Which country has the highest Total Drug Use Rate?

United States has the highest Total Drug Use Rate in 2023, at 3,815 per 100k, followed by Canada (2,169 per 100k) and Australia (2,057 per 100k).

Which country has the lowest Total Drug Use Rate?

Chad has the lowest Total Drug Use Rate in 2023, at 198 per 100k.

What is the median Total Drug Use Rate across countries?

The median is 568 per 100k across the 204 countries with data in 2023.

Where does this drug use by country data come from?

Rankodex compiles it from World Population Review and the primary sources it cites: IHME - GBD results.

Country rankings

Drug Use by Country

Name: Drug Use by Country
Creator: Rankodex

United States has the highest Total Drug Use Rate in 2023 (3,815 per 100k), followed by Canada (2,169 per 100k) and Australia (2,057 per 100k). Chad has the lowest (198 per 100k).

Crime & Safety Culture Health204 countries · 8 metricsUpdated Oct 24, 2025Original page

1 source

IHME - GBD results

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Year

204 of 235 countries

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Total Drug Use Rate, 2023

Green is better, red is worse (lower is better). Click a place to highlight it.

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Ranking

Best first: the first 15 and last 5 of 204 countries.

Distribution Median and middle halfThe median is the middle value: half of places are above it, half below. The middle half is the range holding the central 50% of places.More in the glossary →

Each dot is one country; the lines mark the median and the middle half.

Median

568 per 100k

Middle half 399 per 100k – 784 per 100k

Average

648 per 100k

204 countries

Lowest (best)

198 per 100k

Chad

Highest (worst)

3,815 per 100k

United States

Over time · 2020–2023

The top 5 in 2023, against the median.

Median of all countries
Chad
Nigeria
Niger
Burkina Faso
Mali

Data

Click a column to sort, a row to highlight that place on the charts.

204 countries · # = rank by Total Drug Use Rate

#
1	Chad	198 per 100k	34,886	0.1
2	Nigeria	199 per 100k	469,690	0.2
3	Niger	204 per 100k	49,806	0.1
4	Burkina Faso	205 per 100k	45,705	0.2
5	Mali	206 per 100k	49,377	0.1
6	Togo	211 per 100k	16,919	0.3
7	Guinea	211 per 100k	28,139	0.2
8	Guinea-Bissau	229 per 100k	4,638	0.3
9	Mauritania	234 per 100k	10,106	0.5
10	Senegal	238 per 100k	37,731	0.4
11	Cameroon	242 per 100k	77,228	0.4
12	Gambia	243 per 100k	5,727	0.4
13	Ivory Coast	249 per 100k	65,179	0.3
14	Central African Republic	253 per 100k	15,954	0.2
15	Benin	261 per 100k	35,201	0.3
16	Sierra Leone	261 per 100k	21,738	0.3
17	Angola	268 per 100k	90,441	0.4
18	Sao Tome and Principe	268 per 100k	565	0.7
19	Kenya	269 per 100k	138,362	0.4
20	Cape Verde	270 per 100k	1,626	0.9
21	DR Congo	279 per 100k	267,861	0.4
22	Somalia	284 per 100k	66,060	0.2
23	Zambia	286 per 100k	56,594	0.5
24	Ghana	290 per 100k	94,630	0.6
25	Romania	291 per 100k	54,091	1.1
26	Republic of the Congo	297 per 100k	17,354	0.6
27	Burundi	299 per 100k	40,887	0.4
28	Gabon	300 per 100k	5,998	0.8
29	Mozambique	301 per 100k	98,510	0.4
30	Uganda	308 per 100k	162,928	0.3
31	Bangladesh	308 per 100k	506,096	0.8
32	Ethiopia	309 per 100k	361,435	0.8
33	South Sudan	312 per 100k	29,356	0.3
34	Comoros	316 per 100k	2,542	0.6
35	Madagascar	317 per 100k	93,348	0.5
36	Bosnia and Herzegovina	318 per 100k	10,652	1.1
37	Eritrea	319 per 100k	22,830	0.6
38	Pakistan	320 per 100k	858,879	0.6
39	Malawi	323 per 100k	64,975	0.5
40	Liberia	328 per 100k	16,870	0.4
41	Djibouti	329 per 100k	4,503	0.6
42	Nepal	339 per 100k	110,313	0.7
43	Equatorial Guinea	339 per 100k	5,419	0.6
44	Venezuela	343 per 100k	97,910	0.9
45	Tanzania	344 per 100k	209,212	0.5
46	Turkey	346 per 100k	270,131	0.9
47	Yemen	352 per 100k	112,498	0.4
48	Bhutan	365 per 100k	2,914	1.3
49	Syria	375 per 100k	47,505	0.7
50	Egypt	385 per 100k	388,748	0.5
51	North Macedonia	398 per 100k	9,729	1.0
52	Sudan	399 per 100k	164,247	0.5
53	Zimbabwe	400 per 100k	63,706	0.7
54	Rwanda	401 per 100k	58,797	1.0
55	Botswana	410 per 100k	9,983	0.9
56	Tunisia	416 per 100k	46,406	1.0
57	India	421 per 100k	6,366,010	0.9
58	Serbia	421 per 100k	37,091	1.3
59	Afghanistan	424 per 100k	128,821	0.5
60	Algeria	428 per 100k	182,536	1.0
61	Montenegro	428 per 100k	2,653	1.1
62	Georgia	428 per 100k	15,585	1.1
63	Jordan	433 per 100k	50,165	1.0
64	Iraq	434 per 100k	168,864	0.8
65	Oman	434 per 100k	19,805	1.1
66	El Salvador	434 per 100k	26,025	3.5
67	Peru	459 per 100k	172,029	1.5
68	Morocco	460 per 100k	158,992	0.9
69	Guatemala	461 per 100k	64,711	3.1
70	Bahrain	462 per 100k	6,843	1.1
71	Palestine	466 per 100k	22,871	0.7
72	Lesotho	470 per 100k	8,809	0.6
73	Namibia	475 per 100k	12,396	1.1
74	Cambodia	476 per 100k	86,266	0.6
75	Albania	481 per 100k	14,757	1.1
76	Saudi Arabia	482 per 100k	178,424	1.1
77	Armenia	486 per 100k	15,690	1.4
78	Nicaragua	487 per 100k	24,648	2.5
79	Uzbekistan	490 per 100k	176,224	1.1
80	Eswatini	496 per 100k	5,816	0.8
81	Tajikistan	497 per 100k	52,541	1.4
82	Azerbaijan	504 per 100k	55,718	1.6
83	Indonesia	511 per 100k	1,372,611	0.5
84	Qatar	512 per 100k	14,718	1.7
85	China	514 per 100k	7,680,059	1.5
86	Mexico	523 per 100k	654,887	1.5
87	Kyrgyzstan	526 per 100k	37,771	2.8
88	Slovakia	527 per 100k	31,388	1.7
89	Bulgaria	529 per 100k	38,207	0.8
90	Libya	536 per 100k	37,559	2.1
91	Laos	536 per 100k	39,764	0.6
92	Lebanon	537 per 100k	30,491	1.6
93	Sri Lanka	544 per 100k	121,091	1.1
94	Moldova	545 per 100k	19,736	2.3
95	Honduras	547 per 100k	55,716	1.8
96	Kuwait	550 per 100k	23,369	1.3
97	Malaysia	553 per 100k	175,845	1.0
98	Portugal	557 per 100k	60,624	1.6
99	Mongolia	559 per 100k	19,668	4.0
100	Hungary	560 per 100k	52,472	1.5
101	Philippines	562 per 100k	635,511	0.7
102	Myanmar	567 per 100k	326,030	0.6
103	Costa Rica	569 per 100k	26,393	1.7
104	Panama	571 per 100k	23,357	1.2
105	Ecuador	571 per 100k	96,859	1.2
106	Greece	572 per 100k	58,025	1.2
107	Timor-Leste	580 per 100k	7,936	—
108	Japan	580 per 100k	766,692	0.6
109	Cook Islands	596 per 100k	112	0.9
110	North Korea	597 per 100k	163,432	1.0
111	Vietnam	597 per 100k	627,857	1.4
112	Bolivia	600 per 100k	71,108	1.2
113	Turkmenistan	609 per 100k	32,233	2.0
114	Croatia	611 per 100k	28,798	1.8
115	Niue	625 per 100k	11	0.6
116	Vanuatu	637 per 100k	1,993	0.6
117	Belarus	638 per 100k	60,887	4.1
118	Cyprus	652 per 100k	8,583	1.6
119	Slovenia	653 per 100k	13,558	2.5
120	Poland	661 per 100k	250,415	2.8
121	Thailand	662 per 100k	460,438	1.2
122	Monaco	664 per 100k	271	1.1
123	Seychelles	666 per 100k	755	0.9
124	Paraguay	667 per 100k	37,308	2.3
125	Ukraine	674 per 100k	325,738	2.8
126	Guam	674 per 100k	1,088	0.9
127	American Samoa	676 per 100k	333	0.7
128	United Arab Emirates	678 per 100k	70,483	3.7
129	Palau	682 per 100k	121	0.6
130	Fiji	682 per 100k	6,252	0.5
131	Taiwan	683 per 100k	168,580	1.6
132	Israel	688 per 100k	63,430	1.4
133	Solomon Islands	695 per 100k	4,767	0.6
134	Papua New Guinea	703 per 100k	74,112	0.5
135	Maldives	704 per 100k	3,496	1.2
136	Argentina	711 per 100k	328,135	1.5
137	San Marino	714 per 100k	251	1.6
138	Singapore	714 per 100k	43,060	1.1
139	Tuvalu	716 per 100k	90	0.7
140	Tonga	717 per 100k	767	0.8
141	Tokelau	719 per 100k	9	0.7
142	Mauritius	729 per 100k	9,469	1.6
143	South Korea	729 per 100k	389,462	2.0
144	Italy	737 per 100k	456,505	1.1
145	Marshall Islands	750 per 100k	426	0.8
146	Nauru	763 per 100k	83	0.8
147	Micronesia	770 per 100k	785	—
148	Andorra	772 per 100k	676	1.8
149	Northern Mariana Islands	775 per 100k	367	1.2
150	Kazakhstan	775 per 100k	157,731	3.7
151	Iran	777 per 100k	645,138	1.9
152	Latvia	780 per 100k	14,638	3.0
153	Trinidad and Tobago	782 per 100k	9,868	1.1
154	Kiribati	790 per 100k	895	0.4
155	Belgium	794 per 100k	97,919	2.2
156	Austria	795 per 100k	78,086	2.6
157	Germany	808 per 100k	733,657	2.2
158	South Africa	826 per 100k	440,362	1.1
159	Malta	831 per 100k	3,281	1.7
160	Cuba	840 per 100k	77,778	1.4
161	Netherlands	859 per 100k	149,369	1.6
162	Czechia	865 per 100k	91,704	1.8
163	Lithuania	867 per 100k	23,702	3.0
164	France	873 per 100k	620,086	2.2
165	Guyana	875 per 100k	5,333	1.1
166	Suriname	885 per 100k	4,089	1.1
167	Haiti	900 per 100k	100,625	0.7
168	Brunei	905 per 100k	4,312	1.2
169	Bermuda	916 per 100k	436	1.4
170	Colombia	919 per 100k	446,867	1.5
171	Dominican Republic	919 per 100k	72,927	1.0
172	Saint Kitts and Nevis	935 per 100k	481	0.7
173	Sweden	944 per 100k	98,604	2.6
174	Samoa	957 per 100k	2,063	0.7
175	Russia	962 per 100k	1,470,066	3.8
176	Saint Vincent and the Grenadines	970 per 100k	968	1.7
177	Denmark	986 per 100k	59,737	3.6
178	Luxembourg	992 per 100k	6,917	3.0
179	United States Virgin Islands	998 per 100k	604	2.0
180	Barbados	1,003 per 100k	2,770	1.0
181	Norway	1,022 per 100k	60,463	2.8
182	Uruguay	1,023 per 100k	30,842	1.6
183	Brazil	1,043 per 100k	2,062,463	2.3
184	Bahamas	1,048 per 100k	3,781	1.7
185	Antigua and Barbuda	1,065 per 100k	741	2.3
186	Finland	1,076 per 100k	59,743	3.3
187	Switzerland	1,083 per 100k	102,145	2.5
188	Belize	1,090 per 100k	4,202	1.4
189	Grenada	1,111 per 100k	952	1.5
190	Chile	1,111 per 100k	206,183	2.2
191	Dominica	1,142 per 100k	719	1.5
192	Ireland	1,147 per 100k	58,373	3.5
193	Saint Lucia	1,153 per 100k	1,661	1.6
194	Jamaica	1,188 per 100k	28,367	1.0
195	Iceland	1,221 per 100k	4,052	3.1
196	Spain	1,248 per 100k	555,555	1.7
197	Greenland	1,491 per 100k	910	3.9
198	Puerto Rico	1,543 per 100k	26,995	1.6
199	Estonia	1,548 per 100k	20,606	5.0
200	United Kingdom	1,736 per 100k	1,179,403	3.2
201	New Zealand	1,737 per 100k	93,143	2.4
202	Australia	2,057 per 100k	437,074	3.5
203	Canada	2,169 per 100k	770,067	3.9
204	United States	3,815 per 100k	12,146,954	6.7

What correlates with Total Drug Use Rate (2023)?

Pearson r against 1,362 other country metrics sharing at least 123 countries. Correlation is not causation.

Higher together

Places that have a higher Total Drug Use Rate tend to score higher on these

Cocaine Use Disorder (GBD)Most Cocaine Use by Country
r = +0.83 · very strong · n = 142
Plot
Cocaine Use Disorder Rate (GBD)Most Cocaine Use by Country
r = +0.80 · very strong · n = 203
Plot
# International BondsBond Market Size by Country
r = +0.74 · very strong · n = 130
Plot
Non-Melanoma SC Rate FemaleFemale Skin Cancer Rates by Country
r = +0.72 · very strong · n = 204
Plot
Consumer Spending per CapitaConsumer Spending by Country
r = +0.71 · very strong · n = 141
Plot
Reddit UsersReddit Users by Country
r = +0.71 · very strong · n = 132
Plot

Opposite directions

Places that have a higher Total Drug Use Rate tend to score lower on these

Mismanaged Waste IndexPlastic Pollution by Country
r = −0.61 · strong · n = 200
Plot
Lunio 2020Tier 1 Countries
r = −0.60 · strong · n = 143
Plot
Marketing Experts 2023Tier 1 Countries
r = −0.59 · strong · n = 142
Plot
Fragile States Index
r = −0.58 · strong · n = 179
Plot
Failed States IndexFailed States
r = −0.58 · strong · n = 178
Plot
% of People With Vision LossBlind Population by Country
r = −0.57 · strong · n = 204
Plot

Quick answers

Which country has the highest Total Drug Use Rate?: United States has the highest Total Drug Use Rate in 2023, at 3,815 per 100k, followed by Canada (2,169 per 100k) and Australia (2,057 per 100k).
Which country has the lowest Total Drug Use Rate?: Chad has the lowest Total Drug Use Rate in 2023, at 198 per 100k.
What is the median Total Drug Use Rate across countries?: The median is 568 per 100k across the 204 countries with data in 2023.
Where does this drug use by country data come from?: Rankodex compiles it from World Population Review and the primary sources it cites: IHME - GBD results.

Higher together

Opposite directions

Quick answers

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