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Drug use, smoking and drinking among young people in England in 2001: preliminary results

  • Published date:
    15 March 2002

Statistical press notice

Summary

This statistical press notice gives preliminary results from a major national survey of secondary schoolchildren aged 11-15 published today by the Department of Health. The survey was carried out by the National Centre for Social Research (NatCen) and the National Foundation for Educational Research (NFER) among more than 9,300 pupils in 285 schools in England in the Autumn of 2001 for the Home Office and the Department of Health. The main report on the survey will be published in Summer 2002. Among the survey's key findings are that, in 2001:

  • 12 per cent of pupils had used drugs in the last month and 20 per cent had used drugs in the last year
  • 10 per cent of pupils aged 11-15 were regular smokers, the same proportion as in 2000
  • The proportion of pupils who drank in the last week had increased to 26 per cent from 24 per cent in 2000

Drug use

One of the key performance indicators in the government's 10-year strategy for tackling drug misuse is

"To reduce the proportion of people under the age of 25 reporting use of Class A drugs by 25 per cent by 2005 and 50 per cent by 2008". The key survey measures are the proportions of pupils who have used drugs (including particular Class A drugs) in the last month and the last year.

A revised method of measuring prevalence of taking or using drugs was introduced in 2001 (See Note 8). The questions used in 2001 provide new estimates of drug use and are not strictly comparable with results from previous surveys, although it is likely that drug use either stayed the same or increased slightly between 2000 and 2001 (See Note 9). Thirteen categories of individual drugs are covered in the questionnaire, including cannabis, cocaine, heroin and volatile substances such as gas, glue and other solvents. Combining all categories provides estimates of overall drug use:

  • In 2001, 12 per cent of pupils had used drugs in the last month and 20 per cent had used drugs in the last year;
  • The proportion of boys taking drugs in the last month (13 per cent) was higher than the proportion of girls (11 per cent), as was the proportion who had used drugs in the last year (21 per cent of boys and 19 per cent of girls);
  • There were significant differences by age; in 2001 only 6 per cent of 11 year olds had used drugs in the last year, while 39 per cent of 15 year olds had done so;
  • The pattern of differences according to sex and age has been similar over all four years (1998-2001) of surveys including questions on drugs.
    (Tables 1, 2)

Findings on use of individual drugs include:

  • In 2001, cannabis was by far the most likely drug to have been used - 13 per cent of pupils aged 11-15 had used cannabis in the last year. Use of cannabis in the last year was slightly higher among boys (14 per cent) than girls (12 per cent). Cannabis use increased sharply with age: 1 per cent of 11 year olds had used the drug in the last year compared with 31 per cent of 15 year olds;
  • One per cent of 11-15 year olds had used heroin in the last year and 1 per cent had used cocaine. In total, 4 per cent had used Class A drugs in the last year.
  • Pupils reported much higher levels of sniffing glue, gas, aerosols or other solvents than they had in previous years - 7 per cent reported misusing volatile substances in the last year in 2001 compared with 3 per cent in 2000. These new estimates highlight that misuse of volatile substances is more prevalent than previously reported. In general reported levels of use of particular types of drug were similar in 2001 and 2000. This suggests that the higher reported use of volatile substances is primarily a result of the change in question format, rather than a large increase in actual misuse.
  • Among 11 and 12 year olds, misuse of volatile substances in the last year was more common than use of cannabis. Four per cent of 11 year olds had used volatile substances in the last year and 1 per cent had used cannabis. The equivalent figures for 12 year olds were 5 per cent and 3 per cent.
    (Tables 3-6)

Pupils were also asked about which drugs they had been offered in the last year:

  • Two-fifths of pupils (42 per cent) had been offered one or more drugs in the last year. Boys were more likely to have been offered them than were girls (44 per cent compared with 39 per cent).
  • As in previous years, cannabis was the drug most likely to have been offered (27 per cent of pupils said they had been offered cannabis) but 22 per cent said they had been offered stimulants (a group of substances which includes cocaine and crack as well as ecstasy, amphetamines and poppers) and 20 per cent that they had been offered glue or gas.
  • As with use of drugs, likelihood of having ever been offered drugs increased sharply with age, reaching 66 per cent among 15 year olds.
    (Tables 7-10)

Smoking
The government has set a target in the 'Smoking Kills' White Paper to reduce the prevalence of regular smoking among young people aged 11 - 15 from a baseline of 13 per cent in 1996 to 11 per cent by 2005 and 9 per cent or less by 2010. Results from this survey show that:

  • Prevalence of smoking has been stable between 9 and 11 per cent since 1998 and was 10 per cent in 2000 and 2001;
  • As in previous years, girls are more likely to be regular smokers than boys - 11 per cent compared with 8 per cent;
  • There is a sharp increase in prevalence of smoking with age - 1 per cent of 11 year olds smoke regularly compared with 22 per cent of 15 year olds.
    (Table 11)

Drinking
This survey monitors the prevalence of drinking in the last week and the amount of alcohol drunk. Key findings from this survey are:

  • Prevalence of drinking alcohol in the last week has risen from 21 per cent of 11-15 year olds in 1998 and 1999 to 24 per cent in 2000 and 26 per cent in 2001. Previously prevalence had decreased from 27% in 1996 to 21% in 1998.
  • The increase in prevalence of drinking in the last week was more pronounced among 13-15 year olds than among 11-12 year olds
  • As in previous surveys, boys continued to be slightly more likely than girls to have drunk alcohol in the last week in 2001 (28 per cent compared with 25 per cent)
  • As with cigarette smoking, there was a sharp increase in prevalence of drinking with age: in 2001 only 6 per cent of all pupils aged 11 had had a drink in the last week, but 52 per cent of 15 year olds had done so.

In terms of the amount of alcohol drunk, the average weekly consumption among pupils who drank in the last 7 days had increased steadily from 5.3 units in 1990 to 10.4 units in 2000, but then decreased for the first time to stand at 9.8 units in 2001. Among those who drank, boys drank an average of 10.6 units in 2001 compared with 8.9 units drunk by girls.

Notes to editor

1. This is the latest in a series of national surveys of secondary school children aged 11-15 in England. The first survey in the series was carried out in 1982 to provide estimates of the proportion of pupils who smoked and to describe the smoking behaviour of those who did smoke. Similar surveys were carried out every two years until 1998 to monitor trends in the prevalence of cigarette smoking. Questions on alcohol consumption were included for the first time in the 1988 survey, and the 1998 survey was the first to include questions on the prevalence of drug use. Surveys are now being carried out every year, with emphasis likely to alternate between drugs, smoking and drinking - the 1999 and 2001 surveys focussed mainly on drugs, the 1998 and 2000 surveys focussed mainly on smoking and drinking. Between 1982 and 1999 surveys were carried out by the Office for National Statistics; the 2000 and 2001 surveys were carried out by the National Centre for Social Research and the National Foundation for Educational Research.

2. The previous report in the series was Boreham R & Shaw A (eds)Smoking, drinking and drug use among young people in England in 2000, Stationery Office (2001). It is available on the Department of Health website.

3. The governments smoking strategy is set out in 'Smoking Kills' : A White Paper on Tobacco, Cm 4177, Stationery Office (1998).

4. The government's ten year drugs strategy is set out in Tackling drugs to build a better Britain,Cm 3945, Stationery Office (1998).

5. The following convention has been used in tables:0 = less than 0.5%, but not zero
- = Zero

6. In this survey regular smokers are defined as those who usually smoke at least one cigarette a week.

7. A unit of alcohol is 8 grams by weight or 1cl (10ml) by volume of pure alcohol. This is the approximate amount contained in half a pint of ordinary strength beer or lager (4% alcohol by volume), a single pub measure of spirits (25ml), a small glass of ordinary strength wine (9% alcohol by volume), or a single pub measure of sherry or fortified wine. In defining the number of units drunk, the alcoholic strength and volume measures of drinks are assumed to be the same - such that for example a pint of beer is defined as 2 units of alcohol regardless of the brand of beer, and a glass of wine is defined as 1 unit regardless of the size of the glass. It would be impractical to collect very accurate information on strength and volume in this type of survey. Hence, total alcohol consumption is estimated using a set of consistent assumptions, which nevertheless clearly imply a degree of approximation in these measurements.

8. In 2001, the questions about taking drugs were changed so that pupils were asked a series of questions about each drug - had they heard of it, been offered it, ever tried it and if so when did they last use it, and how did they usually take the drug if there are different ways of taking it. Previously pupils had to look at a long list of drugs and were asked different questions about which drugs they had heard of, been offered, or had taken. Wording of questions was also changed so that pupils were asked about whether they had ever "tried" drugs rather than "used" drugs, as evidence from cognitive work on question design suggested that "using" drugs is associated with being a regular user, rather than just trying them once. There was evidence that pupils found answering questions with a long list of drugs a more difficult task than answering a series of questions about each drug, and that pupils may have got into a pattern of just ticking that they had never used any drugs and not paying enough attention to reading the list of drugs carefully. This appears to have particularly been the case for reported levels of use of glue, gas or other solvents which were at the bottom of the list of drugs. Reported levels of using these volatile substances increased substantially between 2000 and 2001, while levels of reporting of other types of drugs were similar in both surveys. It is more likely that this difference in reporting is due to the change in question format rather than a real change in behaviour. Simplifying the questions has improved the data quality and results in better estimates of drug use, however estimates from 2001 are not comparable with estimates from previous surveys.

9. Reported levels of drug use in the last month and last year had increased slightly between 1998 and 2000. In 2000, 9 per cent of pupils had used drugs in the last month and 14 per cent had used drugs in the last year, compared with 7 per cent and 11 per cent respectively in 1998. The new estimates for 2001 were 12 per cent and 20 per cent respectively. There are a number of possible explanations for the difference between 2000 and 2001 prevalence figures:

  • Use of drugs in the population aged 11-15 increased between 2000 and 2001, and the change in question format may have led to the reported increase being exaggerated or diminished;
  • Use of drugs in 2001 is at the same level as in 2000, and the difference in reported levels of use is due to changes in question format;
  • Use of drugs has decreased from 2000 to 2001, but the change in question format has led to a greater increase in reported use and the net result appears to be an increase in prevalence.It is not possible to tell which of these explanations is true, although it is possible to look at use of individual drugs in 2000 and 2001 to see whether there are any patterns which may point to one of the explanations given about being more likely than the other explanations. Evidence from cognitive work during the questionnaire development supported the hypothesis that when pupils answer grid format questions, more attention is paid to drugs at the top of the list, but that pupils can get into a pattern of just ticking the same answer and not reading the names of the drugs properly for drugs further down the grid. Therefore figures for reported cannabis use in 2001 would arguably be more comparable with reported levels from 2000 as cannabis was the first drug asked about in the grid. As use of cannabis in the last year was marginally higher in 2001 than 2000, this suggests that it is more likely that drug use either stayed at the same level or increased slightly between 2000 and 2001.

10. The following table lists the specific drugs that pupils were asked about in this survey, and indicates their classification under the Misuse of Drugs Act. This divides controlled drugs into three categories according to their harmfulness: Class A drugs are considered to cause the most harm. This Statistical Press Notice includes prevalence of use of Class A drugs, although the following points need to be borne in mind about the definition of use of Class A drugs.

The classification of certain drugs depends on the method of delivery used. For example, amphetamines are a Class B drug if taken orally and a Class A drug if injected. Additional questions were included in the 2001 survey to allow this distinction to be made, but in previous surveys amphetamines were not defined as a Class A drug.

The Class A drugs mentioned in the survey (Amphetamines when injected, Ecstasy, Cocaine, Crack, Heroin, LSD, Magic Mushrooms, Methadone) are not an exhaustive list of Class A drugs.

Drug

Mode of useClassification

Amphetamines

injectA

Ecstasy

oralA

Cocaine

sniff or injectA

Crack

inject or smokeA

Heroin

smoke, sniff or injectA

LSD

oralA

Magic Mushrooms

oralA

Methadone

oralA

Amphetamines

sniff or oralB

Cannabis

smoke or oralB

Tranquillisers

oral or injectB/C (depends on drug)

Anabolic steroids

oral or injectC

Poppers

sniffIt is an offence to supply these substances if it is likely that the product is intended for abuse

Glue

sniff 

Gas

sniff 

11. The National Centre for Social Research (NatCen) is an independent, social research institute, registered as a charitable trust. A high proportion of the institute's work is carried out on behalf of central government departments, with other work undertaken on behalf of health authorities, NHS trusts, local authorities, voluntary organisations, and other public sector bodies. NatCen conducts small and large scale surveys, ad hoc projects, continuous and annual surveys.

12. The National Foundation for Educational Research has been engaged in educational research since 1946 and is an independent foundation with charitable status. The Foundation undertakes research and evaluation for local and national agencies, in the government, commercial and charitable sectors. The research programme is concerned with all aspects of education and training, a major part being concerned with the public education system.

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