Substance Use and Asian Americans

Substance use means using products like alcohol, tobacco, or drugs that are swallowed, smoked, injected, or inhaled. These substances can affect the body and mind and may lead to health problems or dependence. Substance use can involve legal products, such as alcohol and tobacco, as well as illegal drugs and inhalants.

A substance use disorder (SUD) is a long-term but treatable health condition. It happens when a person keeps using a substance even though it causes serious problems in their life, such as issues with health, work, or relationships. Doctors look at patterns of symptoms to diagnose SUD and connect people to treatment. SUDs can be mild or severe and affect people of all backgrounds. They can involve alcohol, tobacco, cannabis, opioids, stimulants, sedatives, hallucinogens, inhalants, or other substances.

Occurrence

Alcohol Use

Adults

Adults ages 21 and older who used alcohol in the past month, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
36.751.70.71
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Mental health detailed tables (Table 2.45B). U.S. Department of Health and Human Services.
Adults ages 21 and older who binged alcohol in past month, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
11.822.00.54
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Mental health detailed tables (Table 2.45B). U.S. Department of Health and Human Services.

Children and Adolescents

People ages 12 to 20 who used alcohol in the past month, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
7.013.30.53
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 2.44B). U.S. Department of Health and Human Services.
People ages 12 to 20 who binged alcohol in the past month, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
3.67.60.47
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 2.44B). U.S. Department of Health and Human Services.

Drug Use

Adults

Lifetime illicit drug use among adults ages 18 and older, percentage, 2024
TypeAsian*Total PopulationRatio (Asian* / Total)
Any Illicit Drug28.254.80.51
Cocaine4.516.10.28
Crack0.54.00.13
Hallucinogen6.419.40.33
Methamphetamine1.45.80.24
Inhalants5.811.00.53
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Tables 1.23B, 1.29B, 1.32B, 1.35B, 1.41B, and 1.38B). U.S. Department of Health and Human Services.

Adolescents

Drug use among students in grades 9-12, percentage, 2023
Have ever usedSexAsian*Total Population Ratio (Asian* / Total)
MarijuanaMales17.026.30.65
Females18.433.00.56
Both Sexes17.629.50.60
MethamphetamineMales3.71.62.31
Females2.71.81.50
Both Sexes3.21.81.78
HallucinogensMales4.86.00.80
Females3.64.90.73
Both Sexes4.25.50.76
EcstasyMales3.92.51.56
Females4.72.81.68
Both Sexes4.22.71.56
CocaineMales4.62.71.70
Females3.02.11.43
Both Sexes3.82.51.52
HeroinMales4.71.72.76
Females3.61.32.77
Both Sexes4.11.62.56
Source: U.S. Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance System. (2024). 1991-2023 High School Youth Risk Behavior Survey Data: Alcohol and other drug use. U.S. Department of Health and Human Services.

Mortality

Drug overdose deaths, age-adjusted rate per 100,000 population, 2022
Asian*Total PopulationRatio (Asian* / Total)
Male8.445.60.18
Female2.419.40.12
Both5.332.60.16
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Deaths: Final data for 2022 (National Vital Statistics Report, Vol. 74, No. 4, Table 11). U.S. Department of Health and Human Services.
Alcohol-induced deaths, age-adjusted rate per 100,000 population, 2022
Asian*Total PopulationRatio (Asian* / Total)
Male5.119.50.26
Female1.17.80.14
Both2.913.50.21
Source: U.S. Centers for Disease Control and Prevention, National Center for Health Statistics. (2025). Deaths: Final data for 2022 (National Vital Statistics Report, Vol. 74, No. 4, Table 11). U.S. Department of Health and Human Services.

Health Care Use

Adults

Adults ages 18 and over who received substance use treatment in past year, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
0.93.60.25
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 5.15B). U.S. Department of Health and Human Services.
Received substance use treatment in past year for drugs among people ages 12 and older
Treatment TypeAsian*Total PopulationRatio (Asian* / Total)
For Drugs0.41.90.21
For Alcohol0.51.40.36
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 5.16B). U.S. Department of Health and Human Services.
People ages 12 and over who received medications for opioid use disorder (MOUD) in past year, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
0.10.70.14
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 5.22B). U.S. Department of Health and Human Services.

Children and Adolescents

Youth ages 12-17 who participated in an alcohol, tobacco, or drug prevention program outside of school in past year, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
5.56.30.87
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 3.8B). U.S. Department of Health and Human Services.
Youth ages 12-17 who received substance use treatment in past year, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
1.32.80.46
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 5.15B). U.S. Department of Health and Human Services.

Comorbidities

Adults

Drug use disorder in past year among people ages 18 and older, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
3.910.10.39
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 5.4B). U.S. Department of Health and Human Services.
Co-occurring substance use disorder and any mental illness in past year among people ages 18 and older, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
3.48.10.42
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 6.10B). U.S. Department of Health and Human Services.

Children and Adolescents

Drug use disorder in past year among people ages 12-17, percentage, 2024
Asian*Total PopulationRatio (Asian* / Total)
3.86.60.58
Source: Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). Results from the 2024 National Survey on Drug Use and Health: Detailed tables (Table 5.4B). U.S. Department of Health and Human Services.

*Population is non-Hispanic in the data source.


Date Last Reviewed: February 2026