Every year, National Drug and Alcohol Facts Week (NDAFW) aims to shatter the myths, misinformation, and social media chatter surrounding addiction and substance use. Instead, this week is meant as a time to share information on the science behind addiction.
Created in 2010 by the National Institute on Drug Abuse (NIDA), this week-long annual health observance is part of a broader effort to improve public health. The NDAFW event unites schools, communities, and health services to spread facts and awareness.
Wondering how many people struggle with addiction, how overdoses happen, or who’s most at risk? Keep reading — these seven facts might change how you see substance use.
1. Over 37 Million Americans Have Abused Illicit Drugs
Drug abuse starts with a choice — using illegal substances or misusing prescription medications. Some experiment out of curiosity, while others turn to drugs as a way to cope with stress, trauma, or mental health struggles.
However, drug abuse isn’t the same as addiction. It refers to using drugs in a risky way, which can lead to serious health and legal consequences.
And drug abuse is a common and widespread issue in the U.S. and worldwide.:
- In 2020, over 37 million Americans aged 12 and older reported abusing illicit drugs.
- In 2021, 1 in 17 people worldwide (ages 15–64) had used a drug in the past year.
These numbers highlight how widespread drug use is and why education and prevention are more important than ever.
2. More Than 40 Million Americans Had a SUD in 2020
Substance use disorder (SUD) (or addiction) doesn’t happen overnight. What starts as voluntary drug use can turn into a compulsive cycle, as drugs rewire the brain to depend on them just to feel normal. Once addiction takes hold, quitting becomes incredibly difficult without help.
Here’s what to know about SUD rates in the U.S.:
- In 2020, 40.3 million people in the U.S. had a substance use disorder (SUD).
- That same year, only 6.5% of those struggling received SUD treatment.
Millions need help, yet only a fraction get it. Breaking the stigma and improving access to treatment could save lives.
3. Drug Overdose Deaths in the U.S. Are Nearing 1 Million
An overdose occurs when a toxic amount of a drug — or a deadly mix — shuts down vital functions.
The U.S. faces a severe overdose crisis, with nearly 108,000 drug-related deaths in 2022, and nearly 1 million since 1999. Fentanyl, a synthetic opioid 50 times stronger than heroin, is a major driver.
The CDC and healthcare providers stress the need for naloxone, a life-saving drug that reverses opioid overdoses.
These numbers aren’t just statistics. They represent lives lost and families devastated. This crisis demands better prevention, education, and treatment before more lives are lost.
4. 16 Million Americans Abuse Prescription Drugs Every Year
Despite increasing regulations, prescription drug abuse remains a significant issue. Each year, 16.3 million Americans misuse prescription medications.
The most commonly abused prescription drugs include:
- Opioids: oxycodone (OxyContin), hydrocodone (Vicodin), morphine
- Sedatives and tranquilizers: alprazolam (Xanax), diazepam (Valium), ;lorazepam (Ativan)
- Stimulants: amphetamine/dextroamphetamine (Adderall), methylphenidate (Ritalin)
Most people get these medications legally through prescriptions or from friends and family, and may abuse them for self-medication or recreation.
5. 28.9 Million Americans Had an Alcohol Use Disorder in 2023
Alcohol use disorder (AUD) isn’t just drinking too much — it’s losing control, even when it harms work, relationships, or health.
In 2023, AUD affected 28.9 million Americans aged 12 and older.
Because alcohol is so normalized, warning signs often go unnoticed, and many assume they can stop any time. People may not realize how underage drinking and binge drinking lead to dependence.
But for millions, quitting isn’t that simple. Recognizing AUD is the first step to recovery.
Programs like the Alcohol IQ Challenge, supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), help people understand the risks of excessive drinking.
6. LGBTQ People Are at Highest Risk for Drug and Alcohol Abuse
Substance abuse doesn’t affect everyone equally. LGBTQ youth (ages 12–21) are at a much higher risk of abusing drugs and alcohol than their non-LGBTQ peers.
Why? Because they often face challenges others don’t, such as bullying, discrimination, family rejection, and a lack of safe spaces. Many turn to substances as a way to cope with stress or isolation.
The risk of substance abuse is even higher for LGBTQ youth with disabilities, who may face additional barriers to accessing support and treatment.
Without support, this cycle can continue for years. That’s why access to affirming mental health and addiction resources is critical. It can mean the difference between struggle and recovery.
7. 20.3 Million People Are in Addiction Recovery
Despite the challenges, recovery is possible. Approximately 20.3 million Americans are currently in addiction recovery, meaning they are actively working toward managing substance abuse in daily life.
While over 11% of people never receive the help they need, more individuals are seeking and receiving treatment than ever before.
Treatment options vary and may include outpatient programs, counseling, and support groups.
Get Help for Drug or Alcohol Addiction at Otter House Wellness
If you or someone you know is struggling with addiction, Otter House Wellness offers comprehensive treatment options. Our services include outpatient programs for addiction and mental health, providing personalized care to support recovery.
Remember, seeking help is a courageous and essential step toward a healthier future.
Contact us today if you or a loved one may need help with drug or alcohol abuse.
Sources
- US Centers for Disease Control and Prevention. “Data on Excessive Alcohol Use.” Retrieved from: https://www.cdc.gov/alcohol/excessive-drinking-data/index.html. Accessed on March 10, 2025.
- National Association of Addiction Treatment Providers. “Addiction Treatment Statistics.” Retrieved from: https://www.naatp.org/addiction-treatment-statistics. Accessed on March 10, 2025.
- National Center for Drug Abuse Statistics. “Prescription Drug Abuse Statistics.” Retrieved from: https://drugabusestatistics.org/prescription-drug-abuse-statistics/. Accessed on March 10, 2025.
- National Institute on Alcohol Abuse and Alcoholism. “Alcohol Use Disorder (AUD) in the United States: Age Groups and Demographic Characteristics.” Retrieved from: https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics/alcohol-use-disorder-aud-united-states-age-groups-and-demographic-characteristics. Accessed on March 10, 2025.
- National Institute on Drug Abuse. “Drug Overdose Deaths: Facts and Figures.” Retrieved from: https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates. Accessed on March 10, 2025.
- National Institute on Drug Abuse. “NIDA IC Fact Sheet 2024.” Retrieved from: https://nida.nih.gov/about-nida/legislative-activities/budget-information/fiscal-year-2024-budget-information-congressional-justification-national-institute-drug-abuse/ic-fact-sheet-2024. Accessed on March 10, 2025.
- The Trevor Project. “Substance Use & Suicide Risk Among LGBTQ+ Youth Statistics.” Retrieved from: https://www.thetrevorproject.org/research-briefs/substance-use-and-suicide-risk-among-lgbtq-youth-jan-2022/. Accessed on March 10, 2025.
- United Nations: Office on Drugs and Crime. “World Drug Report 2023.” Retrieved from: https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2023.html. Accessed on March 10, 2025.
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