1998 Annual Report on Marijuana Use Among Arrestees (U.S.A.)

ADAM
Arrestee Drug Abuse Monitoring Program

A Program of the National Institute of Justice
Research Report
National Institute of Justice, April 1999

U.S. Department of Justice
Office of Justice Programs
810 Seventh Street N.W.
Washington, DC 20531

Janet Reno
Attorney General

Raymond C. Fisher
Associate Attorney General

Laurie Robinson
Assistant Attorney General

Noel Brennan
Deputy Assistant Attorney General

Jeremy Travis
Director, National Institute of Justice

Office of Justice Programs
World Wide Web Site
http://www.ojp.usdoj.gov

National Institute of Justice
World Wide Web Site
http://www.ojp.usdoj.gov/nij

ADAM Program
World Wide Web Site

Unadvertised V2 Cig Coupons now live

Justice Information Center
World Wide Web Site
http://www.ncjrs.org

——————————-

U.S. Department of Justice
Office of Justice Programs

National Institute of Justice
Jeremy Travis
Director

K. Jack Riley, Ph.D.
ADAM Director

NCJ 175657

——————————-

The National Institute of Justice is a component of the Office of Justice
Programs, which also includes the Bureau of Justice Assistance, Bureau of
Justice Statistics, Office of Juvenile Justice and Delinquency Prevention,
and the Office for Victims of Crime.

——————————-

Acknowledgments

NIJ
K. Jack Riley, ADAM Director

Christine Crossland
Nora Fitzgerald
Tom Hay
Natalie Lu
Gerald Soucy
Bruce Taylor

Abt Associates
Dana Hunt, Project Director
Phyllis Newton, Project Manager
Kyla Carrigan
Sarah Kuck
Quentin McMullen
Carol Putnam
William Rhodes
Tom Rich
George Yacoubian
Sylvia Young
DBA Design
Patricia L. Blake
Pearl Jusem
Jude Menz

Contents

Acknowledgments
Introduction
Male Arrestee Marijuana Trends, 1990-98
Female Arrestee Marijuana Trends, 1990-98
Marijuana Results by Age Cohort
Marijuana and the Use of Other Drugs
Conclusions
References

Introduction

Levels of marijuana use among persons involved in the criminal justice
system are high; often one-third or more of the population has used
marijuana within days of an arrest (NIJ, 1998). In 1998 the percentage of
adult male respondents testing positive for marijuana use in the Arrestee
Drug Abuse Monitoring (ADAM) program ranged from a high of 53.1
percent in Oklahoma City to a low of 24.8 percent in San Jose. For the
32[1] sites that collected data on female arrestees during 1998, the
proportion of arrestees testing positive for marijuana ranged from 37.9
percent in Seattle to 13.3 percent in Laredo. Within any given site, men
were generally more likely than women to test positive for marijuana in
1998. In addition, younger adults (15-20 and 21-25 years of age), whether
male or female, were the most likely to be involved with marijuana.

Currently, 35 urban sites participate in the ADAM program. Twelve of the
35 sites were new to the ADAM system in 1998 and this report represents
for many the first look at rates of marijuana use in their arrestee
populations. The sites added to ADAM in 1998 are Albuquerque,
Anchorage, Des Moines, Laredo, Las Vegas, Minneapolis, Oklahoma
City, Sacramento, Salt Lake City, Seattle, Spokane, and Tucson. The
lowest marijuana-positive rate for male arrestees in a new site was
reported in Las Vegas at 25.8 percent, and the lowest rate for female
arrestees in a new site was reported in Laredo, where females tested
positive at the rate of 13.3 percent. Oklahoma City reported the highest
marijuana-positive rate for male arrestees in a new site (53.1 percent); for
females, Seattle reported the highest level (37.9 percent). In addition to
Oklahoma City, Minneapolis (45.4 percent) and Sacramento (44.1 percent)
reported high male marijuana-positive percentages among new sites. For
females, Salt Lake City (29.4 percent) and Sacramento (28.2 percent)
followed Seattle in reporting high female marijuana use rates.

A comparison between 1997 and 1998 results in the 23 sites for which
trend data are available indicates that marijuana-positive percentages
varied across sites. Among all adult male arrestees, the median site rate of
marijuana positives changed minimally, from 38.4 percent to 38.7 percent
between 1997 and 1998. For females, the site median remained essentially
the same in 1997 (23.8) and 1998 (23.7). The most notable percentage
point decreases for marijuana positives among adult males were in Atlanta
(-10.1), Cleveland (-9.4), Chicago (-6.9), and Omaha (-5.6). For females,
the greatest percentage point decreases were in Birmingham (-7.8 ),
Detroit (-6.9), and Omaha (-5.1). The largest percentage point increases
for males were in Houston (+12.2), San Antonio (+6.8), and New York
City (+6.3). For females, the largest percentage point increases in
marijuana positives were in New Orleans (+10.5) and Washington, D.C.
(+9.2). It cannot be known whether these differences are significant
because the samples are currently not selected using statistical methods
that would allow that computation (see “Methodology,” page 2).

Trend results may also be affected by a significant change to the ADAM
marijuana drug testing protocol. In 1996 improvements in drug testing
technology led the U.S. Department of Health and Human Services to
lower the detection cutoff rate for marijuana from 100 nanograms (ng) per
milliliter (ml) to 50 ng/ml. The impact of this change and additional
analyses evaluating the impact on marijuana trend data are discussed in the
1996 Drug Use Forecasting (DUF) Annual Report (NIJ, 1997). The lower
cutoff level is expected to identify greater numbers of occasional or
moderate marijuana users. Thus, caution should be used when comparing
site results from 1996 forward with those from previous years. Moreover,
extra caution should be taken this year with comparisons with previous
years because, as part of the ADAM program’s move toward
probability-based sampling at the county level, in some sites the sample
expanded during the data collection year to include cases from additional
jail facilities. For example, in New York City the program is now
operating in all 5 boroughs; it previously operated only in Manhattan.

Aggregate analysis of data may, in some cases, obscure important
developments in isolated or specific populations. Age, gender, and
regional analyses of ADAM data indicate that several developments are
underway that point to the need to monitor subgroups of marijuana users
who could be overlooked within the aggregate trends. These subgroups
include younger arrestees, among whom there are signs of increasing
marijuana use in some parts of the country; and male arrestees whose
marijuana use continues at high rates relative to those of their female
peers. A review of marijuana data generated by the DUF/ADAM program
since 1990 provides a context within which these subtrends can be seen.

Male Arrestee Marijuana Trends, 1990-98

Between 1990 and 1998, cocaine was generally the drug most likely to be
detected among both male and female participants, although there was
substantial variation by both site and year. During the same period,
marijuana was generally the drug next most likely to be detected. In recent
years, marijuana use has grown to the point at which it is now the most
prevalent drug used by males in a majority of sites. In 1990 marijuana was
the most commonly detected drug in 5 of 22[3] sites that collected data on
males; in 1995 it was the most common drug detected in males in 6 of 23
sites; and in 1998, it was the most commonly detected drug in 22 of 35
sites among males and in 13 of the 23 veteran male sites. This pattern has
not held among female arrestees, however. Among females, marijuana was
the most commonly detected drug in only one of 20 sites collecting female
data in 1990 and in none of the 32 sites collecting female data in 1998.

Between 1990 and 1998, more than 180,000 adult male arrestees were
surveyed and drug tested as part of the ADAM program. For comparison
purposes, each ADAM site is assigned to one of five geographic regions:
Northwest, West/Southwest, Midwest, South, and Northeast. Marijuana
increases vary by region, with the largest increases found in the Midwest,
South, and Northeast, and the smallest in the West/Southwest region of the
United States. Table 1 presents positive marijuana urinalysis results for
adult male arrestees surveyed through the ADAM program from 1990 to
1998 by site.

Over the 9-year period presented, all ADAM sites’ marijuana rates for
males increased with the exception of Portland, where levels decreased
from 42.1 percent in 1990 to 36.9 percent in 1998. Detroit, St. Louis, and
Washington, D.C. witnessed the largest percentage point increases of male
marijuana-positive rates during the past nine years. For example, in 1990
the male marijuana-positive rate in St. Louis was 16.0 percent. By 1998,
however, the male marijuana-positive rate increased to 50.2 percent, an
increase of 34.2 percentage points. In Detroit the rate increased from 15.2
percent in 1990 to 46.5 percent in 1998. In Washington, D.C., the rate
increased by 30.9 percentage points over the 9-year period. Although it is
not possible to know the standard error of these figures, variations of this
size suggest substantial changes. Of the 22 veteran sites collecting male
data in 1990, San Jose reports the lowest percentage point change (+0.9)
between 1990 and 1998, followed by San Diego (+1.5), and Phoenix
(+4.7); Portland reported a decrease of 5.2 percentage points, while the
remaining 18 sites reported increases of between 7 and 34 percentage
points.

In subsequent sections of this report, the data are discussed separately for
the years 1990 to 1995; 1995 to 1996; and 1996 to 1998. This is to ensure
that percentage point increases that may be due solely to the modification
in the drug detection level (from 100 ng/ml to 50 ng/ml in 1996) are
clearly illustrated. Of the 22 sites collecting male data from 1990 to 1995,
all but Portland witnessed increases ranging from 0.2 to 27.7 percentage
points in the marijuana-positive rate. Seventeen sites reported increases
greater than 5 percentage points.

Six sites demonstrated increases in adult male marijuana positives of 20
percentage points or more from 1990 to 1995: Atlanta, Birmingham,
Detroit, Omaha, St. Louis, and Washington, D.C. In Atlanta the
percentage of surveyed male arrestees testing positive for marijuana
increased from 3.8 percent in 1990 to 31.5 percent in 1995. In Detroit the
percentage of male arrestees testing positive for marijuana increased from
15.2 percent in 1990 to 41.5 percent in 1995. In Washington, D.C.,
marijuana positives for adult males increased from 7.1 percent in 1990 to
31.6 percent in 1995. St. Louis experienced a 23.4 percentage point
increase in male arrestees testing positive for marijuana between 1990 and
1995. Between 1990 and 1995, both Birmingham and Omaha reported a
21.8 percentage point increase in male marijuana positives.

The change in the cutoff level from 100 ng/ml to 50 ng/ml in 1996 was
expected to cause a 5 to 7 percentage point increase in marijuana
detections. Much of this increase is because a 50 ng/ml cutoff detects more
occasional and moderate marijuana users. Given this caveat, four sites still
experienced increases of 10 percentage points or more in adult male
marijuana positives between 1995 and 1996: Birmingham, Indianapolis,
New York City, and St. Louis. In Indianapolis the rate for males increased
from 37.9 percent to 51.2 percent. The St. Louis male marijuana-positive
rate increased from 39.4 percent in 1995 to 51.9 percent in 1996. In
Birmingham the rate for males increased from 35.3 percent to 45.7
percent. In 1996 the adult male marijuana-positive rate for New York City
was 38.4 percent, a 10.2 percentage point increase from 28.2 percent in
1995.

The percentage of surveyed male arrestees testing positive for marijuana
generally stabilized or decreased between 1996 and 1998. Of the 23
veteran sites, 16 had marijuana-positive rates for males in 1998 that were
within 5 percentage points of the rates in 1996. Five sites witnessed
decreases greater than 5 percentage points in the rate of adult male
marijuana positives between 1996 and 1998. In 1996 Miami’s marijuana
rate was 34.2 percent, compared with 29.2 percent during 1998. Chicago’s
male marijuana-positive rate dropped from 47.0 percent in 1996 to 41.5
percent in 1998. The Indianapolis male marijuana-positive rate decreased
from 51.2 percent in 1996 to 45.1 percent in 1998. In 1996 Birmingham’s
male marijuana-positive rate was 45.7 percent, compared with 39.2
percent in 1998. In Omaha the marijuana-positive rate for males dropped
eight percentage points from 51.9 percent in 1996 to 43.9 percent in 1998.
Atlanta experienced the largest decrease (11.3 percentage points), from
37.3 percent in 1996 to 26.0 percent in 1998. Adult male
marijuana-positive rates increased in two sites between 1996 and 1998. In
Philadelphia the rate increased from 38.7 percent in 1996 to 44.9 percent
in 1998. Ft. Lauderdale experienced a 5.5 percentage point rate increase in
adult males testing positive for marijuana, changing from 38.0 percent in
1996 to 43.5 percent in 1998.

Although the marijuana rate in most sites may have stabilized somewhat in
the past three years, it nevertheless remains high, particularly among
young males. By the end of 1998, three sites for which trend data are
available reported marijuana prevalence rates greater than 45 percent
among males (Detroit, Indianapolis, and St. Louis). In addition, two new
sites (Minneapolis and Oklahoma City) reported more than 45 percent of
males testing positive for marijuana in 1998. San Jose reported the lowest
marijuana-positive rate among males in 1998 (24.8 percent), followed by
Las Vegas at 25.8 percent.

Female Arrestee Marijuana Trends, 1990-98

Between 1990 and 1998, nearly 70,000 adult female arrestees were
surveyed and drug tested as part of the DUF/ADAM program. Table 2
presents positive marijuana urinalysis results for adult female arrestees
surveyed through the ADAM program from 1990 to 1998 by site.

Although female arrestees tested positive for marijuana less frequently
than their male counterparts, marijuana use still increased within the
female arrestee population. Over this 9-year period, all ADAM sites’ adult
female marijuana rates increased with the exception of Portland, where
levels decreased from 26.8 percent in 1990 to 23.2 percent in 1998. Of the
21 veteran female collection sites, San Jose reported the lowest percentage
point change (+1.1) between 1990 and 1998. The remaining sites reported
increases of between 6 and 22 percentage points. St. Louis and
Washington, D.C. witnessed the largest increases among females over the
past 9 years. For example, the female marijuana-positive rate in St. Louis
was 9.7 percent in 1990, but increased 22.2 percentage points to 31.9 in
1998. In Washington, D.C., the 9-year rate increase among female
arrestees was 21.6 percentage points.

Similar to the data for males, the results for females are discussed within
the context of the marijuana detection cutoff level change. Of the 20 sites
that collected female data from 1990 to 1995, 18 reported increases in
marijuana-positive rates between 0.5 and 11.8 percentage points. Nine
sites experienced increases among female arrestees greater than 5
percentage points from 1990 to 1995. In particular, two sites demonstrated
increases in adult female marijuana positives of 10 percentage points or
more from 1990 to 1995: Atlanta and Washington, D.C. In Atlanta the
percentage of surveyed female arrestees testing positive for marijuana
increased from 1.2 percent in 1990 to 13.0 percent in 1995. In
Washington, D.C. marijuana positives for females increased from 6.9
percent in 1990 to 17.7 percent in 1995.

Two sites collecting female data witnessed decreases in marijuana-positive
rates between 1990 and 1995. Portland experienced a 10.4 percentage
point drop between 1990 (26.8 percent) and 1995 (16.4 percent). In San
Jose, the female marijuana-positive rate decreased slightly from 12.5
percent in 1990 to 12.0 percent in 1995.

Again, the change in the cutoff level in 1996 is expected to cause a 5 to 7
percentage point increase in marijuana detection. Given this caveat, 4 sites
still experienced increases of 10 percentage points or more in adult female
marijuana positives between 1995 and 1996: Atlanta, Birmingham,
Cleveland, and St. Louis. In Atlanta the rate for females increased from
13.0 percent to 25.9 percent. The Cleveland adult female
marijuana-positive rate increased from 11.0 percent in 1995 to 22.0
percent in 1996. In St. Louis the rate increased from 18.0 percent to 28.7
percent between 1995 and 1996. In 1996 the adult female
marijuana-positive rate for Birmingham was 22.4 percent, a 10.4
percentage point increase from 12.0 percent in 1995.

The percentage of surveyed female arrestees testing positive for marijuana
generally stabilized or increased slightly between 1996 and 1998, with the
exception of Houston. Of the veteran sites, 17 had marijuana-positive rates
for females in 1998 that were within 5 percentage points of the rates in
1996. Two sites witnessed increases greater than 5 percentage points in the
rate of adult female marijuana positives between 1996 and 1998. In 1996
New Orleans’s marijuana-positive rate was 13.5 percent compared with
22.1 percent during 1998. In Washington, D.C. the marijuana-positive rate
increased from 22.8 percent to 28.5 percent. The exception was Houston in
which the female marijuana-positive rate decreased 6.1 percentage points
between 1996 and 1998, from 26.2 percent to 20.1 percent.

Female arrestees have generally tested positive for marijuana at lower
rates than males. In 1990 marijuana-positive rates were lower for females
than for males in all veteran ADAM sites collecting female data. In 1998,
female marijuana rates ranged from 6 to 25 percentage points lower than
male positive rates in all veteran sites. Eleven of twelve new sites report
male rates that are appreciably higher than female rates.

By the end of 1998, two sites retained marijuana-positive rates greater than
30 percent for females (Indianapolis and St. Louis). In addition, one site in
its first year of female arrestee data collection had more than 30 percent of
the females testing positive for marijuana in 1998 (Seattle, at 37.9
percent). In 1998 Laredo reported the lowest rate of marijuana positives
(13.3 percent) for females, followed by San Jose at 13.6 percent.

Marijuana Results by Age Cohort

The general assessment of marijuana rates presented above shows that
marijuana use among adults has stabilized in the last three years in many
sites. However, changes in drug use patterns among age groups, or
cohorts, can be used to anticipate future changes in overall drug use.
Young users are particularly important in this regard because, all other
factors held constant, their presence is likely to be felt in the community
for longer than that of older drug users. Thus, significant changes in drug
use patterns among young adults should be examined closely.

Recent analyses on marijuana use show that results vary by age group. For
the purposes of this discussion, age is reported in five categories: 15-20,
21-25, 26-30, 31-35, and 36 and older. Of the 23 ADAM sites for which
trend data are available, 21 demonstrate patterns among young adult
cohorts (ages 15-20) that suggest marijuana use may be growing. Four
factors are used to characterize young adult marijuana use as potentially
growing: a comparison of the 9-year (1990-98) trend among young adults;
a comparison of the 9-year (1990-98) trend among young adults, adjusted
for the detection cutoff level change in 1996; the 1997 to 1998 change
among young adults; and the absolute level of marijuana positives among
young adults. Respectively, these factors provide information about
long-term trends in the communities, recent changes in communities, how
large the initiation or new use cohort in the community is likely to be, and
the potential size of the initiation cohort relative to the existing magnitude
of the problem.

From 1990 to 1998, marijuana use has changed from a pattern of
concentration among older adults to domination of use by arrestees 25
years of age and younger. Table 3 presents the percent of adult male and
female arrestees testing positive in the 23[4] veteran ADAM sites for 1990
and 1998 by age group.

Among adult males, in 12 of 22 sites the reported 1990 marijuana-positive
rates for the two youngest cohorts (the 15-20 and 21-25 age groups) are at
least five percentage points greater than the rates for the three oldest age
cohorts. However, in 1998, in all 22 of the sites for which trend data are
available the highest marijuana prevalence rate occurred in those two age
groups. Females exhibit a similar trend of increasing prevalence among
younger users. In 1990 the results across female age cohorts were mixed.
Only 5 of 20 sites in 1990 showed the highest marijuana prevalence rates
for females among arrestees under age 25. However, in 1998, 21 of 22
sites report the greatest percentage of marijuana positives in the female
cohorts under age 25.

Table 4 shows how extreme the difference in marijuana prevalence rates
can be between the younger and older age cohorts. Sites shown in Table 4
have, at minimum, a 24 percentage point difference between the youngest
cohort (15-20 years of age) and the sites’ overall adult male positive rate
for marijuana. The site with the largest difference, Chicago, experienced a
1998 overall adult male positive rate of 41.5 percent. In contrast,
Chicago’s youngest cohort tested positive at 71.1 percent, a difference of
29.6 percentage points. Sites new to ADAM in 1998 exhibited similar
patterns of higher levels of marijuana positives within the youngest age
cohort of arrestees. Table 5 presents the percentages of arrestees testing
positive for marijuana for select age cohorts at all new sites. Of the 12 new
sites, 10 reported levels of use among the 15- to 20-year-old cohort that
are at least 20 percentage points above the adult male site average. The
most substantial difference is in Las Vegas, with 64.0 percent of the
youngest adult male arrestees testing positive for marijuana compared with
25.8 percent of all Las Vegas adult males surveyed. One site varied
slightly from this pattern, although use was still concentrated among
young users (under 25 years of age). In Anchorage the highest
marijuana-positive rate (54.5 percent) was found among 21- to
25-year-olds.

Adult female marijuana users tend to be concentrated in an older age
cohort than their male counterparts. Instead of the rate being driven by the
15- to 20-year-old category, the highest marijuana prevalence rates for
females fell in the 21-25 year age category for most of the sites. For
example, in 1998 19.4 percent of the youngest females in Dallas tested
positive, but 37.2 percent of 21- to 25-year-old females tested positive.

Marijuana and the Use of Other Drugs

Alcohol is reported as the substance most used in conjunction with
marijuana, but there are a number of reports of marijuana combined with
powdered cocaine, crack cocaine, methamphetamine, and PCP (ONDCP,
1997; NIDA, 1998). Between 1990 and 1998, among arrestees testing
positive for marijuana, 40.0 percent also tested positive for cocaine, 7.2
percent for opiates, 7.0 percent for methamphetamine, and 3.2 percent for
PCP. Table 6 displays cocaine-, methamphetamine-, and PCP-positive
results by site for those arrestees testing positive for marijuana in 1998.

Given the large percentage of marijuana positive arrestees who also test
positive for both marijuana and cocaine (40.0 percent) in all sites, it is not
surprising that there is little regional variation. Four sites report that more
than 50 percent of those testing positive for marijuana also test positive for
cocaine (Albuquerque, Laredo, Miami, and New Orleans). San Jose
reports the lowest rate of concurrent cocaine and marijuana use (7.8
percent). There are differences in the concurrent use of marijuana and
methamphetamine, however, reflecting where amphetamines and
methamphetamine are prevalent. In the West/Southwest, San Diego
reported the highest methamphetamine-positive rate (39.9 percent) among
those arrestees who tested positive for marijuana. In the South, Oklahoma
City reported the highest methamphetamine-positive rate (11.5 percent)
among marijuana users, and in Portland, 26.1 percent of arrestees tested
positive for both marijuana and methamphetamine, the highest rate among
the Northwest sites.

Conclusions

Results from ADAM are consistent with drug use trends in other drug
surveys in different populations. The National Household Survey on Drug
Abuse (NHSDA), Monitoring the Future (MTF), and the Drug Abuse
Warning Network (DAWN), along with Pulse Check and the Community
Epidemiological Work Group (CEWG), have all shown marijuana use
slowly increasing or stabilizing. However, the prevalence of marijuana use
among arrestees is greater than in other populations. In 29 of the 35
ADAM sites, at least one-third of all adult male arrestees tested positive
for marijuana in 1998. In 26 of 32 sites collecting female data, at least
one-fifth of females tested positive for marijuana. These aggregate
findings, however, tell only a portion of the story.

In many ADAM sites, marijuana use is not only concentrated among those
arrestees under 25, but is also growing most rapidly in those age groups.
Nine sites report that 70 percent or more of their male arrestees 15-20
years old tested positive for marijuana in 1998. Use levels for females are
somewhat lower than for males and the highest prevalence rates are more
likely to occur among the 21- to 25-year-old cohort. Nevertheless, the high
rates of marijuana use among young adults, particularly males, suggest
communities will be confronting marijuana use well into the foreseeable
future. To the extent that young adults continue their marijuana use into
and beyond their thirties, communities should be prepared to expect large
marijuana-using cohorts for many years to come.

The 1998 ADAM results also show that other drugs are routinely used
with marijuana. Cocaine and alcohol are the most common drugs used
with marijuana, although substantial variations are seen with other drugs
by site. For example, in areas such as the Southwest, where
methamphetamine is prevalent, concurrent use of marijuana and
methamphetamine is also prevalent. In areas where PCP is used, PCP is
also found with marijuana.

Combined, marijuana’s prevalence and the degree to which it is
concentrated among younger cohorts raise a longer term issue to which
communities should be sensitive. If substantial portions of marijuana users
become regular users of other drugs, the declines in other drug use that
have been achieved (see 1998 Annual Report on Cocaine Use Among
Arrestees[5]) could be reversed. In other words, since many individuals do
not report trying drugs other than marijuana until their late teens and early
twenties, and since marijuana use is concentrated among young adults,
there is some risk that what is now primarily marijuana use among young
adults may spread to include other drugs. With such a lagged effect,
communities may begin to confront increases in other drug use among
arrestees in the coming years. The available information on poly-drug use
clearly demonstrates that marijuana users do not confine their drug use to
marijuana. Whether use of other drugs with marijuana will become a more
prominent pattern in the future is not clear. However, the size of the
marijuana-using cohort, in conjunction with its concentration among
arrestees whose drug use patterns may not be fully developed, suggests
that this potential should be carefully monitored.

METHODOLOGY

To gauge drug use trends in urban areas, the National Institute of Justice
established the Drug Use Forecasting (DUF) program in 1987. A modified
version of DUF, the Arrestee Drug Abuse Monitoring (ADAM) program,
was initiated in 1997. To date, 35 jurisdictions participate in ADAM.
ADAM involves administration of a survey instrument, which measures
historical and current drug use patterns among arrestees, and collection of
a urine sample which is tested for 10 drugs. A more detailed overview of
data collection methods can be found in the 1998 Annual Report on Drug
Use Among Adult and Juvenile Arrestees.[2] This box discusses how data
collection methods have affected reporting methods and two significant
reporting changes that will appear in next year’s reports.

The first and most important change relates to sampling. Data collected
after the mid-point of 1999 in all sites will be collected under probability
sampling plans. This means that confidence intervals can be attached to
estimates derived from ADAM data which in turn means that analysts can
assess whether year-to-year changes in drug prevalence rates are
significant. For example, this year in New York City, the cocaine
prevalence for males fell from 57.6 percent in 1997 to 47.1 percent in
1998. ADAM cannot report that as a statistically significant decline
because of limits to the current sampling plans. The 1999 reports will
introduce reporting on standard errors and confidence intervals.

The second important change relates to weighting the data. Each case
collected represents similar respondents (age, race, and booking charge to
name a few characteristics of interest) that were not selected for interview.
If a certain category of offender is represented out of proportion to the
actual occurrence in the arrest population, weighting can be used to correct
the disproportionality. There are numerous factors that introduce
disproportion into the data. The jails included in the program have
changed over time, most recently as a result of standardizing site
catchment areas at the county level. In addition, the DUF program
operated according to a charge priority system that emphasized
interviewing and testing felony offenders over misdemeanants. Drug
offenders, who are more likely to test positive for drugs than their
non-drug-offending counterparts, were limited to 20 percent of the total
sample to prevent drug offenders from dominating the data. Traffic
offenses (e.g., DUI and DWI) were generally excluded from the sample.
These practices were revised in the second quarter of 1998 data collection
so that all arrestees, regardless of charge, are eligible for inclusion in the
ADAM study.

This year’s data, as well as data collected during previous years, could be
weighted by local arrest data to adjust for the data collection methods. We
chose not to weight the data for two reasons. First, there may be additional
changes in the data collection protocol this year that would change the
weighting process, forcing us to revise the entire weighted data series.
Second, since confidence intervals and quantification of uncertainty
cannot be applied to the data series until next year, it seemed appropriate
to do all of the design and reporting changes in one year.

In addition, it is important that the current analysis be read with an
understanding that the weighting and sampling issues limit presentation
and interpretation. In particular, small changes from year to year in
prevalence figures should not be viewed as definitive. It should be stressed
that the arrestee population is a difficult one to access, and one not
adequately covered in other data collection efforts that, for example, target
households, schools, or treatment populations. The data are most
informative over multiple years when longer term trends can be discerned.

——————————-

References

National Institute of Justice. (1997). “1996 Drug Use Forecasting (DUF):
Annual Report on Adult and Juvenile Arrestees.” Washington, D.C.:
National Institute of Justice.

National Institute of Justice. (1998). “ADAM: 1997 Annual Report on
Adult and Juvenile Arrestees.” Washington, D.C.: National Institute of
Justice.

National Institute on Drug Abuse. (1998). “Epidemiologic Trends in Drug
Abuse: Papers Presented at the Community Epidemiology Work Group
Meeting in Boston, MA, June 1998.” Washington, D.C.: National Institute
on Drug Abuse.

Office of National Drug Control Policy. (1997). “Pulse Check, Trends in
Drug Use: Spring-Fall 1996.” Washington, D.C.: U.S. Government
Printing Office.

——————————-

Notes

1. Atlanta had too few female cases for analysis purposes in 1998.

2. National Institute of Justice. (1999). “ADAM: 1998 Annual Report on
Drug Use Among Adult and Juvenile Arrestees.” Washington, D.C.:
National Institute of Justice.

3. Miami did not begin data collection until 1991

4. The analysis for Miami is based on an 8-year comparison because the
site initiated data collection in 1991.

5. National Institute of Justice. (1999). “1998 Annual Report on Cocaine
Use Among Arrestees.” Washington, D.C.: National Institute of Justice.

——————————-

For Information on the National Institute of Justice, please contact:

National Criminal Justice Reference Service
P.O. Box 6000
Rockville, Maryland 20849-6000
(800) 851-3420
(301) 519-5500
E-mail: askncjrs@ncjrs.org

If you have any questions, call or e-mail NCJRS.