Data / Rankings / Binge drinking in adults, local model estimate / Counties in Alabama

Counties in Alabama by binge drinking in adults, local model estimate, 2023

Shelby County had the highest binge drinking in adults, local model estimate of 67 counties in 2023, at 16.3%. Greene County had the lowest, at 8.8%. The median was 13.5%. Source: the Centers for Disease Control and Prevention.

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Highest16.3Shelby County
Lowest8.8Greene County
Median13.567 counties

Map of counties, 2023

Autauga County: 14.3 %Baldwin County: 14.6 %Barbour County: 12.4 %Bibb County: 14 %Blount County: 14.5 %Bullock County: 10.6 %Butler County: 11.6 %Calhoun County: 14.3 %Chambers County: 11.8 %Cherokee County: 13.5 %Chilton County: 14.2 %Choctaw County: 11.3 %Clarke County: 11.6 %Clay County: 13.3 %Cleburne County: 14.6 %Coffee County: 14.4 %Colbert County: 14 %Conecuh County: 10.6 %Coosa County: 12 %Covington County: 12.9 %Crenshaw County: 13.4 %Cullman County: 15.3 %Dale County: 13.3 %Dallas County: 10.1 %DeKalb County: 14.1 %Elmore County: 14.8 %Escambia County: 12.9 %Etowah County: 13.9 %Fayette County: 13.7 %Franklin County: 13.7 %Geneva County: 14 %Greene County: 8.8 %Hale County: 11.2 %Henry County: 12.7 %Houston County: 13.3 %Jackson County: 13.9 %Jefferson County: 14.5 %Lamar County: 13.3 %Lauderdale County: 14.6 %Lawrence County: 14 %Lee County: 15.5 %Limestone County: 15.3 %Lowndes County: 9.6 %Macon County: 10.4 %Madison County: 14.6 %Marengo County: 11.5 %Marion County: 13.9 %Marshall County: 14.8 %Mobile County: 13.7 %Monroe County: 11.4 %Montgomery County: 12.2 %Morgan County: 14.3 %Perry County: 9.7 %Pickens County: 12.6 %Pike County: 13.9 %Randolph County: 13.3 %Russell County: 13 %St. Clair County: 15.3 %Shelby County: 16.3 %Sumter County: 10.9 %Talladega County: 13.2 %Tallapoosa County: 12.7 %Tuscaloosa County: 15.6 %Walker County: 13.7 %Washington County: 12.9 %Wilcox County: 9.8 %Winston County: 13.5 %
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%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Shelby County: 16.3 %Shelby County16.3Tuscaloosa County: 15.6 %Tuscaloosa County15.6Lee County: 15.5 %Lee County15.5Cullman County: 15.3 %Cullman County15.3Limestone County: 15.3 %Limestone County15.3St. Clair County: 15.3 %St. Clair County15.3Elmore County: 14.8 %Elmore County14.8Marshall County: 14.8 %Marshall County14.8Baldwin County: 14.6 %Baldwin County14.6Cleburne County: 14.6 %Cleburne County14.6Lauderdale County: 14.6 %Lauderdale County14.6Madison County: 14.6 %Madison County14.6Blount County: 14.5 %Blount County14.5Jefferson County: 14.5 %Jefferson County14.5Coffee County: 14.4 %Coffee County14.4Autauga County: 14.3 %Autauga County14.3Calhoun County: 14.3 %Calhoun County14.3Morgan County: 14.3 %Morgan County14.3Chilton County: 14.2 %Chilton County14.2DeKalb County: 14.1 %DeKalb County14.1Bibb County: 14 %Bibb County14Colbert County: 14 %Colbert County14Geneva County: 14 %Geneva County14Lawrence County: 14 %Lawrence County14Etowah County: 13.9 %Etowah County13.9Jackson County: 13.9 %Jackson County13.9Marion County: 13.9 %Marion County13.9Pike County: 13.9 %Pike County13.9Fayette County: 13.7 %Fayette County13.7Franklin County: 13.7 %Franklin County13.7Mobile County: 13.7 %Mobile County13.7Walker County: 13.7 %Walker County13.7Cherokee County: 13.5 %Cherokee County13.5Winston County: 13.5 %Winston County13.5Crenshaw County: 13.4 %Crenshaw County13.4Clay County: 13.3 %Clay County13.3Dale County: 13.3 %Dale County13.3Houston County: 13.3 %Houston County13.3Lamar County: 13.3 %Lamar County13.3Randolph County: 13.3 %Randolph County13.3Shelby County: 16.3 %Shelby County16.3Tuscaloosa County: 15.6 %Tuscaloosa County15.6Lee County: 15.5 %Lee County15.5Cullman County: 15.3 %Cullman County15.3Limestone County: 15.3 %Limestone County15.3St. Clair County: 15.3 %St. Clair County15.3Elmore County: 14.8 %Elmore County14.8Marshall County: 14.8 %Marshall County14.8Baldwin County: 14.6 %Baldwin County14.6Cleburne County: 14.6 %Cleburne County14.6Lauderdale County: 14.6 %Lauderdale County14.6Madison County: 14.6 %Madison County14.6Blount County: 14.5 %Blount County14.5Jefferson County: 14.5 %Jefferson County14.5Coffee County: 14.4 %Coffee County14.4Autauga County: 14.3 %Autauga County14.3Calhoun County: 14.3 %Calhoun County14.3Morgan County: 14.3 %Morgan County14.3Chilton County: 14.2 %Chilton County14.2DeKalb County: 14.1 %DeKalb County14.1Bibb County: 14 %Bibb County14Colbert County: 14 %Colbert County14Geneva County: 14 %Geneva County14Lawrence County: 14 %Lawrence County14Etowah County: 13.9 %Etowah County13.9Jackson County: 13.9 %Jackson County13.9Marion County: 13.9 %Marion County13.9Pike County: 13.9 %Pike County13.9Fayette County: 13.7 %Fayette County13.7Franklin County: 13.7 %Franklin County13.7Mobile County: 13.7 %Mobile County13.7Walker County: 13.7 %Walker County13.7Cherokee County: 13.5 %Cherokee County13.5Winston County: 13.5 %Winston County13.5Crenshaw County: 13.4 %Crenshaw County13.4Clay County: 13.3 %Clay County13.3Dale County: 13.3 %Dale County13.3Houston County: 13.3 %Houston County13.3Lamar County: 13.3 %Lamar County13.3Randolph County: 13.3 %Randolph County13.3
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Shelby County16.3+0.8 pts
2Tuscaloosa County15.6+0.2 pts
3Lee County15.5-0.5 pts
4Cullman County15.3-0.4 pts
4Limestone County15.30 pts
4St. Clair County15.3-1.1 pts
7Elmore County14.8-0.7 pts
7Marshall County14.8-0.5 pts
9Baldwin County14.6-1.1 pts
9Cleburne County14.6-0.1 pts
9Lauderdale County14.6-0.3 pts
9Madison County14.6-0.8 pts
13Blount County14.5-0.7 pts
13Jefferson County14.5+0.6 pts
15Coffee County14.4-0.9 pts
16Autauga County14.3-1.1 pts
16Calhoun County14.3-0.1 pts
16Morgan County14.3-0.3 pts
19Chilton County14.2-1 pts
20DeKalb County14.1+0.3 pts
21Bibb County14-0.5 pts
21Colbert County14-0.3 pts
21Geneva County14+0.1 pts
21Lawrence County14-0.8 pts
25Etowah County13.9-0.1 pts
25Jackson County13.9-0.4 pts
25Marion County13.9-0.1 pts
25Pike County13.9-0.7 pts
29Fayette County13.7+0.3 pts
29Franklin County13.7-0.6 pts
29Mobile County13.7-0.9 pts
29Walker County13.7-0.1 pts
33Cherokee County13.5-0.7 pts
33Winston County13.5-1.2 pts
35Crenshaw County13.40 pts
36Clay County13.3-0.3 pts
36Dale County13.3-1.1 pts
36Houston County13.30 pts
36Lamar County13.3-0.6 pts
36Randolph County13.3-0.8 pts
41Talladega County13.2-0.1 pts
42Russell County13-0.8 pts
43Covington County12.9-0.4 pts
43Escambia County12.9+0.1 pts
43Washington County12.9-0.1 pts
46Henry County12.7-0.4 pts
46Tallapoosa County12.7-0.6 pts
48Pickens County12.6-0.4 pts
49Barbour County12.4+0.2 pts
50Montgomery County12.2+0.1 pts
51Coosa County12-0.8 pts
52Chambers County11.8-0.8 pts
53Butler County11.6-0.4 pts
53Clarke County11.6-0.8 pts
55Marengo County11.5-0.5 pts
56Monroe County11.4-0.8 pts
57Choctaw County11.3-0.4 pts
58Hale County11.2-0.2 pts
59Sumter County10.9-0.3 pts
60Bullock County10.6-1.1 pts
60Conecuh County10.6-0.8 pts
62Macon County10.4-0.4 pts
63Dallas County10.1-0.5 pts
64Wilcox County9.8-0.4 pts
65Perry County9.7-0.8 pts
66Lowndes County9.6-1.1 pts
67Greene County8.8-0.3 pts

Other periods

About this ranking

Percentage of adults who had 5 or more drinks (men) or 4 or more drinks (women) on at least one occasion in the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence (Counties in Alabama by binge drinking in adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence, Counties in Alabama by binge drinking in adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Counties in Alabama by binge drinking in adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence, Counties in Alabama by binge drinking in adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence: Counties in Alabama by binge drinking in adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence: Counties in Alabama by binge drinking in adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Alabama by binge drinking in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest binge drinking in adults, local model estimate?

Shelby County, with 16.3% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest binge drinking in adults, local model estimate?

Greene County, with 8.8% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Retrieved 2026-10-12.

Binge drinking in adults, local model estimate: other rankings

Counties in Alabama: more rankings