Key Takeaways
- In 2022, 15.8% of 8th-grade students reported lifetime use of marijuana, according to the Monitoring the Future survey
- Among 10th graders in 2022, 29.6% had used marijuana at least once in their lifetime, per Monitoring the Future data
- 12th graders showed 42.3% lifetime marijuana use in 2022, from the same MTF survey
- In 2022 MTF, 29.6% of 10th graders vaped nicotine past year
- 12th graders past year nicotine vaping: 40.6% in 2022 MTF
- Past month alcohol use 8th graders: 8.4% 2022 MTF
- Lifetime marijuana use among 8th graders 16.6% in 2023 MTF
- 10th graders lifetime marijuana 31.2% 2023 MTF
- 12th graders lifetime marijuana 44.0% 2023 MTF
- Lifetime prescription opioid misuse among 8th graders 1.9% 2022 MTF
- 10th graders lifetime Rx opioid misuse 3.6% 2022 MTF
- 12th graders lifetime Rx opioid misuse 6.4% 2022 MTF
- NSDUH 2021 reported higher marijuana use among males aged 12-17 at 18.2% past year vs 14.9% females
- MTF 2022: White 8th graders lifetime marijuana 17.5%, Black 13.2%, Hispanic 15.1%
- Among 10th graders 2022 MTF, college-bound had lower illicit drug use (18.4%) vs non-college (25.6%)
Adolescent drug use remains high, with significant consumption of marijuana, alcohol, and vaping.
Alcohol and Tobacco
- In 2022 MTF, 29.6% of 10th graders vaped nicotine past year
- 12th graders past year nicotine vaping: 40.6% in 2022 MTF
- Past month alcohol use 8th graders: 8.4% 2022 MTF
- 10th graders past month alcohol: 29.1% 2022 MTF
- 12th graders past month alcohol: 52.0% 2022 MTF
- NSDUH 2021: 4.7 million adolescents drank alcohol past month
- 13.4% of 12-17 past month alcohol use 2021 NSDUH
- YRBS 2021: 29.2% high school students drank alcohol past 30 days
- 14.8% high schoolers binge drank past 30 days 2021 YRBS
- MTF 2023: Past month cigarette use 8th graders 1.4%
- 10th graders past month cigs: 1.9% 2023 MTF
- 12th graders past month cigs: 4.4% 2023 MTF
- NSDUH 2022: 1.8 million adolescents used tobacco past month
- 5.1% of 12-17 past month tobacco 2022 NSDUH
- YRBS 2021: 32.7% lifetime cigarette use high school students
- 6.0% currently smoke cigarettes past 30 days 2021 YRBS
- MTF 2022: Past year smokeless tobacco 8th graders 2.1%
- 10th graders past year smokeless: 4.3% 2022 MTF
- 12th graders past year smokeless tobacco: 7.9% 2022 MTF
- NSDUH 2021: 1.2 million adolescents used cigars past year
- Past 30 day vaping high school: 27.5% 2021 YRBS
- MTF 2023: Lifetime alcohol use 8th graders 19.8%
- 10th graders lifetime alcohol: 46.9% 2023 MTF
- 12th graders lifetime alcohol: 79.7% 2023 MTF
Alcohol and Tobacco Interpretation
Demographics
- NSDUH 2021 reported higher marijuana use among males aged 12-17 at 18.2% past year vs 14.9% females
- MTF 2022: White 8th graders lifetime marijuana 17.5%, Black 13.2%, Hispanic 15.1%
- Among 10th graders 2022 MTF, college-bound had lower illicit drug use (18.4%) vs non-college (25.6%)
- NSDUH 2022: Urban adolescents past year illicit drugs 16.8%, rural 13.2%
- YRBS 2021: Hispanic high school students marijuana past 30 days 14.1%, White 11.0%, Black 9.5%
- MTF 2023: Females 8th graders past month alcohol 7.9% vs males 8.9%
- Lifetime cigarette use higher in low SES 12th graders at 45.2% vs high SES 35.1% 2022 MTF
- NSDUH 2021: 12-13 year olds past year illicit drugs 9.1%, 14-15: 17.3%, 16-17: 22.4%
- YRBS 2021: Gay/lesbian/bisexual students alcohol past 30 days 42.5% vs straight 27.1%
- MTF 2022: Non-college bound 12th graders binge drinking past month 32.4% vs college 25.2%
- NSDUH 2022: Black adolescents alcohol use disorder 3.8%, White 5.2%
- Higher vaping rates among male high schoolers 29.8% vs females 25.2% 2021 YRBS
- MTF 2023: Region Northeast 8th graders lifetime marijuana 14.2%, West 18.9%
- Lifetime illicit drug use higher in large metro 12th graders 42.3% vs small metro 37.8% 2022 MTF
- NSDUH 2021: Adolescents in large metro past month tobacco 5.8%, non-metro 4.2%
- YRBS 2021: 10th graders marijuana lifetime 30.5%, 9th 24.1%, 11th 32.7%, 12th 35.2%
- MTF 2022: Higher SES 10th graders lower cocaine use 2.1% vs lower SES 3.5%
- Female 12th graders prescription misuse higher at 7.1% vs males 5.7% 2023 MTF
- NSDUH 2022: Hispanic youth past year marijuana 20.4%, Asian 8.6%
- Lifetime alcohol use among bisexual high schoolers 85.2% vs heterosexual 58.3% 2021 YRBS
- MTF 2023: 8th grade males vaping past year 11.2% vs females 9.8%
- NSDUH 2021: Past year illicit drug use peaks at age 17 with 25.6%
- YRBS 2021 shows rural high schoolers cigarette use 8.2% vs urban 5.1% past 30 days
- NSDUH 2022: Native American adolescents highest alcohol past month 18.4%
- MTF 2022: College plans correlate with lower heroin use across grades
- Adolescent marijuana users more likely from disrupted families per MTF 2022 analysis
Demographics Interpretation
Illicit Drugs
- Lifetime marijuana use among 8th graders 16.6% in 2023 MTF
- 10th graders lifetime marijuana 31.2% 2023 MTF
- 12th graders lifetime marijuana 44.0% 2023 MTF
- Past year cocaine use 8th graders 1.2% 2022 MTF
- 10th graders past year cocaine 2.8% 2022 MTF
- 12th graders past year cocaine 3.4% 2022 MTF
- NSDUH 2021: 422,000 adolescents used cocaine past year
- 1.5% of 12-17 past year cocaine 2021 NSDUH
- Lifetime hallucinogens 8th graders 3.3% 2022 MTF
- 10th graders lifetime hallucinogens 6.9% 2022 MTF
- 12th graders lifetime hallucinogens 10.2% 2022 MTF
- NSDUH 2022: 699,000 adolescents used hallucinogens past year
- 2.5% 12-17 past year hallucinogens 2022 NSDUH
- MTF 2023: Past year heroin use 8th graders 0.3%
- 10th graders past year heroin 0.4% 2023 MTF
- 12th graders past year heroin 0.6% 2023 MTF
- Lifetime inhalants 8th graders 9.7% 2023 MTF
- 10th graders lifetime inhalants 9.9% 2023 MTF
- 12th graders lifetime inhalants 10.8% 2023 MTF
- YRBS 2021: 3.0% high school students injected illegal drugs lifetime
- NSDUH 2021: 140,000 adolescents used heroin past year
- 0.5% 12-17 past year heroin 2021 NSDUH
- MTF 2022: Lifetime LSD 8th graders 2.4%
- 10th graders lifetime LSD 4.7% 2022 MTF
- 12th graders lifetime LSD 7.9% 2022 MTF
- Past year methamphetamine 8th graders 0.4% 2023 MTF
Illicit Drugs Interpretation
Prescription Drugs
- Lifetime prescription opioid misuse among 8th graders 1.9% 2022 MTF
- 10th graders lifetime Rx opioid misuse 3.6% 2022 MTF
- 12th graders lifetime Rx opioid misuse 6.4% 2022 MTF
- NSDUH 2021: 1.2 million adolescents misused prescription stimulants past year
- 4.3% of 12-17 misused stimulants past year 2021 NSDUH
- Past year tranquilizer misuse 8th graders 1.0% 2022 MTF
- 10th graders past year tranquilizers 2.3% 2022 MTF
- 12th graders past year tranquilizers 4.1% 2022 MTF
- NSDUH 2022: 852,000 adolescents misused prescription sedatives past year
- 3.0% 12-17 past year sedatives misuse 2022 NSDUH
- MTF 2023: Lifetime OxyContin use 8th graders 0.8%
- 10th graders lifetime Oxy 1.7% 2023 MTF
- 12th graders lifetime Oxy 3.3% 2023 MTF
- YRBS 2021: 14.4% high school students ever took prescription drugs to get high
- NSDUH 2021: 2.7% adolescents had prescription pain reliever use disorder
- MTF 2022: Past year Adderall misuse 8th graders 1.1%
- 10th graders past year Adderall 3.9% 2022 MTF
- 12th graders past year Adderall 5.6% 2022 MTF
- Lifetime benzodiazepine misuse 8th graders 1.4% 2023 MTF
- 10th graders lifetime benzos 2.8% 2023 MTF
- 12th graders lifetime benzos 5.2% 2023 MTF
- NSDUH 2022: 1.4 million 12-17 misused pain relievers past year
- 5.0% past year prescription opioid misuse among 12-17 2022 NSDUH
- Past year narcotic misuse excluding heroin 8th graders 2.1% 2022 MTF
Prescription Drugs Interpretation
Prevalence Rates
- In 2022, 15.8% of 8th-grade students reported lifetime use of marijuana, according to the Monitoring the Future survey
- Among 10th graders in 2022, 29.6% had used marijuana at least once in their lifetime, per Monitoring the Future data
- 12th graders showed 42.3% lifetime marijuana use in 2022, from the same MTF survey
- NSDUH 2021 reported 5.4 million adolescents aged 12-17 had used illicit drugs in the past year
- 10.1% of adolescents aged 12-17 used illicit drugs in the past month in 2021 per NSDUH
- YRBS 2021 found 27.1% of high school students had used marijuana in their lifetime
- 11.3% of high school students used marijuana in the past 30 days in 2021, CDC YRBS
- MTF 2023: Any illicit drug use past year for 8th graders at 10.9%
- 10th graders past year illicit drug use: 19.8% in 2023 MTF
- 12th graders: 39.1% past year any illicit drug in 2023, MTF
- NSDUH 2022: 15.6% of 12-17 year olds used any illicit drug past year
- Past month any illicit drug use among 12-17: 7.2% in 2022 NSDUH
- 2021 YRBS: 14.7% high school students used cocaine lifetime
- Heroin lifetime use: 0.7% high school students 2021 YRBS
- Methamphetamine lifetime: 1.2% in 2021 YRBS high schoolers
- Inhalant lifetime use: 9.1% high school 2021 YRBS
- MTF 2022: 3.3% 8th graders used synthetic marijuana lifetime
- 5.9% 10th graders synthetic marijuana lifetime 2022 MTF
- 7.2% 12th graders lifetime synthetic marijuana 2022
- NSDUH 2021: 788,000 adolescents misused prescription pain relievers past year
- 2.7% of 12-17 misused opioids past year 2021 NSDUH
- Lifetime cigarette use among 8th graders: 12.6% in 2022 MTF
- 10th graders lifetime cigs: 21.4% 2022 MTF
- 12th graders: 39.3% lifetime cigarettes 2022 MTF
- Past month binge drinking 8th graders: 3.2% 2022 MTF
- 10th graders binge drinking past month: 12.5% 2022 MTF
- 12th graders: 27.8% past month binge drinking 2022 MTF
- NSDUH 2022: 1.6 million adolescents aged 12-17 had alcohol use disorder
- 4.5% of high school students currently use smokeless tobacco per 2021 YRBS
- 10.0% lifetime electronic vapor product use among 8th graders 2022 MTF
Prevalence Rates Interpretation
Trends
- Lifetime marijuana use declined from 21.4% in 2012 to 15.8% in 2022 for 8th graders MTF
- 10th grade past month marijuana from 16.0% 2012 to 15.3% 2022, slight decline MTF
- 12th grade lifetime marijuana stable around 44-45% from 2018-2023 MTF
- NSDUH shows past year illicit drug use among 12-17 from 18.9% 2015 to 15.6% 2022
- YRBS marijuana past 30 days high school from 19.8% 2011 to 11.3% 2021 decline
- Nicotine vaping past year 12th graders rose from 11.3% 2017 to 40.6% 2022 MTF surge
- Alcohol past month 8th graders declined from 13.5% 1991 to 8.4% 2022 MTF long-term drop
- Cigarette past month all grades down dramatically since 1990s per MTF 2023
- NSDUH prescription opioid misuse past year 12-17 from 6.4% 2015 to 5.0% 2022 decrease
- YRBS binge drinking past 30 days from 25.6% 2007 to 14.8% 2021 halving
- MTF hallucinogen use past year stable low <3% across decades for 12th graders
- Vaping any substance past month 12th graders peaked 2021 at 31.2% then 25.4% 2023 MTF
- NSDUH cocaine past year 12-17 steady around 1.5-2.0% 2015-2022
- Synthetic marijuana use crashed from 9.5% 2012 to 3.3% 2022 8th graders MTF
- Lifetime inhalant use 8th graders down from 17.6% 1991 to 9.7% 2023 MTF
- NSDUH alcohol use disorder 12-17 from 5.8% 2015 to 4.5% 2022 decline
- YRBS prescription drug misuse lifetime from 20.4% 2007 to 14.4% 2021 drop
- MTF perceived risk of marijuana daily use up slightly post-2020 for 10th graders
- Heroin past year use all grades <1% consistently since 2010 MTF
- NSDUH past month binge drinking 12-17 from 15.7% 2015 to 13.9% 2022 stable





