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Prevalence and patterns of drug use among general population Indicator (GPS) Annual Expert Meeting 2014 Trend in drug use in Poland Janusz Sierosławski Institute of Psychiatry i Neurology Warsaw Lisbon, 17-18 June 2014 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Introduction Three countrywide population surveys in Poland – 2002, 2006, 2010 drugs the main topic surveys implemented by National Bureau for Drug Prevention – fieldwork: contracted agency GPS – 2012 gambling and other behavioral addictions the main topic) survey commissioned by National Bureau for Drug Prevention – implemented by: contracted agency 2 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa General Population Surveys 2002 Topics alc + drugs 2006 2010 alc + drugs alc + drugs 2012 gambling Age coverage* 16+ 15-64 15-64 15+ Sample size (unweighted) 6340 2859 5782 4038 3 regions 3 cities Age 15-34 Warsaw 8 Regions No 3148 1365 3861 4038 household household household individuals 61% 51% 71% ? Over-representations Sample size (weighted) Sampling Response rate * Population for trend analyses – 16-64 3 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Drug use during last 12 months – GPS (age 16-64) 9 2002 8 2006 2010 2012 8.0 7 6 5 3.8 4 2.8 2.8 3 2 1 1.5 0.7 0.7 0.5 0.4 0.1 0.1 1.3 0.6 0.6 0.3 0.1 0.3 0.1 0.2 0.3 0.1 0.1 0.2 0.2 0 LSD Amphetamine Hallucinogenic mushrooms Ecstasy Cocaine 0.0 0.1 0.0 0 Heroin Cannabis 4 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Cannabis use – GPS (age 16-64) 20 17.8 18 2002 2006 2010 2012 16 14 12.3 12 10 8 9.1 8.0 7.7 6 4.3 3.8 4 2.8 2.8 1.3 1.0 2 1.8 0 liftime last 12 month last 30 days 5 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Cannabis use GPS (age 16-34) 35 2002 29.9 30 2006 2010 2012 25 20.8 20 17.4 16.1 14.7 15 10 8.6 8.2 6.3 5.3 5 2.7 1.9 3.9 0 liftime last 12 month last 30 days 6 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Cannabis use during last 12 months by age groups 20 18.6 2002 18 2006 2010 2012 16 14 11.2 12 10 11.5 9.7 8.6 8 5.7 6 4.1 3.4 3.1 4 2.0 2 0.3 2.5 1.4 0.2 0.4 0.4 0 16-24 25-34 35-44 45-64 7 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Cannabis use (GPS) and number of drug related offences noted by police 90000 35 y = 0.0041x4 - 0.127x3 + 1.1663x2 - 2.4473x + 8.4038 R² = 1 drug related offences 80000 30 12 months use (ESPAD) 70000 12 months use (GPS 16-34) 25 60000 20 20 50000 17 15 40000 15 12 11 30000 20000 7 8 6 10 5 5 10000 0 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 8 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Estimate of cannabis use incidence (data from GPS 2002, 2006 and 2010) 1991-1994 1995-1998 1999-2002 2003-2006 2007-2010 9 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Any drug use (generic question) - Social Diagnosis (1992-2013) 1.4 1.2 1.0 0.8 0.6 0.4 0.2 y = 0.4321ln(x) + 0.1351 R² = 0.8219 0.0 Źródło danych: lata 1991-1997 — Czapiński, 1998; lata 2000-2013 — Diagnoza Społeczna 10 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Lifetime drug use – ESPAD (age: 15-16) – percent of respondents 30 Amphetamine Hallucinogens 25 Cannabis 24 Cocaine 20 Heroin 10 5 0 16 15 15 10 19 Ecstasy 3 2 1 1995 7 6 4 3 2 1999 6 3 2 2 4 3 2 1 5 3 1 2003 2007 2011 11 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa ESPAD – cannabis life time use (percent of respondents) 25 23 19 20 17 15 15 11 17 18 16 14 10 5 8 Poland Europe 0 1995 1999 2003 2007 2011 12 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Perceived availability of drugs (percent of respondents with responses „easy or very easy) – ESPAD (age 15-16) 25 19.6 20 16.5 17.4 15.7 18.6 16.5 15.7 15 11.5 10.4 10 6.3 5 11.8 11.5 Cannabis Amphetamine 9.6 7.4 6.3 7.2 4.7 Tranquilizers 5.5 5 Ecstasy 2.4 0 1995 1999 2003 2007 2011 13 (ESPAD, age 15-16) Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Perceived risk related to cannabis use – percent of respondents with „high risk” 90 80 82 83 80 79 70 60 50 66 55 53 56 53 50 47 40 51 42 30 20 10 0 Try cannabis once or twice 33 30 Smoke cannabis occasionally Smoke cannabis regularly 1995 1999 2003 2007 2011 14 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa (GPS, age 16-64) Perceived risk related to cannabis use – percent of respondents with „high risk” 100 90 2002 2006 92.8 93.2 2010 76.5 80 68.8 70.8 70 60 50 40 30 49.7 49.4 47.0 30.6 20 10 0 Try cannabis once or twice Smoke cannabis occasionally Smoke cannabis regularly 15 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Any drug use and cannabis use during last 12 months – school survey (age 18-19) 45 40 35 cannabis any drug (generic question) 40 36 31 30 24 25 18 20 15 15 16 2008 2010 18 10 10 5 0 1996 1999 2003 2013 16 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Conclusions At least stabilization or even decrease of last years prevalence of use drugs other than cannabis Increase of cannabis use but probably stabilization in incidence Decrease of perceived risk related to cannabis use 17 Janusz Sierosławski, Instytut Psychiatrii i Neurologii, Warszawa Reservations and limitations Question on survey comparability context of drug questions interviewers training sampling – households or directly individuals Changing in drug use or in readiness to report drug use 18