Updated on February 25, 2025
4 min read

Updated Drug and Alcohol Statistics for Virginia

Virginia has seen notable shifts in drug and alcohol use over the past two decades, driven by changing substance availability and varying economic conditions. This article highlights the most current data on overdose rates, substance misuse trends, and demographic factors shaping drug and alcohol use patterns in the state.

From urban centers grappling with synthetic opioid-related fatalities to rural communities seeing a resurgence in methamphetamine, Virginia’s statistics reflect a broad range of challenges. In particular, opioid-related deaths reached unprecedented levels in 2021 before showing a slight decrease, while alcohol misuse remains substantial among young adults.

This compilation presents data points in a format designed to be both clear and citable, aiming to offer a thorough understanding of Virginia’s substance use landscape.

Key Statistics at a Glance

Below are four noteworthy findings illustrating the scope of drug and alcohol use in Virginia.

  • Overdose Deaths: In 2021, opioids contributed to 85% of the state’s 2,622 overdose deaths.
  • Alcohol Consumption: 36.6% of adults aged 18–25 reported binge drinking in 2017–2019.
  • Meth Lab Growth: Meth lab seizures increased by 958% between 2008 and 2011.
  • Geographic Differences: Rural Southwest Virginia had a 300% rise in overdose deaths from 1997 to 2003.

These figures highlight the range of issues faced across diverse regions and populations. In the sections below, additional data offers a comprehensive look at Virginia’s ongoing battle with substance misuse and alcohol-related challenges.

Overdose Patterns

Overdose data provides a clear view of the most severe consequences of substance use.

  • 2,622 overdose deaths were reported statewide in 2021.
  • 85% of 2021 overdose fatalities involved opioids, with fentanyl linked to nearly 80% of these cases.
  • Overdose deaths saw a slight dip to 2,463 in 2023, but fentanyl still dominates opioid-related fatalities.
  • Virginia’s overdose death rate was around 8.9 per 100,000 residents in 2009 compared to the national average of 12.8 at that time.

Although the state’s overdose metrics have improved somewhat over certain periods, the ongoing influence of synthetic opioids, particularly fentanyl, remains a critical factor in mortality rates.

YearTotal Overdose DeathsKey Driver
2009Notable risePrescription Opioids
20212,622Fentanyl (80% of opioid deaths)
20232,463Fentanyl still primary
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Opioid and Methamphetamine Trends

Opioids have consistently been a focal point of Virginia’s drug challenges, but methamphetamine has also seen a marked resurgence, especially in rural communities.

  • Rural parts of Virginia documented 300% increase in overdose deaths from opioids between 1997 and 2003.
  • Fentanyl became a major catalyst in opioid-related deaths by the mid-2010s.
  • Meth lab seizures jumped by 958% between 2008 and 2011, indicating a rise in local production.
  • By 2023, methamphetamine misuse was tied to economic hardship and healthcare gaps in rural areas.

This combination of potent synthetic opioids and expanding meth availability underscores the complexity of drug misuse across different localities in Virginia.

SubstancePrimary Regions AffectedNotable Spike
FentanylUrban Centers, Statewide2010s – Present
MethamphetamineRural Regions2008 – 2011 (958% rise in seizures)
Prescription OpioidsRural SouthwestLate 1990s – Early 2000s

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Alcohol Use Statistics

Though often overshadowed by the opioid crisis, alcohol misuse remains a substantial issue throughout the state.

  • 36.6% of adults aged 18–25 engaged in binge drinking in 2017–2019.
  • Virginia’s share of adults who drink excessively is 17.4%, placing it 29th among all states.
  • Alcohol-related traffic deaths account for nearly 30% of U.S. traffic fatalities, although Virginia’s rate is lower than many states.

In spite of a moderate national ranking, binge drinking among younger adults remains a key concern for public health in the state.

Age GroupBinge Drinking RateState Rank (Excessive Drinking)
18–2536.6%--
Adults (All)17.4% (Excessive)29th

Demographic Breakdown

Substance use often differs by age group, highlighting how drug and alcohol trends shift at various life stages.

  • Among adolescents (12–17), 7.8% reported past-month illicit drug use.
  • 7.9% of young adults (18–25) displayed illicit drug use disorders, the highest rate among age groups.
  • 36.6% of individuals aged 18–25 reported binge drinking.
  • Adults (26+) are more prone to prescription opioid misuse and polysubstance use (e.g., opioids with alcohol).

The high prevalence of risky behaviors in younger populations, contrasted with prescription drug misuse in older demographics, reflects distinct patterns that often demand different responses across the age spectrum.

Age GroupKey Substance Use PatternsRecent Statistic
12–17Past-month illicit drug use7.8%
18–25Highest illicit drug use disorders & binge drinking7.9% (drug use disorders)
26+Prescription opioid misuse & polysubstanceRural focus

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Comparative Insights

Examining how Virginia compares nationally and regionally sheds light on where it stands in broader substance use contexts.

  • Virginia’s 7.53% past-month illicit drug use rate remains slightly below the U.S. average of around 8.82% in 2009–2010.
  • The overdose death rate in Virginia was 8.9 per 100,000 in 2009, which was under the 12.8 national average for that time.
  • Neighboring West Virginia has consistently recorded higher overdose death rates, underscoring regional differences.
  • Virginia’s drug arrest rates dropped by 67% from 2013 to 2022, surpassing declines seen in Maryland or North Carolina.

In many respects, Virginia tracks slightly below national averages for certain drug use metrics, but specific areas, such as fentanyl-related deaths, have seen dramatic rises in recent years.

LocationOverdose Death Rate (per 100K)Past-Month Illicit Drug Use
Virginia8.9 (2009)7.53%
National Average12.8 (2009)8.82%
West VirginiaConsistently High--

Key Statistics Summary

  • 85% of Virginia’s 2,622 overdose deaths in 2021 involved opioids.
  • Meth lab seizures surged by 958% between 2008 and 2011.
  • Young adults (18–25) report 36.6% binge drinking rate.
  • Virginia’s drug arrest rates fell by 67% from 2013 to 2022.
  • 7.8% of adolescents (12–17) engaged in past-month illicit drug use.

Overall, Virginia’s data shows moderate to high substance use across age groups and regions, with fentanyl-related opioid deaths posing significant risks. Alcohol misuse remains a concern, especially among young adults, while methamphetamine use highlights unique challenges in rural communities.

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Updated on February 25, 2025

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