Teen drug use has declined significantly since the COVID-19 pandemic, but overdose rates are rising due to increased fentanyl use.
Data from the University of Michigan’s Monitoring the Future survey and SAMHSA show that in 2023, about 1 in 5 teens aged 12–17 reported using illicit drugs in the past year, down from 28% in 2020. School closures and increased parental supervision during the pandemic likely contributed to this drop.
Despite declining misuse of alcohol, nicotine, and cannabis, prescription misuse among 12th graders persists, and fentanyl-linked overdoses have made drug-related deaths the third-leading cause of pediatric mortality.
Teen drug use on the decline
Teens turn to drugs for multiple reasons, including to relieve boredom, to feel like an adult, or to fit in. It can also be a sign of mental illness, as drugs can be used as a form of self-medication for conditions such as depression, anxiety, and ADHD.
After peaking in the mid-’90s, teen drug use has largely been on the decline. This has partially been attributed to increased anti-drug messaging, including the war on drugs policy in the late 1980s and the proliferation of national drug education campaigns like D.A.R.E.
After dropping during the pandemic, researchers had speculated teen drug use could rebound once students returned to school. However, the latest data shows a delay in first-time drug use among younger students has led to lower levels of chronic drug use overall. In other words, since fewer students experimented with drugs for the first time, it reduced their chances of using them again.
In 2023, the share of 10th graders who had never tried drugs or alcohol rose to 54% from 49% the year before. For 12th graders, the increase was even more significant—38% had abstained from drugs in 2023, up from 31% in 2022.
Drug use higher in Western states
While teen drug use has largely declined, the latest data from the National Surveys on Drug Use and Health shows moderate differences by state. In Illinois, an estimated 7.6% of teens had used an illicit drug in the past month, making it the #24 state for teen drug use.
Read the national analysis to see which states had the highest rates of teen drug use.
Drug use is generally higher in some Western states, including New Mexico, where 13.7% of teens had used drugs in the past month. This is in line with larger trends, as New Mexico has had some of the highest rates of alcohol and drug-related deaths in the country for decades. A 2023 report from the state’s legislature found fewer teens are using drugs than they were a decade ago, but overdoses are on the rise.
Northeastern states including Rhode Island and Massachusetts also have some of the highest rates of teen drug use. Again, this is in line with larger regional trends, as New England has felt the outsized impact of the opioid crisis.
States with the lowest rates of teen drug use were Alabama and Utah, with both at around 5%. However, both states have experienced a rise in opioid deaths in recent years. In 2023, Alabama launched the Odds Are Alabama campaign to raise awareness and prevent fentanyl-related overdose deaths.
Story editing by Cynthia Rebolledo. Additional editing by Kelly Glass and Elisa Huang. Copy editing by Tim Bruns. This story features data reporting and writing by Elena Cox and is part of a series utilizing data automation across 50 states and Washington D.C. This story originally appeared on Substance Use Treatment Facilities and was produced and
distributed in partnership with Stacker Studio.
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