Trends in Treatment Admissions for Heroin Addiction and in Opioid Substitution Treatment in the US, 2003-2013

"General measures of heroin abuse among treatment admissions aged 12 and older were relatively consistent from 2003 through 2011, accounting for 13 to 15 percent of TEDS admissions in those years, but rose to 16 percent in 2012 and 19 percent in 2013 [Table 1.1b]. In 2013, injection was the preferred route of administration for 71 percent of primary heroin admissions, inhalation for 23 percent, and smoking for 4 percent [Table 2.4]. The majority of primary heroin admissions from 2003 to 2013 were 20 to 34 years of age (41 to 43 percent from 2003 through 2007 and 58 percent in 2013) [Table 3.5].
"However, these measures conceal substantial changes in the age, race/ethnicity, and route of administration of some subpopulations among heroin-using admissions.
"Table 3.5 and Figure 21. TEDS data show an increase in heroin admissions among young non-Hispanic White adults. Among non-Hispanic Blacks, however, admissions have declined except among older admissions.
"• In 2003, 1 in 4 heroin admissions (25 percent) were non-Hispanic White aged 20 to 34. By 2013, almost half of primary heroin admissions (48 percent) belonged to this subgroup. The proportion of primary heroin admissions who were non-Hispanic White aged 35 to 44 decreased from 12 percent to 10 percent in the same period, while the proportions of non-Hispanic White admissions aged 12 to 19 and older than 45 remained constant, at 2 to 3 percent and 7 to 8 percent, respectively.
"• In contrast, the proportion of primary heroin admissions that were non-Hispanic Black aged 20 to 34 fell from 5 percent to 2 percent between 2003 and 2013, while the proportion aged 35 to 44 fell from 11 percent to 3 percent. However, the proportion of non-Hispanic Black admissions aged 45 and older remained between 8 and 11 percent from 2003 through 2013. Non-Hispanic Black admissions aged 12 to 19 accounted for one tenth of 1 percent or less of all primary heroin admissions in the same time period.
Table 3.6 and Figure 22.
"• In 2003, 1 in 4 primary heroin admissions (26 percent) were injectors aged 20 to 34 and nearly 1 in 5 (18 percent) were injectors aged 35 to 44. By 2013, almost one half of primary heroin admissions (46 percent) were injectors aged 20 to 34, but the proportion that were injectors aged 35 to 44 had dropped to 12 percent.
"• The proportion of primary heroin admissions who were inhalers aged 20 to 34 fell from 12 percent in 2003 to 9 percent in 2013, while the proportion who were inhalers aged 45 and older fluctuated between 8 percent to 10 percent from 2003 through 2013."

Source: 

Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2003-2013. National Admissions to Substance Abuse Treatment Services. BHSIS Series S-75, HHS Publication No. (SMA) 15-4934. Rockville, MD: Substance Abuse and Mental Health Services Administration, December 2015, pp. 32-33.
http://www.samhsa.gov/data/sit...
http://www.samhsa.gov/data/sit...

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