In 2004, the SAMHSA’s National Survey on Drug Use and Health published a report on substance use among American Indian or Alaska Native Adolescents. These adolescents are one of the groups hardest hit by mental health and substance use disparities among the Native American population. This report highlights not only disparities in substance use generally, but also reports that this group had higher rates of past month cigarette use than the national average for adolescents (16.8% vs. 10.2%)
