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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Reduce overdose deaths involving opioids — IVP‑20 Data

National Status: Getting worse

  
Learn more about our data release schedule

Most Recent Data:
16.0 deaths per 100,000 population (2024) *

National Target:
13.1 per 100,000  *

Desired Direction:
Decrease desired

National Baseline:
14.6 deaths per 100,000 population were caused by an overdose involving any opioid in 2018 *

* Age adjusted to the year 2000 standard population.

Disparities data are only available for some selections.

View CI in the chart by hovering over a data point.

View SE in the chart by hovering over a data point.

Confidence Interval (CI) not available Standard Error (SE) not available Confidence Interval (CI) and Standard Error (SE) are not available

Display data for:

Overdose deaths involving any opioid, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Total
14.6
CI 14.4 / 14.7
SE 0.069
15.5
CI 15.3 / 15.6
SE 0.071
21.4
CI 21.2 / 21.5
SE 0.083
24.7
CI 24.5 / 24.8
SE 0.089
25.0
CI 24.8 / 25.2
SE 0.089
24.0
CI 23.9 / 24.2
SE 0.087
16.0
CI 15.9 / 16.2
SE 0.070

Overdose deaths involving any opioid by Sex, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Male
20.1
CI 19.9 / 20.3
SE 0.114
21.7
CI 21.5 / 21.9
SE 0.119
30.4
CI 30.2 / 30.7
SE 0.140
34.8
CI 34.5 / 35.1
SE 0.149
35.5
CI 35.2 / 35.8
SE 0.149
34.5
CI 34.2 / 34.8
SE 0.147
22.5
CI 22.3 / 22.8
SE 0.118
Female
9.0
CI 8.9 / 9.2
SE 0.076
9.3
CI 9.1 / 9.5
SE 0.077
12.3
CI 12.1 / 12.5
SE 0.089
14.5
CI 14.3 / 14.7
SE 0.096
14.4
CI 14.2 / 14.6
SE 0.096
13.6
CI 13.4 / 13.7
SE 0.093
9.5
CI 9.4 / 9.7
SE 0.077

Overdose deaths involving any opioid by Race/Ethnicity, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
American Indian or Alaska Native only
8.8
CI 7.9 / 9.8
SE 0.470
11.1
CI 10.1 / 12.2
SE 0.522
17.5
CI 16.2 / 18.8
SE 0.652
24.1
CI 22.7 / 25.7
SE 0.759
28.8
CI 27.2 / 30.5
SE 0.831
30.3
CI 28.7 / 32.0
SE 0.846
21.2
CI 19.9 / 22.6
SE 0.692
Asian only
1.4
CI 1.2 / 1.5
SE 0.082
1.6
CI 1.4 / 1.8
SE 0.088
2.7
CI 2.5 / 2.9
SE 0.114
2.7
CI 2.5 / 3.0
SE 0.113
3.3
CI 3.1 / 3.6
SE 0.123
3.3
CI 3.1 / 3.6
SE 0.123
2.3
CI 2.2 / 2.5
SE 0.099
Native Hawaiian or Other Pacific Islander only
4.3
CI 2.9 / 6.3
SE 0.782
3.7
CI 2.5 / 5.4
SE 0.654
5.4
CI 4.0 / 7.4
SE 0.802
9.8
CI 7.8 / 12.3
SE 1.073
8.4
CI 6.6 / 10.7
SE 0.973
14.5
CI 12.1 / 17.3
SE 1.268
9.1
CI 7.2 / 11.3
SE 0.988
Black or African American only
13.7
CI 13.3 / 14.0
SE 0.177
16.9
CI 16.5 / 17.3
SE 0.197
25.7
CI 25.2 / 26.2
SE 0.242
32.3
CI 31.8 / 32.9
SE 0.269
35.5
CI 34.9 / 36.0
SE 0.281
36.5
CI 36.0 / 37.1
SE 0.284
22.3
CI 21.9 / 22.7
SE 0.219
White only
16.4
CI 16.2 / 16.5
SE 0.084
17.0
CI 16.8 / 17.1
SE 0.086
22.9
CI 22.7 / 23.1
SE 0.100
25.8
CI 25.6 / 26.0
SE 0.105
25.6
CI 25.4 / 25.8
SE 0.105
24.0
CI 23.8 / 24.2
SE 0.101
16.4
CI 16.2 / 16.6
SE 0.083
2 or more races
6.3
CI 5.7 / 6.9
SE 0.312
6.8
CI 6.2 / 7.5
SE 0.322
11.4
CI 10.6 / 12.2
SE 0.406
14.0
CI 13.1 / 14.9
SE 0.446
15.0
CI 14.1 / 15.9
SE 0.455
16.2
CI 15.3 / 17.2
SE 0.472
11.7
CI 10.9 / 12.5
SE 0.395
Hispanic or Latino
7.5
CI 7.3 / 7.7
SE 0.115
8.8
CI 8.6 / 9.1
SE 0.123
13.1
CI 12.8 / 13.4
SE 0.148
16.0
CI 15.6 / 16.3
SE 0.162
17.3
CI 17.0 / 17.7
SE 0.167
17.6
CI 17.3 / 17.9
SE 0.167
11.8
CI 11.6 / 12.1
SE 0.134
Not Hispanic or Latino
16.1
CI 16.0 / 16.3
SE 0.081
16.9
CI 16.8 / 17.1
SE 0.083
23.2
CI 23.0 / 23.4
SE 0.097
26.6
CI 26.4 / 26.8
SE 0.103
26.6
CI 26.4 / 26.8
SE 0.103
25.3
CI 25.1 / 25.5
SE 0.100
16.9
CI 16.7 / 17.0
SE 0.081
American Indian or Alaska Native only, not Hispanic or Latino
13.8
CI 12.3 / 15.4
SE 0.784
17.7
CI 16.1 / 19.6
SE 0.882
28.1
CI 25.9 / 30.3
SE 1.106
38.7
CI 36.2 / 41.3
SE 1.291
46.9
CI 44.1 / 49.8
SE 1.434
49.4
CI 46.6 / 52.4
SE 1.468
35.5
CI 33.1 / 38.0
SE 1.240
Asian only, not Hispanic or Latino
1.3
CI 1.2 / 1.5
SE 0.082
1.5
CI 1.4 / 1.7
SE 0.087
2.6
CI 2.4 / 2.8
SE 0.114
2.6
CI 2.3 / 2.8
SE 0.112
3.2
CI 2.9 / 3.4
SE 0.122
3.2
CI 3.0 / 3.4
SE 0.122
2.2
CI 2.0 / 2.4
SE 0.097
Native Hawaiian or Other Pacific Islander only, not Hispanic or Latino
4.0
CI 2.5 / 6.3
SE 0.865
2.8
CI 1.7 / 4.7
SE 0.672
6.0
CI 4.3 / 8.4
SE 0.978
9.7
CI 7.4 / 12.6
SE 1.244
8.3
CI 6.3 / 11.0
SE 1.129
15.6
CI 12.8 / 19.0
SE 1.541
10.2
CI 7.9 / 12.9
SE 1.218
Black or African American only, not Hispanic or Latino
14.1
CI 13.7 / 14.5
SE 0.186
17.3
CI 16.9 / 17.7
SE 0.206
26.6
CI 26.1 / 27.1
SE 0.255
33.5
CI 33.0 / 34.1
SE 0.283
36.6
CI 36.0 / 37.2
SE 0.296
37.6
CI 37.0 / 38.2
SE 0.298
22.8
CI 22.4 / 23.3
SE 0.230
White only, not Hispanic or Latino
18.8
CI 18.6 / 19.0
SE 0.103
19.2
CI 19.0 / 19.4
SE 0.104
25.5
CI 25.2 / 25.7
SE 0.121
28.4
CI 28.2 / 28.7
SE 0.127
27.6
CI 27.4 / 27.9
SE 0.125
25.5
CI 25.3 / 25.8
SE 0.120
17.5
CI 17.3 / 17.7
SE 0.099
2 or more races, not Hispanic or Latino
7.0
CI 6.3 / 7.8
SE 0.374
7.3
CI 6.6 / 8.1
SE 0.375
12.2
CI 11.3 / 13.2
SE 0.476
15.0
CI 14.0 / 16.1
SE 0.526
16.2
CI 15.1 / 17.3
SE 0.538
17.1
CI 16.0 / 18.2
SE 0.552
12.8
CI 11.9 / 13.8
SE 0.472

Overdose deaths involving any opioid by Age group, 2018-2024 †
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
<18 years
0.3
CI 0.2 / 0.3
SE 0.019
0.3
CI 0.3 / 0.4
SE 0.021
0.7
CI 0.6 / 0.7
SE 0.031
0.9
CI 0.9 / 1.0
SE 0.035
1.1
CI 1.0 / 1.2
SE 0.039
1.1
CI 1.0 / 1.2
SE 0.039
0.6
CI 0.5 / 0.7
SE 0.029
0-4 years
0.2
CI 0.2 / 0.3
SE 0.033
0.3
CI 0.2 / 0.4
SE 0.039
0.4
CI 0.3 / 0.5
SE 0.047
0.8
CI 0.7 / 0.9
SE 0.064
1.0
CI 0.9 / 1.2
SE 0.075
1.2
CI 1.1 / 1.4
SE 0.081
0.8
CI 0.7 / 1.0
SE 0.066
5-11 years
DSU
0.0
CI 0.0 / 0.1
SE 0.013
0.1
CI 0.0 / 0.1
SE 0.015
0.1
CI 0.0 / 0.1
SE 0.016
0.1
CI 0.1 / 0.1
SE 0.018
0.1
CI 0.1 / 0.1
SE 0.017
0.1
CI 0.0 / 0.1
SE 0.014
12-17 years
0.6
CI 0.5 / 0.7
SE 0.048
0.7
CI 0.6 / 0.8
SE 0.051
1.6
CI 1.4 / 1.7
SE 0.079
1.9
CI 1.8 / 2.1
SE 0.086
2.2
CI 2.0 / 2.4
SE 0.092
2.1
CI 2.0 / 2.3
SE 0.091
1.0
CI 0.9 / 1.2
SE 0.063
18-44 years
23.6
CI 23.3 / 23.9
SE 0.142
24.9
CI 24.6 / 25.2
SE 0.145
35.1
CI 34.8 / 35.5
SE 0.172
39.7
CI 39.3 / 40.1
SE 0.183
38.7
CI 38.4 / 39.1
SE 0.179
36.3
CI 36.0 / 36.7
SE 0.174
23.4
CI 23.1 / 23.6
SE 0.138
18-24 years
11.5
CI 11.1 / 11.9
SE 0.194
11.8
CI 11.5 / 12.2
SE 0.198
18.8
CI 18.3 / 19.3
SE 0.250
19.5
CI 19.0 / 20.0
SE 0.254
16.6
CI 16.2 / 17.1
SE 0.230
14.7
CI 14.3 / 15.2
SE 0.220
8.6
CI 8.3 / 8.9
SE 0.166
25-44 years
27.9
CI 27.5 / 28.2
SE 0.179
29.4
CI 29.0 / 29.7
SE 0.183
40.7
CI 40.3 / 41.1
SE 0.215
46.5
CI 46.1 / 47.0
SE 0.229
46.5
CI 46.1 / 47.0
SE 0.228
43.7
CI 43.2 / 44.1
SE 0.220
28.4
CI 28.1 / 28.7
SE 0.176
45-64 years
20.1
CI 19.8 / 20.4
SE 0.155
21.6
CI 21.3 / 21.9
SE 0.161
28.6
CI 28.3 / 29.0
SE 0.186
34.3
CI 34.0 / 34.7
SE 0.203
36.2
CI 35.8 / 36.6
SE 0.209
36.0
CI 35.6 / 36.4
SE 0.209
24.9
CI 24.5 / 25.2
SE 0.174
45-54 years
23.0
CI 22.5 / 23.4
SE 0.235
24.5
CI 24.0 / 25.0
SE 0.245
32.8
CI 32.3 / 33.4
SE 0.285
38.3
CI 37.7 / 38.9
SE 0.307
39.9
CI 39.3 / 40.5
SE 0.314
39.0
CI 38.4 / 39.6
SE 0.310
26.9
CI 26.4 / 27.4
SE 0.257
55-64 years
17.2
CI 16.8 / 17.6
SE 0.202
18.8
CI 18.4 / 19.2
SE 0.210
24.6
CI 24.2 / 25.1
SE 0.241
30.6
CI 30.0 / 31.1
SE 0.267
32.7
CI 32.1 / 33.2
SE 0.279
33.1
CI 32.5 / 33.6
SE 0.281
22.8
CI 22.4 / 23.3
SE 0.234
65 years and over
3.8
CI 3.7 / 4.0
SE 0.086
4.3
CI 4.1 / 4.5
SE 0.089
5.2
CI 5.0 / 5.4
SE 0.096
6.8
CI 6.6 / 7.0
SE 0.111
7.7
CI 7.5 / 7.9
SE 0.115
8.7
CI 8.4 / 8.9
SE 0.121
7.0
CI 6.8 / 7.2
SE 0.107
65-74 years
5.7
CI 5.4 / 5.9
SE 0.136
6.3
CI 6.0 / 6.6
SE 0.141
7.8
CI 7.5 / 8.2
SE 0.155
10.2
CI 9.8 / 10.5
SE 0.174
11.7
CI 11.4 / 12.1
SE 0.186
13.2
CI 12.9 / 13.6
SE 0.195
10.6
CI 10.2 / 10.9
SE 0.173
75-84 years
1.4
CI 1.3 / 1.6
SE 0.097
1.7
CI 1.5 / 1.9
SE 0.102
1.5
CI 1.4 / 1.7
SE 0.097
1.9
CI 1.7 / 2.2
SE 0.109
2.3
CI 2.1 / 2.5
SE 0.114
2.5
CI 2.3 / 2.8
SE 0.118
2.4
CI 2.2 / 2.6
SE 0.111
85 years and over
0.9
CI 0.7 / 1.2
SE 0.118
1.1
CI 0.9 / 1.4
SE 0.128
1.1
CI 0.9 / 1.4
SE 0.131
1.4
CI 1.1 / 1.7
SE 0.152
1.1
CI 0.9 / 1.4
SE 0.132
1.1
CI 0.9 / 1.4
SE 0.136
1.1
CI 0.8 / 1.3
SE 0.128

Overdose deaths involving any opioid by Educational attainment (25-64 years), 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Educational attainment (25-64 years)
DNA
DNA
DNA
DNA
DNA
DNA
DNA

Overdose deaths involving any opioid by Family income, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Family income
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving any opioid by Health insurance status, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Health insurance status
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving any opioid by Geographic location, 2018-2024 *  1
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Metropolitan
15.0
CI 14.9 / 15.2
SE 0.075
16.0
CI 15.8 / 16.1
SE 0.077
21.9
CI 21.7 / 22.1
SE 0.090
25.0
CI 24.9 / 25.2
SE 0.096
DNA
DNA
DNA
Non-metropolitan
11.6
CI 11.3 / 11.9
SE 0.172
12.3
CI 11.9 / 12.6
SE 0.177
18.1
CI 17.7 / 18.6
SE 0.216
22.6
CI 22.1 / 23.0
SE 0.240
DNA
DNA
DNA

Overdose deaths involving any opioid by Marital status (25 years and over), 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Marital status (25 years and over)
DNA
DNA
DNA
DNA
DNA
DNA
DNA

Overdose deaths involving any opioid by Country of birth, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Country of birth
DNA
DNA
DNA
DNA
DNA
DNA
DNA

Overdose deaths involving any opioid by Veteran status, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Veteran status
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving any opioid by Disability status, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Disability status
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving any opioid by Sexual orientation, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Sexual orientation
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Overdose deaths involving any opioid by Gender identity, 2018-2024 *
(deaths per 100,000 population)
Decrease desired

Population 2018 2019 2020 2021 2022 2023 2024
Gender identity
DNC
DNC
DNC
DNC
DNC
DNC
DNC

Disparity