This Ohio City Has the Highest Cocaine Consumption Rate in America

Cocaine is a highly addictive stimulant drug that can cause serious health and social problems for users. According to the National Survey on Drug Use and Health, about 5.5 million Americans aged 12 or older used cocaine in the past year in 2020. However, cocaine use is not evenly distributed across the country. Some cities and states have higher rates of cocaine consumption than others. In this article, we will explore which city in Ohio has the highest cocaine consumption rate in America, and what factors may contribute to this phenomenon.

Cocaine Use in Ohio

Ohio is one of the states that has been hit hard by the opioid epidemic, which has claimed thousands of lives and devastated many communities. However, opioids are not the only drugs that Ohioans struggle with. Cocaine is also a major problem in the state, especially when mixed with fentanyl, a synthetic opioid that is 50 to 100 times more potent than heroin.

According to the Ohio Department of Health, cocaine-related overdose deaths increased by 37.9% from 2018 to 2019, reaching a record high of 1,236 deaths. Cocaine was involved in 45.7% of all unintentional drug overdose deaths in Ohio in 2019, second only to fentanyl.

Cocaine use in Ohio varies by region and county. According to a report by the Ohio Substance Abuse Monitoring Network, cocaine availability and use were high in most areas of the state in 2020, but particularly in the northern and central regions. The report also identified several factors that may influence cocaine use in Ohio, such as:

  • The availability and low price of cocaine, which makes it more accessible and appealing to users.
  • The increased presence of fentanyl in cocaine, which increases the risk of overdose and death, but also the potency and euphoria of the drug.
  • The co-use of cocaine with other substances, such as alcohol, marijuana, methamphetamine, and opioids, which may enhance or counteract the effects of cocaine, or mask the symptoms of overdose.
  • The social and environmental factors that may drive cocaine use, such as stress, boredom, peer pressure, trauma, mental health issues, and lack of treatment and recovery resources.

The Highest Cocaine Consumption Rate in America

While cocaine use is prevalent in many parts of Ohio, one city stands out as having the highest cocaine consumption rate in America.

According to a study by American Addiction Centers, which analyzed data from 51 metropolitan areas in the United States, Phoenix, Arizona had the highest percentage of cocaine use among its population, with 23.3% of its residents having used cocaine at least once. However, Phoenix is not in Ohio, so which Ohio city has the highest cocaine consumption rate in the country?

The answer is Columbus, the capital and largest city of Ohio. According to the same study, Columbus ranked fourth in the nation for cocaine use, with 21.9% of its population having used cocaine at least once.

This means that more than one in five people in Columbus have tried cocaine in their lifetime, which is higher than the national average of 16.6%. Columbus also ranked high for other drugs, such as marijuana (67.8%), heroin (3.4%), and methamphetamine (6.4%).

Why does Columbus have such a high cocaine consumption rate? There is no definitive answer to this question, but some possible factors are:

1.) The location and size of Columbus, which make it a hub for drug trafficking and distribution in the region. Columbus is situated at the intersection of several major highways, such as I-70, I-71, and I-270, which facilitate the movement of drugs from other states and countries. Columbus is also the most populous city in Ohio, with more than 900,000 residents, which creates a large demand and market for drugs.

2.) The demographic and socioeconomic characteristics of Columbus, which may influence drug use patterns and behaviors. Columbus is a diverse and young city, with a median age of 32.5 years, and a racial and ethnic composition of 59.3% white, 29.3% black, 6.5% Hispanic or Latino, and 5.6% Asian. Columbus also has a high poverty rate of 19.2%, and a low median household income of $53,745. These factors may affect the availability, affordability, and acceptability of drugs, as well as the vulnerability and resilience of individuals and communities to drug use and addiction.

3.) The culture and lifestyle of Columbus, which may shape drug use norms and expectations. Columbus is a vibrant and dynamic city, with a rich history and culture, and a thriving economy and education system.

Columbus is home to several major corporations, such as Nationwide, American Electric Power, and L Brands, as well as the Ohio State University, one of the largest and most prestigious public universities in the country.

Columbus also offers a variety of entertainment and recreational options, such as sports, arts, music, festivals, and nightlife. These factors may create a sense of excitement and opportunity, but also pressure and stress, for the residents of Columbus, which may influence their drug use choices and motivations.


Cocaine is a serious drug problem in Ohio, and especially in Columbus, which has the highest cocaine consumption rate in America. Cocaine use can have devastating consequences for individuals, families, and communities, such as addiction, overdose, death, crime, violence, and disease.

Therefore, it is important to address the root causes and risk factors of cocaine use, and to provide effective prevention, treatment, and recovery services for those who need them. By doing so, we can help reduce the harm and suffering caused by cocaine, and improve the health and well-being of the people of Ohio and the nation.

Leave a Comment