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Illicit drug use

ESPAD average
Lifetime use of illicit drugs (%) a
 AverageMin.Max.
Any illicit drug18637
Cannabis16437
Ecstasy205
Amphetamine206
Methamphetamine105
Cocaine205
Crack103
LSD or other hallucinogens205
Heroin103
GHB103
a Percentage of students reporting use of illicit drugs.

Any drug use

Lifetime use of illicit drugs varied considerably across the ESPAD countries (Table 7a). In the Czech Republic, 37 % of the students reported having used any illicit drug at least once, which was more than twice the ESPAD average of 18 %. Students in Bulgaria, France, Liechtenstein and Monaco also exhibit high levels of drug use experience (30-32 %). Particularly low levels (10 % or less) of illicit drug use were noted in Albania, Cyprus, the Faroes, Finland, the former Yugoslav Republic of Macedonia, Iceland, Moldova, Montenegro, Norway, Sweden and Ukraine. On average, 21 % of boys and 15 % of girls have tried illicit drugs at least once during their lifetime. In most ESPAD countries, prevalence rates were higher among boys than among girls. Noticeable gender differences were found in Georgia (24 % for boys and 6 % for girls), Liechtenstein (40 % versus 23 %) and Albania (18 % versus 4 %).

Cannabis use

The most prevalent illicit drug in all ESPAD countries is cannabis. On average, 16 % of the students have used cannabis at least once in their lifetime (Table 7a). The country with the highest prevalence of cannabis use was the Czech Republic (37 %). High prevalence rates (30 % or more) were also reported in France, Liechtenstein and Monaco. The lowest levels of cannabis use (4-7 %) were reported in Albania, Cyprus, the Faroes, the former Yugoslav Republic of Macedonia, Iceland, Moldova, Norway and Sweden. On average, boys reported cannabis use to a larger extent than girls (19 % versus 14 %). This was the case in nearly all countries except the Czech Republic, the Faroes, Hungary, Iceland, Malta, Slovenia and Sweden, where rates were about the same for boys and girls. The largest gender differences (10 percentage points or more, higher rates among boys) were found in Albania, Georgia and Liechtenstein.

Other illicit drug use

Besides cannabis, some students have also used other illicit substances. In some cases, they have done so without any experience of cannabis at all. Among the most frequently tried illicit drugs are ecstasy, amphetamine, cocaine and LSD or other hallucinogens (Tables 7a, 7b). In the case of illicit drugs other than cannabis, on average, 1-2 % of the ESPAD students reported having used them at least once. Lifetime prevalence rates for methamphetamine, crack, heroin and GHB were lower than those for the other illicit drugs (1 % on average). At the country level, higher rates (5 % or more) were found in Bulgaria (ecstasy, amphetamine, methamphetamine, cocaine) and Poland (LSD or other hallucinogens). The most marked gender differences are seen in Georgia (ecstasy: 7 % for boys and 1 % for girls) and Albania (cocaine: 6 % versus 1 %).

Table 7a. Illicit drug use: lifetime prevalence of the use of any drug, cannabis, ecstasy, amphetamine and methamphetamine (percentage)

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CountryAny drugCannabisEcstasyAmphetamineMethamphetamineAny drugCannabisEcstasyAmphetamineMethamphetamine
BoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirls
Albania107322184132412121
Austria212023123192218223311
Belgium (Flanders)181732121152114332311
Bulgaria302756532272925647664
Croatia222123125202419223221
Cyprus107332147105414131
Czech Republic373731136383638321112
Denmark131211016101510101010
Estonia262532.302230213222..
Faroes660006666010001
Finland98110108107111110
FYR Macedonia a7521110483322120
France323122235303429222312
Georgia1511421246193713120
Greece119121156126202111
Hungary141323215131412223322
Iceland872218878222211
Ireland201943223162215523221
Italy282732233243123323131
Liechtenstein313022040234022211210
Lithuania191821121162015211111
Malta141322114141312222211
Moldova641109372211010
Monaco313122234293429222222
Montenegro108332146115434231
Netherlands232232125212520423210
Norway7711.104941110..
Poland252434329212820435433
Portugal161521117151714221111
Romania118211148106222111
Slovakia282631229272825341121
Slovenia262521227252624221122
Sweden8711.87761111..
Ukraine109111147136212110
AVERAGE181622121151914322221
Latvia191733223152112322432
Spain282711130272825112110
United States35314101353532304391112

a Official name former Yugoslav Republic of Macedonia.

Table 7b. Illicit drug use: lifetime prevalence of the use of cocaine, crack, LSD or other hallucinogens, heroin and GHB(percentage)

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CountryCocaineCrackLSD/other hallucinogensHeroinGHBCocaineCrackLSD/other HallucinogensHeroinGHB
BoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirls
Albania322216131312121
Austria212112211220111
Belgium (Flanders)312112311211001
Bulgaria534336352635241
Croatia212112221321110
Cyprus323325241524141
Czech Republic114102111441000
Denmark2.11031..211010
Estonia1.31112..331111
Faroes000000100010000
Finland1.11011..111110
FYR Macedonia a111112010101010
France432214433222211
Georgia212212120413110
Greece112102011311010
Hungary212113211321112
Iceland211102211121100
Ireland323114231322010
Italy333215242423121
Liechtenstein212012210220111
Lithuania212112211222110
Malta311102311111100
Moldova101011010101010
Monaco321212322202211
Montenegro323225231413131
Netherlands212112111211111
Norway111001010110000
Poland425224322553221
Portugal211112211211110
Romania312213321312111
Slovakia213121211331221
Slovenia211102311121100
Sweden2.11022..211100
Ukraine111101111111010
AVERAGE212113221221111
Latvia224213241343111
Spain232112232211011
United States3151.32115411..

a Official name former Yugoslav Republic of Macedonia.