While Asian Americans statistically have one of the lowest reported rates of substance use compared to other racial and ethnic groups in the United States, this narrative does not tell the full story. Recent trends show a concerning rise in alcohol and substance use among Asian American individuals—a shift that demands attention, understanding, and action.

According to data from North Carolina and other parts of the U.S., exposure to substance use disorders (SUDs) within the Asian American community is growing, particularly when it comes to alcohol misuse. This increase is not random; it is deeply connected to a variety of cultural, societal, and mental health stressors that are often overlooked.

The Pressure Beneath the Surface

Many individuals who identify as Asian American face unique pressures that can contribute to substance use:

1. High Expectations and Cultural Pressure

In many Asian cultures, success is not just encouraged—it’s expected. Educational achievement, professional excellence, and family honor are deeply valued, but these high standards can create intense stress. When individuals feel they are falling short, they may turn to substances like alcohol to cope with feelings of inadequacy, failure, or shame.

2. Low-Income and Financial Stress

Despite stereotypes suggesting all Asian Americans are financially stable, many live in low-income or working-class environments. The economic stress of supporting multigenerational households or navigating the cost of living while working multiple jobs can wear down mental resilience. Without proper support systems, substance use may appear to be a form of relief or escape.

3. Mental Health Stigma

Poor mental health—often left untreated due to stigma—plays a major role in substance use. In many AAPI communities, mental health is still a taboo subject. Struggling emotionally may be seen as weakness or something that brings shame to the family. As a result, individuals are less likely to seek professional help and more likely to self-medicate with drugs or alcohol.

The Silent Epidemic

The rise in substance use among Asian Americans is often underreported or overlooked due to a combination of cultural silence, lack of data, and the persistent “model minority” myth. This stereotype inaccurately paints Asian Americans as universally successful and problem-free, further marginalizing those who are struggling and discouraging them from seeking help.

Addressing the Growing Need

It’s crucial that we recognize and respond to the evolving challenges within the Asian American community. Substance use is not a moral failing—it is often a symptom of unseen stress, untreated mental health conditions, and a lack of culturally competent support.

What We Can Do

• Raise awareness about substance use and mental health in the Asian American community.

• Break the stigma by promoting open, honest conversations within families and communities.

• Improve access to culturally sensitive addiction and mental health services.

• Educate providers on the unique needs and challenges faced by Asian American individuals.

• Support prevention programs that empower youth and young adults with coping skills and resources.

Asian American Heritage Month is a time to celebrate cultural pride, resilience, and achievement—but it’s also a time to reflect on the challenges that may remain hidden behind success stories. The rise in substance use among Asian Americans is a wake-up call, not a statistic to ignore.

By acknowledging the stressors, addressing the stigma, and offering support, we can build a healthier future—where no one feels they have to suffer in silence.

Help, healing, and hope should be available to everyone—no matter their background.