A survey of 17 countries has found that the United States has the highest levels of illegal cocaine and cannabis use. The study, by Louisa Degenhardt (University of New South Wales, Sydney, Australia) and colleagues, is based on the World Health Organization's Composite International Diagnostic Interview (CIDI) and is published in this week's PLoS Medicine.
The authors found that 16.2% of people in the United States had used cocaine in their lifetime, a level much higher than any other country surveyed (the second highest level of cocaine use was in New Zealand, where 4.3% of people reported having used cocaine). Cannabis use was highest in the US (42.4%), followed by New Zealand (41.9%).
The study's main limitations are that it's a survey (it is unclear whether people accurately report their drug use when interviewed), only 17 countries were included and within those countries there were different rates of participation.