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Report: Drug use in Aotearoa 2022/23

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We focus on the prevalence of substance use and describe the patterns of drug consumption. These include pleasure and recreation, spiritual discovery, performance enhancement, experimentation, peer pressure, or to self-medicate physical problems, emotional pain or trauma. For those who use illicit substances, most will do so without encountering significant harm. However, some people will experience harm to their physical or mental health from either short or long-term use. There is a growing body of literature on the medicinal benefits of particular illicit drugs — in fact, most of the well-known substances have established medicinal uses. While this report does not explore why people use various substances, it is useful to keep in mind that there are a variety of reasons why New Zealanders use them. About the data sources. The substance use data NZ Health Survey is drawn from a large general population survey of New Zealanders which uses representative sampling. This allows us to gather information about substance use on a whole-population level. However, some substances are not widely used, which reduces the sample size and increases the risk of statistical errors. These errors are even more likely when looking at data for smaller demographic subgroups. This means that there may be year-to-year variation depending on recruitment in any given year, and comparing different groups of New Zealanders and trends over time needs to be done with caution. The survey also relies on self-reporting of substance use. We know that substance use carries a level of stigma in Aotearoa, so it is possible that survey participants may misrepresent their actual substance use. This is not a representative sample of the general population, as it specifically recruits people with experience of substance use. This is also a self-reported survey. The wastewater testing data used in this report relies on objective measures and is not influenced by societal views on substance use or participant errors. However, wastewater testing is only able to quantify the total volume of drugs consumed in a given catchment area, and is not able to provide us with patterns of use among people living there. At times, a decrease in detection in wastewater may also be a cause for concern — when a preferred substance is less available in the illicit market, its consumers may be switching to a different substance whose risk profile is less known. Wastewater testing is reported by Police district, however this report combines the three districts in the Auckland region. Past-year cannabis use has jumped Almost a quarter Disabled people are 3. Amphetamine-type stimulant use including methamphetamine has remained relatively stable since , with 1. Disabled people are 5. Illicit drugs are used by people in every city, town, and region of Aotearoa. This report describes some of the patterns and trends among different ages, ethnicities, genders, and locations. This report does not describe alcohol and tobacco consumption trends, instead focusing on illicit drugs. According to the NZ Health Survey, over half a million , adults used cannabis in the last year. An estimated , used cannabis at least once a week. Drugs like MDMA, methamphetamine, and opioids are used by a relatively small percentage of the population. Some drugs can be prescribed by a doctor, including cannabis, some types of amphetamines, and some types of opioids typically as pain medication. These drugs can also be obtained illicitly. Some are only available illicitly, for example heroin an opioid , methamphetamine, and psychedelics like LSD. Those who live in the most deprived neighbourhoods report higher rates of past-year use of cannabis, MDMA, amphetamines, opioids and psychedelics compared to those who live in our wealthiest areas. The reported prevalence of use of amphetamines 1. Per capita, cocaine use was more than 2. The prevalence of cocaine use in New Zealand overall is very low and has remained low for the past few years currently 1. This means that the numbers are small and are subject to fluctuation year on year. About the map data. The NZDTS surveys a very large number of people with recent experience and knowledge of drug use and drug markets across the country. While the NZDTS is not a representative sample, it broadly reflects the demographic profile and regional population distribution of New Zealand. The map categorises data according to Police district boundaries. Where locations do not match exactly for example Otago , this is noted in the specific fact. Text version of the map data. Men are 1. Almost one in ten adults aged 55—64 9. Looking further back, over the past decade, past-year cannabis use has increased across people of all ages. For example, 6. Caution is advised when interpreting these figures. MDMA use is concentrated among younger people. Use becomes far less common as people get older, with around 0. MDMA availability may be decreasing. Around 1. Because the increases in cocaine use have started from a very low baseline, any changing trends should be treated with caution. NZ Health Survey data on cocaine use prevalence does not show as rapid an increase as wastewater testing data, which may indicate that existing cocaine users may be consuming larger amounts, or that the increases in prevalence of use are very recent. Cocaine use is much more common among men 2. A record 3. Wastewater testing also reveals that the total amount of cocaine consumed in Aotearoa has more than doubled in the past two years. Latest figures for July to September show that cocaine use across those three months was 2. By contrast, just 0. Nationally, 1. The latest data shows that disabled people are 5. Amphetamine use is significantly more common among men than women. Methamphetamine use varies widely across the country. Methamphetamine use per capita is higher than the national average in every district of the North Island apart from Wellington. This is around 18, adults. The relatively low prevalence of opioid use means that there can be large variation in the numbers year-to-year. Disabled adults are 3. Some illicit drugs for example stimulants, synthetic cannabinoids can be adulterated with ultra-potent opioids like fentanyl, which people might not be aware of when they obtain them. Data for previous years is not directly comparable, however, it appears that the proportion of client visits for stimulant injecting may be increasing. At the same time, client visits for opioids methadone, morphine, heroin may be decreasing. The NZNEP report also found an increase in the proportion of client visits for steroid injecting, with latest figures showing a concentration of steroid injecting in the Auckland, Mount Maunganui, Hamilton, and central Christchurch areas. Our latest report pulls together international evidence and local experiences of how neurodivergence impacts drug use. Researcher Robin Murphy talks us through the latest Auckland University microdosing study. Policy and advocacy Drug law Submissions and reports Drugs in Aotearoa - an overview. For parents and caregivers. Workplaces and venues Bars and hospo Events For employers. Who we are Our mahi Our strategy Contact us Work for us. People use alcohol and other drugs for many reasons. About the data sources Each data source has strengths and limitations associated with the methodology used. These include: The substance use data NZ Health Survey is drawn from a large general population survey of New Zealanders which uses representative sampling. Stimulants Amphetamine-type stimulant use including methamphetamine has remained relatively stable since , with 1. Overview Illicit drugs are used by people in every city, town, and region of Aotearoa. Disabled people are more likely to have used cannabis in the past week 3. Disabled people are also more likely to report past-year opioid use compared with non-disabled people 3. Men are significantly more likely than women to report past-year use of certain illicit substances like amphetamines 2. Most illicit drug use declines as people age. However, past year cannabis use has increased across all age groups in the past decade. Cocaine was reportedly becoming easier to obtain. Illicit drug use prevalence remains relatively stable, and cannabis is still our most commonly used drug. Cannabis Cannabis use has increased among older people View this in the Drug Data section. At least-weekly cannabis use appears to be rising, especially among women. Prevalence of psychedelic use over time by gender. This is more than three times the total amount seized in kg. Amphetamines, including methamphetamine Amphetamine use is concentrated in our most deprived neighbourhoods. Prevalence of opioid use over time. References Denning P, Little J. Over the Influence. New York: The Guildford Press; Intoxication: self, state and society. Palgrave Macmillan Cham; Ministry of Health. Cocaine availability increasing in urban centres. Declines in meth prices over past four years. Cannabis prices decline as availability increases. Recent declines in MDMA availability in many regions. Psychedelic use and availability stable over time. Drug seizures. Quarter Three July - September Quarter Three: July - September Key findings. Aotearoa at a glance.

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