Parental-substance-dependence-and-abuse

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					  N ational S urvey on D rug U se and H ealth



   The NSDUH Report                                                                                                                  April 16, 2009




Children Living with Substance-
Dependent or Substance-Abusing
Parents: 2002 to 2007

                                                                               P
                                                                                       arental substance dependence and abuse
                           In Brief                                                    can have profound effects on children,
                                                                                       including child abuse and neglect,
  ●    Combined data from 2002 to 2007
                                                                               injuries and deaths related to motor vehicle
       indicate that over 8.3 million children
                                                                               accidents, and increased odds that the children
       under 18 years of age (11.9 percent)
                                                                               will become substance dependent or abusers
       lived with at least one parent who was
                                                                               themselves. Up-to-date estimates of the number
       dependent on or abused alcohol or an
                                                                               of children living with substance-dependent
       illicit drug during the past year
                                                                               or substance-abusing parents are needed for
  ●    Of these, almost 7.3 million (10.3                                      planning both adult treatment and prevention
       percent) lived with a parent who was                                    efforts and programs that support and protect
       dependent on or abused alcohol, and                                     affected children.
       about 2.1 million (3.0 percent) lived                                       The National Survey on Drug Use and
       with a parent who was dependent on                                      Health (NSDUH) can be used to address this
       or abused illicit drugs                                                 data need. NSDUH annually collects data on
  ●    About 5.4 million children under                                        alcohol or illicit drug dependence or abuse. It
       18 years of age lived with a father                                     defines dependence or abuse using criteria
       who met the criteria for past year                                      specified in the Diagnostic and Statistical
       substance dependence or abuse, and                                      Manual of Mental Disorders (DSM-IV),1 which
       3.4 million lived with a mother who                                     includes such symptoms as withdrawal,
       met the criteria                                                        tolerance, use in dangerous situations, trouble
                                                                               with the law, and interference in major

The NSDUH Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA).
All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies
of this report or other reports from the Office of Applied Studies are available online: http://oas.samhsa.gov. Citation of the source is appreciated. For
questions about this report, please e-mail: shortreports@samhsa.hhs.gov.
                                                                                                                                              NSDUH_105
NSDUH REPORT: CHILDREN LIvINg wITH SUBSTANCE-DEPENDENT OR SUBSTANCE-ABUSINg PARENTS: 2002 TO 2007                                                 April 16, 2009


obligations at work, school,
                                           Figure 1. Estimated Numbers of Children* under 18 Years of
or home during the past year.
                                           Age Living with One or More Parents with Past Year Substance
The NSDUH sample includes                  Dependence or Abuse: 2002 to 2007
representative subsamples of
mothers and fathers, as well as                                    9                                                                  8.3
mother-father pairs who live in
the same household. The survey                                                                             7.3

obtains information about




                                             Number in Millions
children living in the household,                                  6
including age and relationship
to the adult respondent.
    This issue of The NSDUH
Report examines the number of                                      3
                                                                                2.1
children living with substance-
dependent or substance-abusing
parents. It focuses on biological,
step-, adoptive, and foster                                        0
                                                                            Illicit Drugs                 Alcohol           Alcohol or Illicit Drugs
children under 18 years of age
who were living with one or                                                                 Substance Dependence or Abuse
both parents at the time of
the survey interview.2,3,4,5 All           * Includes biological, step-, adoptive, or foster children. Children under 18 years of age who were
                                             not living with one or more parents were excluded from this analysis. Approximately 4.0 percent of
findings are based on annual                 children under age 18 were not living with one or more parents.
averages from the combined                 Source: 2002 to 2007 SAMHSA National Surveys on Drug Use and Health (NSDUHs).
2002 to 2007 NSDUH data.

Children Living with                       Figure 2. Percentages of Children* under 18 Years of Age Living
Substance-Dependent                        with One or More Parents with Past Year Substance Dependence
                                           or Abuse, by Child’s Age: 2002 to 2007
or Substance-Abusing
Parents
                                                                  16
Over 8.3 million children                                                   13.9                 13.6
                                                                  14
under 18 years of age (11.9                                                                                          12.0
percent) lived with at least one                                  12
parent who was dependent                                                                                                                    9.9
                                                                  10
on or abused alcohol or an
                                            Percent




illicit drug during the past year                                 8

(Figure 1).6 Of these, almost 7.3                                 6
million (10.3 percent) lived with
                                                                  4
a parent who was dependent
on or abused alcohol, and                                         2
about 2.1 million (3.0 percent)                                   0
lived with a parent who was                                            Younger than 3            3 to 5             6 to 11              12 to 17
dependent on or abused an
                                                                                                            Age
illicit drug. Past year substance
dependence or abuse by parents             * Includes biological, step-, adoptive, or foster children. Children under 18 years of age who were
involved almost 14 percent of                not living with one or more parents were excluded from this analysis. Approximately 4.0 percent of
                                             children under age 18 were not living with one or more parents.
children aged 5 or younger                 Source: 2002 to 2007 SAMHSA National Surveys on Drug Use and Health (NSDUHs).
April 16, 2009       NSDUH REPORT: CHILDREN LIvINg wITH SUBSTANCE-DEPENDENT OR SUBSTANCE-ABUSINg PARENTS: 2002 TO 2007


compared with 12.0 percent of
                                           Table 1. Estimated Numbers and Percentages of Children* under
children aged 6 to 11 and 9.9
                                           18 Years of Age Living with One or More Parents with Past
percent of youths aged 12 to 17            Year Substance Dependence or Abuse, by Parental gender and
(Figure 2).                                Household Composition: 2002 to 2007

Parental gender and
                                            Characteristic                                    Estimated Number                       %
Household Structure
About 5.4 million children                  Parental Gender

under 18 years of age lived                   Father                                                 5,445,000                      10.2
with a father who met the                     Mother                                                 3,441,000                       5.1
criteria for past year substance
dependence or abuse, and 3.4                Household Composition

million lived with a mother                   Two Parents                                            6,429,000                      12.8
who met the criteria (Table 1).               One Parent (Father)                                     492,000                       16.1
These population estimates are                One Parent (Mother)                                    1,427,000                       8.4
equivalent to 10.2 percent of all
children in this age range who
lived with their father and 5.1            * Includes biological, step-, adoptive, or foster children. Children under 18 years of age who were
percent of those who lived with              not living with one or more parents were excluded from this analysis. Approximately 4.0 percent of
                                             children under age 18 were not living with one or more parents.
their mother. One in eight (12.8           Source: 2002 to 2007 SAMHSA National Surveys on Drug Use and Health (NSDUHs).
percent) children under age 18
in two-parent households had
one or more parents who were          the potential breadth of needs                                 years and marital status of parents, by age,
                                                                                                     gender, race, and Hispanic origin of the child
dependent on or abused alcohol        for the whole family—from                                      for all children: 2007. Retrieved November 18,
                                      substance abuse treatment for                                  2008, from http://www.census.gov/population/
or illicit drugs in the past year.                                                                   www/socdemo/hh-fam/cps2007.html
                                      the affected adults to prevention
Among children residing in                                                                       5   U.S. Census Bureau, Housing and Household
                                      and supportive services for the                                Economic Statistics Division, Fertility & Family
single-parent households, living      children.                                                      Statistics Branch. (2008, August 27). America’s
                                                                                                     families and living arrangements: 2004. Table
with a substance dependent or                                                                        C3. Living arrangements of children under 18
abusing parent was more likely        End Notes                                                      years and marital status of parents, by age,
                                                                                                     gender, race, and Hispanic origin of the child for
in father-only households (16.1       1   American Psychiatric Association. (1994).                  all children: March 2004. Retrieved December
percent) than in mother-only              Diagnostic and statistical manual of mental                8, 2008, from http://www.census.gov/population/
                                          disorders (DSM-IV) (4th ed.). Washington, DC:              www/socdemo/hh-fam/cps2004.html
households (8.4 percent).                 Author.                                                6   To avoid duplicate counting in estimates of the
                                      2   An estimated 96.0 percent of children under                number of children for whom both parents met
                                          18 years of age lived with at least one parent.            the criteria for substance dependence or abuse,
Discussion                                Estimates of the child population for this report          data from mother-father pairs in the survey were
                                          are adjusted to U.S. Census Bureau estimates               used to estimate the rate of co-occurrence of
Substance use disorders can               in conjunction with interpolated estimates of              these disorders among both parents in two-
                                          children not residing with at least one parent.            parent households.
have a profound influence on              For details, see End Notes 3, 4, and 5.
the lives of individuals and          3   U.S. Census Bureau, Population Division. (2008,
                                                                                                 Suggested Citation
their families, particularly their        November 28). Monthly postcensal civilian
                                          non-institutional population, by single year of
children. The data in this report         age, sex, race, and Hispanic origin: 1/1/2005          Substance Abuse and Mental Health Services
                                                                                                 Administration, Office of Applied Studies. (April
indicate that more than 1 in 10           to 6/1/2005. Retrieved December 8, 2008,
                                                                                                 16, 2009). The NSDUH Report: Children Living
                                          from http://www.census.gov/popest/national/
children in the United States             asrh/2007-nat-ni.html                                  with Substance-Dependent or Substance-Abusing
                                                                                                 Parents: 2002 to 2007. Rockville, MD.
under the age of 18 were living       4   U.S. Census Bureau, Housing and Household
in homes with a substance-                Economic Statistics Division, Fertility & Family
                                          Statistics Branch. (2008, July 29). America’s
dependent or substance-abusing            families and living arrangements: 2007. Table
parent. These data highlight              C3. Living arrangements of children under 18
                                               list, please e-mail: shortreports@samhsa.hhs.gov.
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 Research findings from the SAMHSA 2002 to 2007 National Surveys on Drug Use and Health (NSDUHs)



Children Living with Substance-Dependent or
Substance-Abusing Parents: 2002 to 2007
                                                             The National Survey on Drug Use and Health (NSDUH) is an
                                                             annual survey sponsored by the Substance Abuse and Mental
●   Combined data from 2002 to 2007 indicate that            Health Services Administration (SAMHSA). The 2002 to 2007 data
    over 8.3 million children under 18 years of age          used in this report are based on information obtained from 87,656
                                                             parents aged 18 or older. The survey collects data by administering
    (11.9 percent) lived with at least one parent who        questionnaires to a representative sample of the population
    was dependent on or abused alcohol or an illicit         through face-to-face interviews at their place of residence.
    drug during the past year                                The NSDUH Report is prepared by the Office of Applied Studies
                                                             (OAS), SAMHSA, and by RTI International in Research Triangle
●   Of these, almost 7.3 million (10.3 percent) lived        Park, North Carolina. (RTI International is a trade name of
                                                             Research Triangle Institute.)
    with a parent who was dependent on or abused
    alcohol, and about 2.1 million (3.0 percent) lived       Information on the most recent NSDUH is available in the
                                                             following publication:
    with a parent who was dependent on or abused
                                                             Office of Applied Studies. (2008). Results from the 2007
    illicit drugs                                            National Survey on Drug Use and Health: National findings
                                                             (DHHS Publication No. SMA 08-4343, NSDUH Series H-34).
●   About 5.4 million children under 18 years of age         Rockville, MD: Substance Abuse and Mental Health Services
    lived with a father who met the criteria for past        Administration. Also available online: http://oas.samhsa.gov.

    year substance dependence or abuse, and 3.4                           U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES
    million lived with a mother who met the criteria                      Substance Abuse & Mental Health Services Administration
                                                                          Office of Applied Studies
                                                                          www.samhsa.gov

				
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