Substance Use Disorder Statistics in Oregon

Comprehensive Substance Use Disorder statistics for Oregon, including prevalence, demographics, treatment access, and outcomes data.

2 min read
15.4%[1]
Of young adults aged 18-25 in Oregon with a Substance Use Disorder

This rate is more than double the prevalence found in the general adult population over age 26.

2023

Key Takeaways

  • Oregon's adult substance use disorder prevalence was 8.2% in the past year, a figure higher than the national average.8.2%[1]
  • A significant treatment gap exists, with an estimated 65% of Oregonians with a diagnosed SUD not receiving any formal treatment.65%[4]
  • Young adults aged 18-25 are a high-risk group, with a prevalence rate of 15.4%, more than twice that of adults over 26.15.4%[1]
  • Significant geographic disparities exist, as rural counties in Oregon report higher rates of untreated SUD (72%) compared to urban areas (60%).72% vs 60%[1]
  • Men in Oregon are more likely to experience SUD, with a prevalence of 9.2% compared to 5.7% among women.9.2% vs 5.7%[1]
  • Access to care is a major challenge, with Oregon having fewer specialized SUD treatment providers per capita than the national average.[5]

Substance Use Disorder in Oregon: An Overview

Substance Use Disorder (SUD) represents a significant public health challenge in Oregon, with prevalence rates that exceed national averages. This condition affects thousands of individuals across the state, leading to serious health, social, and economic consequences[5]. Understanding the scope of SUD in Oregon is the first step toward addressing the systemic issues that contribute to it, such as rural isolation, economic disparities, and barriers to healthcare[2]. The following data provides a detailed look at the prevalence of SUD across different populations within the state.

Prevalence of SUD in Oregon vs. the Nation

8.2%[1]
Of Oregon adults with a past-year SUD

Based on 2023 data from the National Survey on Drug Use and Health.

2023
4.3%[1]
Of Oregon adolescents (12-17) with a past-year SUD

Highlights the presence of substance use challenges among youth.

2023
17.1%[3]
Of U.S. population aged 12+ with a past-year SUD

Represents approximately 48.5 million people nationwide.

2023

Demographic Disparities in SUD

Substance Use Disorder does not affect all Oregonians equally. Significant disparities exist across age groups, genders, and geographic locations. Young adults, in particular, face a disproportionately high burden, while men experience higher rates than women. Furthermore, access to care and treatment outcomes can vary dramatically between rural and urban communities, highlighting the need for targeted interventions and equitable resource distribution.

SUD Prevalence by Demographic Group

Past-Year SUD Prevalence by Age
15.4%
Young Adults (18-25)
6.1%
Adults (26+)
Young adults are 2.5 times more likely to have SUD.
This stark difference underscores the vulnerability of young adults and the importance of early intervention and prevention efforts.
Past-Year SUD Prevalence by Gender
9.2%
Men
5.7%
Women
Men have a 61% higher prevalence rate than women.
Social factors, coping mechanisms, and willingness to seek help may contribute to this gender gap.
Rate of Untreated SUD by Geography
72%
Rural Counties
60%
Urban Counties
Rural residents are 20% more likely to have an untreated SUD.
This disparity points to significant barriers in rural areas, including provider shortages and transportation challenges.

The Treatment Gap: Access to Care in Oregon

Despite the high prevalence of SUD, a large portion of Oregonians who need help do not receive it. This treatment gap is one of the most critical aspects of the state's substance use crisis. Barriers to care are numerous and complex, including a shortage of treatment providers, inadequate insurance coverage, transportation difficulties, and the persistent stigma surrounding addiction[7]. While policy changes have led to some improvements, such as a 10% increase in treatment utilization, significant challenges remain in connecting individuals with the services they need[6].

Treatment and Access Statistics

Of Oregon adults with SUD who received any treatment in the past year

This indicates that nearly two-thirds of adults with SUD did not receive any form of care.

Substance Abuse and Mental Health Services Administration (2023)
35%[1]
Of individuals needing SUD treatment who received it nationally

Oregon's treatment gap reflects a broader national crisis in access to substance use care.

Substance Abuse and Mental Health Services Administration (2023)
23.6%[3]
Specialized SUD treatment providers per 100,000 residents in Oregon

This is below the national average of approximately 20 providers per 100,000, contributing to access issues.

Commonsenseinstituteus (2022)
15[5]

Frequently Asked Questions

Sources & References

All statistics and claims on this page are supported by peer-reviewed research and official government data sources.

1[PDF] OREGON - National Survey on Drug Use and Health - SAMHSA. Substance Abuse and Mental Health Services Administration. Published 2023. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-oregon.pdf
2[PDF] July 2024 Report - Oregon.gov. Oregon. Published 2022. Accessed January 2026. https://www.oregon.gov/adpc/Documents/July%202024%20Report%20FINAL%20-%20Updated%20September%202024.pdf
3Key Substance Use and Mental Health Indicators in the United States. Substance Abuse and Mental Health Services Administration. Published 2023. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt47095/National%20Report/National%20Report/2023-nsduh-annual-national.htm
4[PDF] Oregon Substance Use Disorder Services Inventory and Gap Analysis. Oregon. Accessed January 2026. https://www.oregon.gov/oha/HSD/AMH/DataReports/SUD-Gap-Analysis-Inventory-Report.pdf
5Oregon's Mental Health Crisis: Access, Outcomes, and the Cost of .... Commonsenseinstituteus. Published 2022. Accessed January 2026. https://www.commonsenseinstituteus.org/oregon/research/healthcare/oregons-mental-health-crisis-access-outcomes-and-the-cost-of-inaction
6[PDF] Oregon 2023 Uniform Reporting System Mental Health Data Results. Substance Abuse and Mental Health Services Administration. Published 2022. Accessed January 2026. https://www.samhsa.gov/data/sites/default/files/reports/rpt53141/Oregon.pdf
7occurring substance use and mental health disorders, 2022. Oregon. Accessed January 2026. https://www.oregon.gov/oha/HSD/AMH/DataReports/COD-Service-Inventory-2022.pdf?utm_medium=email&utm_source=govdelivery
8Comparing Addiction Rates: Oregon vs. the USA. Anotherchancerehab. Accessed January 2026. https://www.anotherchancerehab.com/rehab-blog/comparing-addiction-rates-oregon-vs-the-usa
9Indicators :: Substance Use Disorder - Central Oregon Health Data. Centraloregonhealthdata. Accessed January 2026. https://www.centraloregonhealthdata.org/indicators/index/view?indicatorId=11977
10[PDF] 2023 Adult Mental Health Statistics Improvement Program Survey .... Oregon. Published 2022. Accessed January 2026. https://www.oregon.gov/oha/HPA/ANALYTICS/MHSIPSurveyDocs/MHSIP%20Adult%20Report%20(2023).pdf
11[PDF] M ental H ealth in O regon - National Alliance on Mental Illness (NAMI). National Alliance on Mental Illness. Published 2023. Accessed January 2026. https://www.nami.org/wp-content/uploads/2023/07/OregonStateFactSheet.pdf