Michigan’s drug problem continues to get worse, according to a study released by the personal finance website Wallethub.

In a data crunch released on Monday, May 13, Wallethub says Michigan is the state with the second-highest rate of drug use. That’s two spots higher than in 2018 when it climbed to fourth, and eight spots higher than in 2017 when Wallethub ranked Michigan 10th.

The study compared the 50 states and the District of Columbia across 20 key metrics, including arrest and overdose rates, opioid prescriptions and meth-lab incidents per capita.

Washington D.C. was the only spot that ranked higher than Michigan. It’s the third straight year the nation’s capital has topped the list.

And while the ranking is not an exact science, it’s a concerning trend for Michigan.

Michigan has more annual opioid prescriptions than people

Michigan ranked in the top 15 in all three cumulative categories: third in drug use and addiction, seventh in drug health issues and rehab and fourteenth in law enforcement.

Drug use and addiction considered metrics such as the share of teenagers who have recently used illicit drugs or tried marijuana before age 13, overdose deaths and opioid pain reliever prescriptions per 100 people, among others.

Law enforcement includes the number of arrests per capita, number of drug arrests on college campuses per 1,000 students and prescription drug monitoring laws.

The drug health issues and rehab category examines several factors related to drug treatment programs and access to them.

Minnesota, Hawaii, Iowa, Kansas and North Dakota are the states with the lowest rates of drug use, according to Wallethub.

You can read the entire study here.