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Geographical Differences in Self-Reported Past 12-Month Drug Use

Results from the NDEWS Rapid Street Reporting, 2021–2023

Bibliographic Data

ID21645754
AuthorsNae Y Won (0000-0003-1755-7035, University of Florida, corresponding author), Anna Wang (0000-0001-8151-4385, University of Florida), Ryan Athay (University of Florida), Catherine W Striley (0000-0003-2973-7842, University of Florida), Linda B Cottler (0000-0001-5643-8536, University of Florida)
Year2025
Volume60
Issue11
Pages1678-1689
Publication date2025-09-19
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2025.2511242
PMID40474383
OpenAlexW4411108997
LanguageEN
References cited37

BACKGROUND: The National Drug Early Warning System Rapid Street Reporting study monitors over 100 drugs to identify emerging use trends. OBJECTIVES: This analysis examined geographical differences in the past 12-month self-reported drug use across 20 US urban cities, identifying the three most prevalent drugs reported, excluding alcohol. METHODS: Adults (age ≥18) were surveyed in public settings using venue-intercept sampling over a weekend in each city between January 2022 and November 2023 regarding past 12-month drug use. We focused on the three most commonly reported drugs in each region. The prevalence of reported drug use by region was compared using generalized linear models with Poisson and log-link functions, adjusting for participant characteristics, time of year, and location. RESULTS: Among 6,039 participants, cannabis for recreational use (50.3%), psilocybin (13.7%), and cocaine (11.0%) were the most commonly reported drugs used. While there were no regional differences in the prevalence of recreational cannabis use, psilocybin, and cocaine use were more commonly reported by people in the West versus the Midwest (adjusted prevalence ratio [aPR]=1.58, 95% confidence interval [CI]: 1.23, 2.06; aPR=1.67, 95% CI: 1.26, 2.23, respectively). We also found a higher prevalence of cocaine use reported by participants in the Northeast compared to participants in the Midwest (aPR=1.37, 95% CI: 1.00, 1.91). CONCLUSIONS: Venue intercept survey method detected signals of recreational cannabis, psilocybin, and cocaine use in the 20 US urban cities visited over a weekend. Reported prevalence differed by region. This suggests that prevention messaging should be tailored to the specific US regions

Drug · Environmental health · Psychiatry · Sociology · Cannabis and Cannabinoid Research · Demography · Forensic Toxicology and Drug Analysis · Medicine · Psychedelics and Drug Studies

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