Most Drug Addicted Cities in America

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There can be no doubt that drug addiction is becoming a burgeoning health crisis in the United States. The “drug epidemic” is, of course, nothing new. However, the United States’ thinking about this problem is much different than it used to be.

In the past, when one thought of drug addiction, one thought of someone snorting cocaine or shooting up heroin. While hardcore illicit drugs remain a problem, the simple fact is this: the wanton prescription of opioid painkillers has made the drug problem in America more pervasive and more dangerous than anyone ever thought it could be.

In a recent study, Castlight Health probed the rates of opioid painkiller abuse in United States cities, identifying those municipalities that have the gravest problems. Contrary to what you might think, the cities on this list aren’t what many people would believe to be America’s drug capitols. Instead, they’re places you may never have heard of before.

30. Chattanooga, TN

Located along the Tennessee River, the beautiful city of Chattanooga has a population of just around 175,000. According to the report, roughly 7.7% of Chattanooga’s population has developed an abuse issue with prescription opioids. The figure might be higher if illicit opioids were to be included in the study.

Zack Frank / Shutterstock.com
Zack Frank / Shutterstock.com

29. Evansville-Henderson, IN-KY

Statistically speaking, Evansville-Henderson comprised the 142nd largest metropolitan population area in the United States, including a number of both Indianan and Kentuckian municipalities. In this area which has a population of about 358,000, 7.8% of the total population has developed an addiction to prescription opioids.

Nyttend / Own Work
Nyttend / Own Work

28. Fayetteville, NC

Fayetteville, which is located in the southern portion of North Carolina, is a historic city which is also home to Fort Bragg, an important United States military base. For this city, the problem is marginally worse than with the previous. Around 7.9% of Fayetteville’s population has developed an opioid painkiller abuse problem.

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27. Longview, TX

This east Texas city has a population of around 80,000 people, and is currently considered to be one of the fastest growing small cities in the entire country. The study conducted by Castlight Health found that four in every 50 persons living in Longview, TX, has developed an abuse issue with opioids.

Attribution: Eaglegrafix at English Wikipedia
Attribution: Eaglegrafix at English Wikipedia

26. Oklahoma City, OK

Much like Longview, Oklahoma City’s neighbor to the south, the opioid problem is quite severe. The study found again that four in every 50 persons living in the city has developed an opioid addiction. In fact, it also found that roughly 47% of all opioid prescriptions are abused in the city.

Natalia Bratslavsky / Shutterstock.com
Natalia Bratslavsky / Shutterstock.com

25. Odessa, TX

With a population of just less than 100,000 people, Odessa is currently the 29th largest city in the big state of Texas. Yet again, as with other places in Texas, the drug situation here is dire. In Odessa, 8% of the city’s population has developed an opioid addiction, a figure quite in line with the nearby cities listed.

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24. Terre Haute, IN

Although this Indiana city is home to a number of institutions of higher learning, it would seem the population at large is mostly interested in just getting high. With opioid abuse becoming a broader problem in the state of Indiana, Terre Haute is proving to be the epicenter. 8.1% of the city’s population has developed an opioid addiction.

Publichall / Own Work
Publichall / Own Work

23. Amarillo, TX

Amarillo is one of the most famous cities in all of Texas and also one of its most populous, currently ranked at 14th. When it comes to the pan-handle section of Texas, though, Amarillo is the opioid capital. The study found that 8.1% of the local population has developed a prescription opioid abuse problem, with 41.7% of prescriptions being abused.

Public Domain
Public Domain

22. Jacksonville, NC

Not be confused with the better-known Jacksonville, Florida, this Jacksonville is a town all to itself. It has a population of just around 70,000 and sits at the top of the New River. With an 8.2% rate of prescription opioid abuse in the city of Jacksonville, NC, the problem is clearly dire.

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21. Tuscaloosa, AL

Currently, Tuscaloosa has a population that’s hovering just around 100,000 people. While the city may have a rich history that you might learn about in class, the drug problem here is one of the worst currently in the entire country. In Tuscaloosa, the study found that 8.2% of prescriptions for opioids were abused.

Ttownfeen / Own Work
Ttownfeen / Own Work

20. Texarkana, TX-AR

This city, which exists in two different states, currently has a population of just around 150,000 and also one heck of a drug problem. Here, the study found that 45.1% of all prescriptions for opioid painkillers were abused, resulting in a total abuse rate of 8.5%.

Jimmy Emerson, DVM
Jimmy Emerson, DVM

19. Johnson City-Bristol, TN-VA

Also known as the tri-cities and formerly a Metropolitan Statistical Area, the current population of Johnson City-Bristol stands at around 480,000. As we get to the top of the list, the drug problem becomes increasing acute. Here, 46.7% of prescriptions for opioid painkillers are abused, resulting in an overall abuse rate of 8.6%

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18. Montgomery, AL

Montgomery is a capital in two ways. It’s the capital of Alabama, and it’s also one of the United States’ opioid abuse capitals. The problem we’ve been exploring only gets worse here. According to Castlight Health, the current rate of opioid abuse in Montgomery currently stands at 8.8%. The total population is currently at about 200,000.

LMspencer / Shutterstock.com
LMspencer / Shutterstock.com

17. Gadsden, AL

Located along the shores of the Coosa River and only a short drive from Birmingham, things are getting bad in Gadsden. For a city of this size, Gadsden has one of the worst opioid problems in the entire country. Roughly 48% of all opioid prescriptions are abused here, resulting in an overall abuse rate of 9.1%.

Curtis Palmer
Curtis Palmer

16. Pensacola, FL

This northern Florida city has a relatively small population of only around 50,000, although that does increase significantly during the holiday season. If the problem in Gadsden seemed bad, then the problem in Pensacola is even worse. According to the study, 48.1% of opioid prescriptions were abused in this city, which led to an overall abuse rate of 9.8%.

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15. Hickory, NC

The tree-lined streets of this North Carolinian gem that has a population of just around 40,000 people hide a dark secret. While the overall rate of prescriptions that are abused in Hickory is not as severe as the previous cities listed, the overall abuse rate is worse. According to the study, this abuse rate currently stands at 9.9%.

Tylerg / Own Work
Tylerg / Own Work

14. Enid, OK

Oil and gas are the primary drivers of this small city’s economy, but drug abuse is a severe problem here. While the problem in Oklahoma’s capitol is plenty bad, the problem in this northern Oklahoman city is even worse. The current abuse rate stands at 10.2%, with 54.7% of all opioid prescriptions being abused.

Drobinson / Own Work
Drobinson / Own Work

13. Panama City, FL

With a population of just around 36,000 people, Panama City is one of the smallest cities on this list, yet its drug problem is the third-most severe. The abuse of prescription opioids is a particularly acute problem. According to the study, 11.5% of the population has developed an addiction to opioids, with 51.6% of all opioid prescriptions being abused.

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