Substance abuse is a global issue that affects individuals and communities in every country and region of the world. However, the prevalence of substance abuse may vary depending on factors such as culture, geography, and socioeconomic status.

In the United States, substance abuse is a major public health issue. According to the National Survey on Drug Use and Health, an estimated 20.8 million Americans aged 12 or older had a substance use disorder in 2018, representing 7.7% of the population.

In other parts of the world, substance abuse may be more or less prevalent depending on a variety of factors. For example, some countries may have higher rates of alcohol or tobacco use, while others may have higher rates of illicit drug use. Additionally, substance abuse may be more common in certain communities or among individuals facing specific challenges such as poverty, trauma, or mental health disorders.

Overall, substance abuse is a complex issue with multiple contributing factors, and efforts to prevent and address substance abuse must be tailored to the specific needs and circumstances of individuals and communities.