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Rates of Alcohol and Substance Use In Pennsylvania

Key takeaways
  • Pennsylvania ranks high nationally for drinking and drug abuse, experiencing some of the most severe impacts.
  • 60% of adults in Pennsylvania drink alcohol, and 28% are classified as binge drinkers, reflecting heavy usage rates.
  • Approximately 293,000 people in Pennsylvania are affected by an active substance abuse disorder within the past year.
  • Pennsylvania has the third-highest opioid overdose rate; opioids cause 65% of all overdose deaths in the U.S.
  • Cocaine is the most-used illicit drug in Pennsylvania, with around 231,000 people using it in the last year.

Did you know that 60% of adults drink alcohol on a regular basis in Pennyslvania?

Drug Addiction Statistics Inย Pennsylvania

Pennsylvania is among some of the highest-ranking states in the U.S. in terms of drinking and drug abuse.

Unfortunately, it also sees some of the most severe impacts of the repercussions of drug and alcohol abuse.

One study ranked Pennsylvania in the top 20 states with the heaviest drinking rates. The statistics below should help illustrate this:

  1. 60% of adults drink alcohol in Pennsylvania.
  2. 28% of adults are binge drinkers (5 or more drinks in 2 hours) in Pennsylvania.
  3. 4% of adults have an alcohol use disorder.

What’s more alarming is the drug use rates, with around 293,000 people living with an active substance abuse disorder in the past year.

Pennsylvania has the third-highest opioid overdose rate out of all states in the U.S. Opioids are responsible for 65% ofall overdose deaths in the U.S. The number of deaths caused by opioid abuse is five times higher than those related to alcohol use.

Commonly Abused Substances

  1. Physicians throughout Pennsylvania provided almost 50 opioid prescriptions per 100 people in 2018 along.
  2. More than 404,000 people ages 12 and older inย Pennsylvania, 3.7% of that population, reported misusing or abusing prescription painkillers over the last year.
  3. 64,000 people inย Pennsylvania used heroin at least once during the last year.
  4. Cocaine is the most-used illicit drug in the state of Pennsylvania. Around 231,000 people (more than 2%) of the population ages 12 and older have used cocaine in the last year.
  5. Methamphetamine was used by almost 60,000 people in 2018 in the state of Pennsylvania alone.

Adolescent Substance Abuse In Pennsylvania

Rates of substance abuse among Pennsylvania high schoolers include:

  1. 13% of students binge drank at least once in the past month.
  2. 31% of students had at least one drink in the past month.
  3. 33% have used marijuana.
  4. 6% have used inhalants.
  5. 3% have used pain relievers.
  6. 3% have used cocaine.

What trends are currently shaping substance use in Pennsylvania?

Recent data show several important trends in how substance use and related harms are evolving in Pennsylvania.

  1. Changes in overdose deaths
    Preliminary public health data suggest overall drug overdose deaths declined in recent years, possibly due to broader naloxone availability and harm reduction efforts.

  2. Shifts in ageโ€‘specific use patterns
    Survey data indicate differences in use by age group, with young adults showing higher prevalence of some substances compared to older adults.

  3. Variability by substance type
    While opioids remain a major contributor to overdose fatalities, other substances such as marijuana and methamphetamine have increasing prevalence across many age groups.

These trends highlight that substance use patterns and consequences are not static but change over time, underscoring the need for responsive public health strategies.

Clinical and public health perspectives on addiction patterns in Pennsylvania

Understanding addiction rates is not only about counting cases but also about recognizing the underlying clinical and social factors that contribute to substance use disorders across the state. Substance use disorders are complex conditions influenced by biological vulnerability, social environment, and access to healthcare resources. High opioid overdose rates, for example, reflect not only the potency and availability of substances like fentanyl but also gaps in preventive care, mental health support, and access to evidenceโ€‘based treatment.

From a public health perspective, rates of substance use and overdose deaths can vary widely by region, demographic group, and substance type. Integrated approaches that combine prevention, early intervention, and longโ€‘term recovery support are essential to reduce the burden of addiction. Treatment systems that include medicationโ€‘assisted therapy, behavioral counseling, and community support have been shown to improve outcomes. Tracking trends over time helps clinicians and policymakers tailor interventions to the populations most at risk and allocate resources where they are needed most.

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Medical Reviewer

Tom DeVitis, MA, LPC, CAADC

Tom DeVitis is a dedicated behavioral health leader and clinical expert with over a decade of experience in the field of substance abuse treatment. As the Executive Director of MPower Wellness, Tom combines his clinical background as a Licensed Professional Counselor (LPC) and Certified Advanced Alcohol and Drug Counselor (CAADC) with a passion for educational outreach and advocacy.

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