![]() ![]() 5 Furthermore, Han et al highlighted a strong prevalence of visual impairment associated with psychoactive substances, including alcohol, nicotine dependence, prescription opioids, and tranquilizers within the past year amongst middle-aged and older adults. Andoh et al recently determined 20% increased odds of visual impairment in individuals with a history of criminal justice involvement (CJI). Recent studies have investigated the NSDUH within the ophthalmic context. 15 This includes identifying at-risk demographics/geographical areas for efficient utilization of federal resources, 16 monitoring developments within the National Drug Control Strategy, 17, 18 and understanding current immediate and longitudinal substance use trends nationally. 14 Numerous federal agencies use the NSDUH to provide important national updates on substance use and its sequelae as they relate to key societal and medical issues. ![]() The NSDUH, 13 operated by an agency under the Department of Human and Health Services Administration (HHS), represents a nationally representative database of substance use and behavioral/medical health-related registries within the United States. 6–9 Commonly used substances, such as alcohol and marijuana, are also associated with morbidity, including ocular surface disease. 6 High-risk substances, such as cocaine, amphetamines, and opioids, have been linked to vision-threatening complications such as glaucoma, endophthalmitis, and retinal vascular events. ![]() Ocular pathology associated with substance use is well-described in the literature, ranging from mild vision loss to permanent, irreversible visual impairment. 4 Recent estimates of substance use for illicit, injectable, and misused prescription drugs approach 15% among high school students in the United States. 1–3 The focus on youth is critical as the majority of adults diagnosed with substance use disorders initiated their addiction(s) during their teen and young adult years. Prior investigations of the NSDUH (National Survey on Drug Use and Health) acted as a provision for active investigations by the Centers for Disease Control and Prevention (CDC) into addressing high-risk substance use among American youth. ![]()
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