521 – Survey Measurement and Redesign
Methodological Considerations in Estimating Adolescent Substance Use
Jonaki Bose
SAMHSA
Joseph Gfroerer
SAMHSA
Laura Kann
CDC
Larry Kroutil
RTI International
Marsha Lopez
NIDA
The Federal government relies primarily on three major national surveys in tracking adolescents' use of alcohol, tobacco, and illicit drugs. The National Survey on Drug Use and Health (NSDUH), Monitoring the Future Study (MTF), and the national Youth Risk Behavior Survey (YRBS) have shown similar trends in substance use over the past decade, but the surveys show significant differences in the levels of use of some substances. The school-based surveys (MTF and YRBS) generally report higher rates of use than the household survey (NSDUH). Prior methodological research has explored how various design features such as mode, setting, privacy, question wording, and coverage may affect substance use estimates from the surveys. This paper explores these factors based on new analyses of combined 2002-2008 data from the surveys. The findings will aid policymakers, program officials, and researchers in understanding and interpreting data from these surveys, and will also be useful to survey statisticians planning designs for other studies of adolescent behavior.