April 30, 2025

States with the greatest drug problems

 WalletHub - With National Prevention Week around the corner and the number of annual drug overdose deaths in the U.S. reaching more than 80,670, 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. Michigan
2. West Virginia   12. Oregon
3. Nevada   13. Wyoming
4. Alaska   14. Mississippi
5. District of Columbia   15. Kentucky
6. Oklahoma   16. Tennessee
7. Missouri   17. Vermont
8. Colorado   18. Washington
9. Louisiana   19. Arizona
10. Arkansas   20. Indiana
 
Key Stats
  • Arkansas has the highest retail opioid pain reliever prescriptions per 100 residents, leading the nation. On the other end of the spectrum, Hawaii has the lowest. 
     
  • West Virginia has the most drug overdose deaths per 100,000 residents, which is 9.1 times more than in Nebraska, the state with the fewest. 
     
  • New Mexico has the highest share of teens who used illicit drugs in the past month, which is 2.6 times higher than in Alabama, the state with the lowest. 
     
  • Vermont has the highest share of adults who used illicit drugs in the past month, which is 2.5 times higher than in Texas, the state with the lowest.

To view the full report and learn about drug abuse in your state, please visit: 
https://wallethub.com/edu/drug-use-by-state/35150

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