The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
September 1991 (Volume 69)
Quarterly Article
Denise B. Kandel
Nov 5, 2024
Oct 30, 2024
Oct 23, 2024
Back to The Milbank Quarterly
This review of the epidemiology of drug use and drug dependence/abuse describes the overall current pattern of use of mood-changing legal and illegal drugs based on the most recently available data, variations in drug use among subgroups in the population, and trends in drug use over time. This is the first systematic attempt to integrate data on patterns of use with data on drug dependence/abuse. In the course of the analysis an effort is made to account for two paradoxes: blacks report the lowest rate of drug use in general population studies, yet constitute the largest category of treated cases or drug-related casualties. Although prevalence of cocaine use in the general population decreased, beginning in 1986, morbidity and mortality related to cocaine increased sharply in 1990.
Author(s): Denise B. Kandel
Download the Article
Read on JSTOR
Volume 69, Issue 3 (pages 365–414) Published in 1991
