Reported use of most drugs remains low among U.S. teens

Wednesday, December 17, 2025

Reported use of most drugs remains low among U.S. teens

Abstention from drug use remains at historic high, NIH-supported survey finds.

For the fifth year in a row, use of most substances among teenagers in the United States has continued to hover around the low-water mark reached in 2021. The findings come from the latest report of the Monitoring the Future Survey, an annual survey of drug use behaviors and attitudes among eighth, 10th, and 12th graders that has been supported by the National Institutes of Health (NIH) for 51 years.

Researchers, based at the University of Michigan, Ann Arbor, detected a sharp decline in reported use of most drugs from 2020 to 2021. This substantial falloff was largely attributed to disruptions in drug availability and in the social lives of teens during the pandemic, when many were isolated at home with parents or other caregivers and spending less time with friends. The researchers also found that the percentage of teens currently abstaining from alcohol, tobacco, and nicotine use held steady at historically high levels.

"We are encouraged that adolescent drug use remains relatively low and that so many teens choose not to use drugs at all," said Nora D. Volkow, M.D., director of NIH's National Institute on Drug Abuse (NIDA). "It is critical to continue to monitor these trends closely to understand how we can continue to support teens in making healthy choices and target interventions where and when they are needed."

For the survey, eighth, 10th, and 12th graders self-report their substance-use behaviors over various time periods, including past 30 days, past 12 months, and their lifetime. The survey also documents students' perceptions of harm, disapproval of use, and perceived availability of drugs.

The data indicates that, compared to 2024, reported use of most drugs in most grades held steady in 2025. These are some of the key findings:

• Abstaining from, or not using, marijuana, alcohol, and nicotine remained stable for all grades, with 91% of eighth graders 82% of 10th graders, and 66% of 12th graders reporting abstaining in the past 30 days.
• Alcohol use remained stable among all three grade levels, with 11% of eighth graders, 24% of 10th graders, and 41% of 12th graders reporting use in the past 12 months.
• Cannabis use remained stable among all grades, with 8% of eighth graders, 16% of 10th graders, and 26% of 12th graders reporting use in the past 12 months. Of note, 2% of 8^th graders, 6% of 10th graders, and 9% of 12th graders reported use of cannabis products made from hemp, which include intoxicating products such as delta-8-tetrahydrocannabinol, in the past 12 months.
• Nicotine vaping remained stable among all grades, with 9% of eighth graders, 14% of 10th graders, and 20% of 12th graders reporting use in the past 12 months.
• Nicotine pouch use remained stable among all grades, with 1% of eighth graders, 3% of 10th graders, and 7% of 12th graders reporting use in the past 12 months.
• Nicotine pouch use remained stable among all grades, with 1% of eighth graders, 3% of 10th graders, and 7% of 12th graders reporting use in the past 12 months.
• Heroin use among all three grades remains low, though values increased significantly from 2024, with 0.5% of eighth graders (compared to 0.2% in 2024), 0.5% of 10th graders (compared to 0.1% in 2024), and 0.9% of 12th graders (compared to 0.2% in 2024) reporting use in the past 12 months.
• Cocaine use also remained low and stable for 10th graders, with 0.7% reporting use in the past 12 months; though values increased significantly among the other grades surveyed, with 0.6% of eighth graders (compared to 0.2% in 2024) and 1.4% of 12th graders (compared to 0.9% in 2024) reporting use in the past 12 months.

"The slight but significant increase we see in heroin and cocaine use warrants close monitoring. However, to put these current levels of use in context, they are leagues below what they were decades ago," said Richard A. Miech, Ph.D., team lead of the Monitoring the Future survey at the University of Michigan.

The results were gathered from a nationally representative sample, and the data were statistically weighted to provide national numbers. The investigators collected 23,726 surveys from students enrolled across 270 public and private schools nationwide from February through June 2025. Students took the in-school survey via the web - either on tablets or on a computer.

The 2025 survey results are available online from the University of Michigan.

About the National Institute on Drug Abuse (NIDA):NIDA is a component of the National Institutes of Health, U.S. Department of Health and Human Services. NIDA supports most of the world's research on the health aspects of drug use and addiction. The Institute carries out a large variety of programs to inform policy, improve practice, and advance addiction science. For more information about NIDA and its programs, visit www.nida.nih.gov.

About the National Institutes of Health (NIH): NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit https://www.nih.gov.

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