The Kids Are Still (Mostly) Alright in 2019

The latest 2019 Montoring the Future survey results are in.  And while the mainstream media are hyping this year's significant increase in teen vaping (of both nicotine and cannabis), they seem to be glossing over the good news.  For example, teen alcohol and (combustible) tobacco use have both plummeted to record lows, prescription drug abuse (especially opioids and amphetamines) is way down (in contrast to adults), and nearly all other substances (even heroin, again unlike adults) have held steady this year at relatively low levels compared with previous decades.  The one notable exception is LSD (acid), which showed a modest increase this year, but still remains far lower than it was before 2000.

Even cannabis use in general held steady overall this year, and while "daily" (i.e. 20+ days/month) use did see a modest increase this year for grades 8 and 10, in grade 8 it was no higher than it was in 2011 (prior to recreational legalization in any state) and is still quite low.  And keep in mind that for grades 8 and 10, data only go back to 1991, unlike grade 12 which goes all the way back to 1975. Thus, one can extrapolate based on grade 12 data that "daily" use for grades 8 and 10 are also both most likely far lower than they were in the late 1970s and early 1980s, as we know to be the case for grade 12.  And actual, true daily use (i.e. literally every day) is likely even lower still as well.

Even the vaping data are a bit outdated now, since the MTF survey was taken in the spring of 2019, at least several weeks or months before the new "mystery" vaping illness (now called EVALI) outbreak was suddenly announced during the summer.  Since then, the widespread fear of this scary but fortunately now-waning epidemic has likely reduced the popularity of vaping in general, so next year's data will likely be significantly lower than it was in early 2019.

Additionally, the data from another survey, the NSDUH, show that past-year and past-month cannabis use in general has been stable or declining for years for 12-17 year olds nationwide, even as it has been modestly and steadily rising for both 18-25 and 26+ year olds in recent years, and as it has become increasingly legal and socially acceptable to use cannabis and admit to doing so.  The same survey also finds that rates of cannabis use disorder (i.e. abuse/dependence) have been steadily declining for 12-17 year olds since the pre-legalization era, and have been relatively stable for 18-25 (undulating plateau) and 26+ year olds (flat) overall since 2002.

But don't expect the fearmongering mainstream media to tell you that, of course.

The Kids Are (Mostly) Alright in 2018

According to the latest Monitoring the Future results for 2018, it was mostly good news.  The use of most substances is down or unchanged compared with 2017 among 8th, 10th, and 12th graders, including alcohol and combustible tobacco which are currently at record lows.  The opioid epidemic still does not seem to be engulfing teens the way it has for their elders--opioids are also down among teens.   And most notably, cannabis use did NOT increase in spite of increasingly widespread legalization, decriminalization, and medicalization in more and more states--and paired with the recent sharp decline in teen drinking, one could even argue that cannabis may be displacing alcohol a bit.

The bad news?  The second wave of the teen vaping surge from late 2017 through 2018 (after dropping from its previous peak in 2015 to a lower level in 2017) does in fact seem to be real.  And there was no similar increase in adult vaping at that time, in contrast to previous years.  But for that, we can thank the mainstream media and the FDA for fanning the flames of moral panic over teen vaping, which was probably the best (and free!) advertising that JUUL could ever possibly dream of.  And, of course, JUUL's unusually high nicotine content as well.  And, we repeat, teen smoking has continued to drop to a new record low.  As for the increase in vaping cannabis, that does not seem to have led to an overall increase in cannabis use, but rather a displacement of smoking weed to vaping it instead, much like was the case with tobacco from 2011-2017.

Latest 2017 MTF Survey Results

The results of the annual Monitoring the Future survey for 2017 are in.  And here is a brief summary of the results:

• Alcohol use in general as well as "binge" drinking among all three grades (8, 10, 12) remains at the same record-low levels as 2016.  
• Tobacco use overall in all grades continued its long decline to a new record low in 2017, particularly for cigarettes, though vaping (e-cigarettes) did increase slightly in 2017 after decreasing a bit in 2016.
• Cannabis use went up slightly in 2017 from 2016 after declining for several years, though generally still remains below 2012 levels, and of course far below the peaks in both 1979 and 1997.  This dovetails with another recent study of legalization states which found no significant increase in teen use post-legalization.
• Opioids, including heroin, remain at very low levels among teens, while the opioid epidemic continues largely unabated among adults.
• Inhalant use went up slightly among 8th graders after a long decline, though still remains at low levels.
• All other substances decreased or saw no significant change either way in 2017.

So what can we conclude from all of this?  First, we can conclude that cannabis legalization did not increase teen cannabis use as the fearmongers claimed it would. Nor did the use of other substances increase as the "gateway" theory would have predicted--in fact, most other substances decreased.   So much for that theory.  Second, it would appear that e-cigarette vaping is to some extent displacing cigarette smoking, rather than exerting a "gateway" effect as was often feared--smoking would have increased along with vaping if those fears were true, and in fact the opposite has occured instead.  Which any way you slice it, is ultimately a net win for public health even if vaping is not completely harmless.  In fact, the drop in cigarette smoking was much faster from 2013-2015 than it was in the years before or since, coinciding with the period of greatest increase in e-cigarette use.   And finally, we can conclude that the kids are (mostly) alright, at least compared to the many adults around them who continue to drink themselves to death and/or rot and rust in opioids.

What We Can Learn from the Latest Monitoring the Future Survey

The 2016 Monitoring the Future (MTF) survey results are in, and they may be a bit surprising to ageists as well as prohibitionists of all stripes:

• The use of alcohol and tobacco are both at record lows for 8th, 10th, and 12th graders.
• "Binge" drinking (5+ drinks in one session) is also at a record low, and even "extreme binge drinking" (10+ drinks in one session) is the lowest it has been since 2005 when participants were first asked this question.
• The use of any illicit drug other than cannabis has also reached a historic low.
• The use of most specific illicit drugs have dropped significantly in recent years, many of which to record lows.
• The notorious opioid epidemic, while currently out of control among adults, does NOT appear to be much of a problem for teenagers, as the use of both heroin and prescription opioids have actually dropped dramatically in the past several years among all grades surveyed.
• In fact, past-year use of heroin in particular reached an all-time record low in 2016 for all grades surveyed.
• Use of designer drugs such as "bath salts" and synthetic cannabis are also at their lowest point since they first came on the radar of researchers.
• And in spite of cannabis being legalized in several states recently, its use has nonetheless dropped significantly among 8th and 10th graders since the most recent peak in 2011, and stabilized (in fact dropped slightly) among 12th graders since then as well.  Note that there is also no evidence of a "gateway" effect of legalization either, as some had feared.

But don't expect the fearmongering mainstream media to tell you any of that, of course.  Certainly no one in the "teen panic" industry or the anti-legalization lobby would tout such statistics no matter how true, as that would contradict their agendas.  Put that in your pipe and smoke it!

Another thing that can be gleaned from the MTF surveys is a different sort of natural experiment for what full legalization of cannabis would look like in practice, using synthetic cannabis (Spice, K2, etc.) as a sort of counterfactual.  In 2011, when natural cannabis was illegal for recreational use in all 50 states (Alaska was then in legal limbo in regards to possession), it was also the first year that synthetic cannabis was asked about in the survey.  At the time, synthetic cannabis was readily available at head shops and even gas stations and convenience stores across the nation, and if there was even any age limit at all it was generally no higher than 18 and was generally not vigorously enforced.  And one of its biggest selling points was that not only was it legal, but it would also not show up in drug tests.  And it was widely regarded to be safe at the time, before its very real dangers became more obvious later on (and was later banned or restricted).  So one would think that, at least briefly, it would have become more popular than the real thing, right?

Wrong.  According to the 2011 MTF survey, young people apparently still preferred the real thing, legal niceties aside.   Fully three times as many 12th graders reported using natural cannabis at least once in the past year in 2011 as used the synthetic knockoffs that year.  And while 8th and 10th graders were not asked about synthetic cannabis until the following year, the 2012 results also show a similar two to threefold difference in favor of natural cannabis.  Thus, on balance, it strongly suggests that natural cannabis use among young people would not increase significantly even if it was legal and readily available at the local 7-Eleven for anyone over 18, right next to the cigarettes and beer, a policy which Twenty-One Debunked currently advocates.  And it also strongly suggests that young people who are so inclined can largely be trusted to make the safer choice as well in that regard.

So what are we waiting for?

A Tale of Two Nations

The latest Monitoring the Future results for 2015 are in.  Among students in grades 8, 10, and 12, alcohol and tobacco use have both fallen to record lows, and the use of most other substances has either declined or shown no significant change from last year.  Cannabis has held steady as well after falling a bit last year.  "Binge" drinking (5+ drinks per occasion) has also fallen to a record low, and as we noted last year, extreme binge drinking (10+ drinks per occasion) has also been falling for several years now.

Meanwhile, things aren't quite so rosy for the American population in general.  While drunk driving deaths specifically are at a record low, alcohol-related deaths (excluding crashes, accidents, and homicides) have actually reached a 35-year high in 2014.  This increase in the death rate, which began around 2000, is likely due to two things:  the aging of the population, and a general increase in per-capita alcohol consumption since the late 1990s.  Drug overdose deaths have also doubled since 1999 as well, driven mostly by heroin and prescription opioids.

In other words, America's overall drinking (and drug) problem appears to be getting worse, but it is clearly NOT being driven primarily by young people.  Those Baby Boomers (and now Generation Xers) who complain about the problems of "kids today" might just want to look in the mirror before pointing the finger at Millennials (and now post-Millennials).  So can we finally stop with the "vicarious puritanism" already?

The Kids Are (Mostly) Alright

The results of the annual Monitoring the Future survey of middle and high school students for 2014 were primarily good news overall.  Alcohol and tobacco use both dropped to record 40-year lows, and cannabis use saw the first decrease in years after steadily increasing since 2007.  Other drugs, both illicit and prescription, saw either decreases or no significant change in 2014, and most of those remained well below their most recent peaks.  Dangerous quasi-legal synthetic "designer drugs", such as "K2" (synthetic cannabis) and "bath salts", have plummeted to the lowest levels since they have first been measured.  And there was no substance that saw any significant increases in 2014.

One thing that makes such results remarkable is that 2014 was the first year that cannabis was fully legalized in Colorado and Washington, with a few more states on the way as well.  And there is currently zero evidence that any of the prohibitionists' fears have actually materialized.  Another remarkable observation is the fact that "extreme binge drinking" (i.e. 10+ drinks in the same occasion at least once in the past two weeks) among high school seniors has finally dropped to the lowest level since it was first recorded in 2005.  For example, from 2005-2011, it remained flat at 11%, and from 2011-2014 it had dropped by more than a third to 7%.  And lest you erroneously think that the longstanding 21 drinking age (or tougher enforcement thereof) is somehow the cause of that drop, significant decreases in teen drinking have also occurred in other countries where the drinking age is still 18.

But don't expect to hear such good news from the fearmongering mainstream media, of course.

Latest MTF Results Are In

The 2012 Monitoring the Future survey results are finally in.  We see that, in a nutshell, alcohol use and "binge" drinking* has reached historic lows for grades 8 and 10, while there has been a slight increase from the previous year's record low for grade 12.  Cannabis use has leveled off after rising for five straight years, use of most other substances either held steady or declined, and tobacco use has fallen to record lows.  In fact, cannabis is now more popular than tobacco (but still less so than alcohol) among today's youth, and has been for the past three years in a row.  Note that this reversal of rank was more due to a decrease in tobacco use rather than due to an increase in cannabis use, since the use of both substances are down from their respective peaks in the late 1970s.

So what should we make of these results?  While the pro-21 crowd would like to take credit for the massive decrease in alcohol consumption among teenagers since 1979, one must remember that teen drinking also plummeted in Canada (and more recently in the UK) despite not raising the drinking age to 21.  Also, tobacco continued its long-term decline while for alcohol there are some signs of a turnaround, despite the smoking age remaining at 18 in nearly all states.  Thus, the relationship between the drinking age (and its enforcement) and the levels of teen drinking is not nearly as cut-and-dried as the pro-21 crowd would like us to believe.  In fact, some studies have found that the opposite may be true for dangerous drinking practices among teens and young adults.

*We at Twenty-One Debunked always put the term "binge drinking" in scare quotes when we are referring to the 5+ or 5/4+ drinks definitions, as we believe that such definitions are grossly inaccurate measures of the very real problem of truly dangerous drinking.  More information about this issue can be found in our previous posts here and here.