Vermont reported the highest share of adults with a past-year drug use disorder at 13.9%, with Hawaii reporting the lowest at 7.2%, according to KFF.
The data comes from the 2023 and 2024 National Survey on Drug Use and Health, administered by the Substance Abuse and Mental Health Services Administration’s Center for Behavioral Health Statistics and Quality.
Respondents were classified as having a drug use disorder if they met Diagnostic and Statistical Manual of Mental Disorders (5th edition) criteria for one or more of the following substances: marijuana, cocaine, heroin, hallucinogens, inhalants, methamphetamine or prescription psychotherapeutic drugs, including pain relievers, tranquilizers, stimulants and sedatives.
Here is how all 50 states and the District of Columbia compare:
1. Vermont — 13.9%
2. Colorado — 13.8%
3. District of Columbia — 13.7%
4. Maine — 13.6%
4. Montana — 13.6%
6. Nevada — 13.2%
7. Oregon — 12.9%
8. New Mexico — 12.8%
9. Missouri — 12.2%
10. Oklahoma — 12.0%
11. Georgia — 11.7%
11. Massachusetts — 11.7%
13. Arizona — 11.3%
13. Louisiana — 11.3%
15. Rhode Island — 11.2%
16. Michigan — 11.1%
17. Arkansas — 11.0%
18. Alaska — 10.8%
18. Mississippi — 10.8%
18. New Hampshire — 10.8%
18. West Virginia — 10.8%
22. Illinois — 10.7%
23. New York — 10.6%
24. South Carolina — 10.5%
25. Indiana — 10.3%
26. Kentucky — 10.2%
26. Ohio — 10.2%
28. Delaware — 10.0%
28. Pennsylvania — 10.0%
30. Washington — 9.9%
31. California — 9.8%
31. Iowa — 9.8%
31. Tennessee — 9.8%
31. Wisconsin — 9.8%
35. Wyoming — 9.7%
36. Connecticut — 9.6%
37. Idaho — 9.5%
38. Kansas — 9.4%
39. Maryland — 9.3%
40. Minnesota — 9.0%
40. North Dakota — 9.0%
42. Florida — 8.9%
43. South Dakota — 8.8%
44. New Jersey — 8.7%
45. Alabama — 8.4%
46. Utah — 8.3%
46. Virginia — 8.3%
48. Nebraska — 8.1%
49. North Carolina — 7.8%
50. Texas — 7.8%
51. Hawaii — 7.2%
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