Can only speak from experience. I grew up in the Seattle area. Even back in the early 90s it sucked and downtown was infested with homeless, junkies, and homeless junkies. Outside of Seattle and Tacoma where I lived it was fine. But those areas sucked. As an adult I lived in New Mexico for about 6 years. That was the worst place I've ever lived. The closer you to to large population centers the worse it got. Lots of alcoholics and meth addicts, scammers and grifters. The alcoholism alone was far worse than anything I've seen anywhere else.
Now I've lived in Nevada since 2018. Better job market than anywhere I've ever lived. The city itself is terrible to live in. First year here I had an apartment blocks from downtown. The neighbors across the way were obviously running a drug operation out of their apartment. I regularly saw homeless bums pushing carts around panhandling. When you drive around you see little tent cities and shanty towns. There are neighborhoods where half the businesses are shut down and boarded up. I went through 3 sets of locks in one year. Neighborhood low lives case out when you come and go. Realized I'm working long shifts and kept breaking in while I'm gone 12 hours a day. Saw the cops in my complex or my neighborhood responding to calls often. Encountered 2 high speed police chases while driving to and from work. A coworker had his door kicked in, in the middle of the night. Obvious prostitutes roaming around with obvious John's.
Now I live in a house out in the suburbs, so I don't have to deal with that as much. The city is an absolute grimy shithole though.