Annual surveys of drug use and abuse among adolescents show both encouraging and discouraging trends. Cigarette smoking is at its lowest level ever recorded, although the use of smokeless tobacco is increasing among youth. Alcohol use has declined since 2004. Use of amphetamines and cocaine is dropping.
Nonmedical use of prescription painkillers in increasing among young people. Nearly one in 10 high school seniors reports use of Vicodin and one in 20 uses OxyContin. A majority of students reports being given the drug by or buying it from a friend or relative.