Drug Use by State: 2023’s Problem Areas – WalletHub Study

With National Prevention Week in full swing and the number of annual drug overdose deaths in the U.S. reaching more than 103,500, the personal-finance website WalletHub today released its report on the States with the Biggest Drug Problems, as well as expert commentary, to highlight the areas that stand to be most affected.

This study compares the 50 states and the District in terms of 20 key metrics, ranging from arrest and overdose rates to opioid prescriptions and employee drug testing laws. You can find some highlights below.

States with the Biggest Drug Problems
1. New Mexico 11. Tennessee
2. West Virginia 12. Indiana
3. District of Columbia 13. Alaska
4. Louisiana 14. Kentucky
5. Colorado 15. Wyoming
6. Missouri 16. Vermont
7. Arkansas 17. Mississippi
8. Nevada 18. Arizona
9. Oklahoma 19. Oregon
10. Michigan 20. Rhode Island

Key Stats

  • Alabama has 80 retail opioid pain reliever prescriptions per 100 residents, leading the nation. On the other end of the spectrum, there are 27 for every 100 Hawaii residents.
  • West Virginia has 90.90 drug overdose deaths per 100,000 residents. That is eight times more than in Nebraska, which has the fewest at 11.40 per 100,000 residents.
  • Vermont has the highest share of teens who used illicit drugs in the past month, at 12.52 percent. That is three times higher than in Texas, which has the lowest at 4.20 percent.
  • Vermont has the highest share of adults who used illicit drugs in the past month, at 24.93 percent. That is 2.8 times higher than in Texas, which has the lowest at 9.03 percent.

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