Young adults may be at-risk for cocaine-related problems during this period of resurgence in CU.

Thus, early identification of at-risk population subgroups will be critical to inform screening, intervention, and referral to treatment efforts given the potential effects of an increased cocaine supply on prevalence of CU and cocaine-related health risks. An increase in supply also has implications for increased retail-level purity and lower prices to attract new users (National Drug Intelligence Center, 2016). streets 18–24 months after harvest (Ehleringer et al., 2012). Hence, more export quality cocaine available for trafficking is expected, which typically reaches U.S. (US State Department, 2017), was the largest amount since 2007 and more than double the amount in 2013 (ONDCP, 2016). For instance, the Office of National Drug Control Policy (ONDCP) estimated that the 2015 cocaine production potential from Columbia, the main source of cocaine consumed in the U.S. Moreover, data from the Centers for Diseases Control and Prevention (CDC, 2016) indicated that the number of cocaine-related deaths increased each year from 2012 to 2015, and the number in 2015 (6800) was the second highest since 1999.ĭata also suggest that the emerging trend in CU may increase even further. The NSDUH also estimated that 968,000 individuals aged ≥12 years initiated CU in the past year in 2015, which was higher than any year since 2008 (CBHSQ, 2016).

For instance, the National Survey on Drug Use and Health (NSDUH) indicated an increase in the prevalence of past-year CU by 20% among individuals aged ≥12 years from 2011 to 2015 (CBHSQ, 2016). Population levels of past-year CU rose again from the mid-1990s to 2004 however, between 20, annual prevalence appeared to decline again, possibly due to supply-side factors and resulting effects on demand (Caulkins et al., 2015).ĭespite the decline in past-year prevalence over the past decade, recent data suggest a resurgence in CU. peaked in the early to mid-1980s (i.e., the “crack-cocaine epidemic”) and then sharply declined in the late 1980s until reaching a low point in 1994 (Johnston et al., 2016). Past-year prevalence of cocaine use (CU) in the U.S. Problem cocaine/crack use is a public health concern associated with high socioeconomic costs (National Drug Intelligence Center, 2016).

Msew 3.0 crack