychoactive substances uses To analyze the association between consumption of these substances and demographic characteristics To participate in regional data collection 3
METHODOLOGY Time frame: The data were collected from october 2009 to july 2010 Sample size : randomized sample around 27,700 persons 15-85 years olds. Area population : national household with telephone (mobile phone only and landline). Age range questionnaire: Among 15-64 years olds (illegal subtances) 4
METHODOLOGY The response rate and its calculation To determine the response rate of this GPS : it is necessary to put in relation the number of overall respondents with the number of eligible individuals. Extrapolate the ineligible households within the group of non-respondents households. The non-response rate observed at the end of the investigation, except withdrawals and missed appointments, can thus be estimated at 39% in the landline study and in the mobile study. 5
METHODOLOGY Various steps to increase the response rate: Letter of introduction before the data collection In the event of non-response of the households, automatic call-back up at different times and different days If the individual is unavailable, an appointment is made A single call-back of "refusing households", given that it is not necessarily the individual who could have been chosen that has opposed a refusal. This procedure has cut down by 10% refusals to participate.
Estimate of the number of users 7
// = not available Estimate of the number of users of psychoactive substances in France among the 11-75 years old. Cannabis is the most used illicit substance in France Sources : Health Barometer 2010 (INPES), ESCAPAD 2008 (OFDT), ESPAD 2007 (OFDT), HBSC (service du rectorat de Toulouse) // = not available 8
Main Results 9
Cannabis Use in the last 12 months concerns mainly young people (21% of the 15-24 years olds) Proportions of cannabis users during the last year (in %) 30 25 20 15 10 5 0 25 23 21 16 14 8 6 5 3 3 2 2 1 0 1 15-24 years 25-34 years 26-44 years 45-54 years 55-64 years MEN WOMEN TOTAL Source : Health Barometer 2010, INPES, OFDT analysis 10
Cannabis Use prevalences are stable The lifetime use increase is due to a former generation stock. Cannabis use trends since 1992 (in %) among 15-64 years olds 35 30 25 23,9 28,6 32,1 20 15 10 5 0 17,0 12,7 8,6 8,2 8,4 4,4 4,9 5,0 4,6 4,6 1992 1995 2000 2005 2010 LIFETIME USE YEARLY USE MONTHLY USE Source : Health Barometer 2010, INPES 11
Cocaine The highest use in the last 12 months is among the 15-24 years olds (1.9%). Proportions of users in the preceding twelve months, in 2010 3,0 2,5 2,8 2,6 2,0 1,9 1,8 1,5 1,0 0,5 0,0 1,0 1,0 1,0 0,6 0,4 0,2 0,2 0,1 0,0 0,0 0,0 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years MEN WOMEN TOTAL Source : Health Barometer 2010, INPES, OFDT analysing 12
Cocaine Significant use increase In terms of yearly use, the proportion of users among the 15-64 years olds has tripled during the last 10 years (from 0.3% to 0.9 %) Trends of cocaine users from 1992 to 2010 among the 15-64 years old (in %) 4 3,5 3,6 3 2,5 2,4 2 LIFETIME USE 1,5 1 0,5 0,8 1,2 0,3 1,6 0,6 0,9 YEARLY USE 0 1992 1995 2000 2005 2010 Source : Health Barometer 2010, INPES, OFDT analysing 13
Other drugs Between 2005 and 2010, increase in poppers, cocaine, heroin and amphetamine yearly use Trends of the use between 2005 and 2010 among the 15-64 years olds (in %) LIFETIME USE YEARLY USE 2005 2010 2005 vs 2010 2005 2010 2005 vs 2010 Cannabis 28,8 32,1 8,3 11,8 Poppers 3,8 5,2 0,6 0,9 Cocaine 2,4 3,6 0,5 0,9 Mushrooms 2,6 3,1 0,3 0,2 Ecstasy/MDMA 2,0 2,5 0,5 0,3 Glues and solvents 1,7 1,9 0,1 0,4 LSD 1,5 1,7 0,1 0,2 Amphetamines 1,3 1,7 0,1 0,2 Heroin 0,8 1,2 0,1 0,2 Source : Health Barometer 2010, INPES, OFDT analysing 14
Alcohol Most frequent consumers are among people beyond the age of 45 years old and among men Daily use during 2010, according to gender and age (in %) 35,0 30,0 25,0 20,0 15,0 10,0 5,0 0,0 31,0 20,5 16,0 10,0 10,3 10,7 6,5 5,9 4,8 3,7 3,7 2,0 2,2 0,2 1,0 15-24 years 25-34 years 35-44 years 45-54 years 55-64 years MEN WOMEN TOTAL Source : Health Barometer 2010, INPES, OFDT analysing 15
Alcohol weekly consumption declines but occasional use is steady High risk consumption and drunkenness periods increase mostly among young generation aged 15-34 (and especially among women aged 15-24 years olds). Trends of daily alcohol use among 15-64 years olds (in %) 35 30 32 25 24 20 15 10 5 20 9 16 8 18 12 5 13 9 4 Total Men Women 0 1995 2000 2005 2010 Source : Health Barometer 2010, INPES, OFDT analysing 16
Conclusion: illicit substances an overall stabilisation of the current levels of cannabis use a significant rise recorded in lifetime use and current use of cocaine. A significant increase in heroin lifetime use particularly among men. 17
Conclusion: legal substances very significant drop in the daily consumption of alcoholic beverages for both men and women A significant increase observed in both high risk consumption and number of drunkenness episodes for men and women 18
More information.. INPES the French national institute for prevention and education in health 42 Bd de la libération 93203 Saint Denis Cédex Tel : + 33 1 01 49 33 22 22 Fax : +33 1 01 49 33 23 90 Website : inpes@inpes.sante.fr French Monitoring Centre for Drugs and Drug Addiction (OFDT) 3 Avenue du stade de France (4 th floor) 93218 St Denis la Plaine Cedex Tel : + 33 1 01 41 62 77 16 - Fax :+ 33 1 01 41 62 77 00 E-mail : ofdt@ofdt.fr - Website: www.ofdt.fr