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

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

Shelby County had the highest binge drinking in adults, local model estimate of 67 counties in 2021, at 16.1%. Greene County had the lowest, at 9.1%. The median was 13.2%. Source: the Centers for Disease Control and Prevention.

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Highest16.1Shelby County
Lowest9.1Greene County
Median13.267 counties

Map of counties, 2021

Autauga County: 14.4 %Baldwin County: 15.3 %Barbour County: 12 %Bibb County: 14.4 %Blount County: 14.3 %Bullock County: 11.5 %Butler County: 12.1 %Calhoun County: 13 %Chambers County: 12.2 %Cherokee County: 13.3 %Chilton County: 14.3 %Choctaw County: 11.3 %Clarke County: 11.5 %Clay County: 13 %Cleburne County: 13.9 %Coffee County: 14.1 %Colbert County: 13.9 %Conecuh County: 11.2 %Coosa County: 12.5 %Covington County: 12.9 %Crenshaw County: 13 %Cullman County: 15 %Dale County: 14.2 %Dallas County: 10.7 %DeKalb County: 13.6 %Elmore County: 14.6 %Escambia County: 12.5 %Etowah County: 13.5 %Fayette County: 13 %Franklin County: 13.6 %Geneva County: 12.9 %Greene County: 9.1 %Hale County: 11.1 %Henry County: 12.5 %Houston County: 13.2 %Jackson County: 13.4 %Jefferson County: 13.8 %Lamar County: 13.1 %Lauderdale County: 14.5 %Lawrence County: 13.7 %Lee County: 15.2 %Limestone County: 14.6 %Lowndes County: 10.3 %Macon County: 10.9 %Madison County: 13.6 %Marengo County: 11.3 %Marion County: 13.7 %Marshall County: 14.4 %Mobile County: 14.6 %Monroe County: 11.9 %Montgomery County: 13.2 %Morgan County: 13.9 %Perry County: 10.4 %Pickens County: 12.2 %Pike County: 13.5 %Randolph County: 12.8 %Russell County: 13.4 %St. Clair County: 14.2 %Shelby County: 16.1 %Sumter County: 10.9 %Talladega County: 12.9 %Tallapoosa County: 12.6 %Tuscaloosa County: 15.7 %Walker County: 13.4 %Washington County: 12.6 %Wilcox County: 10.2 %Winston County: 13.3 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 and over
%, 2021. 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, 2021

Shelby County: 16.1 %Shelby County16.1Tuscaloosa County: 15.7 %Tuscaloosa County15.7Baldwin County: 15.3 %Baldwin County15.3Lee County: 15.2 %Lee County15.2Cullman County: 15 %Cullman County15Elmore County: 14.6 %Elmore County14.6Limestone County: 14.6 %Limestone County14.6Mobile County: 14.6 %Mobile County14.6Lauderdale County: 14.5 %Lauderdale County14.5Autauga County: 14.4 %Autauga County14.4Bibb County: 14.4 %Bibb County14.4Marshall County: 14.4 %Marshall County14.4Blount County: 14.3 %Blount County14.3Chilton County: 14.3 %Chilton County14.3Dale County: 14.2 %Dale County14.2St. Clair County: 14.2 %St. Clair County14.2Coffee County: 14.1 %Coffee County14.1Cleburne County: 13.9 %Cleburne County13.9Colbert County: 13.9 %Colbert County13.9Morgan County: 13.9 %Morgan County13.9Jefferson County: 13.8 %Jefferson County13.8Lawrence County: 13.7 %Lawrence County13.7Marion County: 13.7 %Marion County13.7DeKalb County: 13.6 %DeKalb County13.6Franklin County: 13.6 %Franklin County13.6Madison County: 13.6 %Madison County13.6Etowah County: 13.5 %Etowah County13.5Pike County: 13.5 %Pike County13.5Jackson County: 13.4 %Jackson County13.4Russell County: 13.4 %Russell County13.4Walker County: 13.4 %Walker County13.4Cherokee County: 13.3 %Cherokee County13.3Winston County: 13.3 %Winston County13.3Houston County: 13.2 %Houston County13.2Montgomery County: 13.2 %Montgomery County13.2Lamar County: 13.1 %Lamar County13.1Calhoun County: 13 %Calhoun County13Clay County: 13 %Clay County13Crenshaw County: 13 %Crenshaw County13Fayette County: 13 %Fayette County13Shelby County: 16.1 %Shelby County16.1Tuscaloosa County: 15.7 %Tuscaloosa County15.7Baldwin County: 15.3 %Baldwin County15.3Lee County: 15.2 %Lee County15.2Cullman County: 15 %Cullman County15Elmore County: 14.6 %Elmore County14.6Limestone County: 14.6 %Limestone County14.6Mobile County: 14.6 %Mobile County14.6Lauderdale County: 14.5 %Lauderdale County14.5Autauga County: 14.4 %Autauga County14.4Bibb County: 14.4 %Bibb County14.4Marshall County: 14.4 %Marshall County14.4Blount County: 14.3 %Blount County14.3Chilton County: 14.3 %Chilton County14.3Dale County: 14.2 %Dale County14.2St. Clair County: 14.2 %St. Clair County14.2Coffee County: 14.1 %Coffee County14.1Cleburne County: 13.9 %Cleburne County13.9Colbert County: 13.9 %Colbert County13.9Morgan County: 13.9 %Morgan County13.9Jefferson County: 13.8 %Jefferson County13.8Lawrence County: 13.7 %Lawrence County13.7Marion County: 13.7 %Marion County13.7DeKalb County: 13.6 %DeKalb County13.6Franklin County: 13.6 %Franklin County13.6Madison County: 13.6 %Madison County13.6Etowah County: 13.5 %Etowah County13.5Pike County: 13.5 %Pike County13.5Jackson County: 13.4 %Jackson County13.4Russell County: 13.4 %Russell County13.4Walker County: 13.4 %Walker County13.4Cherokee County: 13.3 %Cherokee County13.3Winston County: 13.3 %Winston County13.3Houston County: 13.2 %Houston County13.2Montgomery County: 13.2 %Montgomery County13.2Lamar County: 13.1 %Lamar County13.1Calhoun County: 13 %Calhoun County13Clay County: 13 %Clay County13Crenshaw County: 13 %Crenshaw County13Fayette County: 13 %Fayette County13
%. 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

RankCounties2021 (%)
1Shelby County16.1
2Tuscaloosa County15.7
3Baldwin County15.3
4Lee County15.2
5Cullman County15
6Elmore County14.6
6Limestone County14.6
6Mobile County14.6
9Lauderdale County14.5
10Autauga County14.4
10Bibb County14.4
10Marshall County14.4
13Blount County14.3
13Chilton County14.3
15Dale County14.2
15St. Clair County14.2
17Coffee County14.1
18Cleburne County13.9
18Colbert County13.9
18Morgan County13.9
21Jefferson County13.8
22Lawrence County13.7
22Marion County13.7
24DeKalb County13.6
24Franklin County13.6
24Madison County13.6
27Etowah County13.5
27Pike County13.5
29Jackson County13.4
29Russell County13.4
29Walker County13.4
32Cherokee County13.3
32Winston County13.3
34Houston County13.2
34Montgomery County13.2
36Lamar County13.1
37Calhoun County13
37Clay County13
37Crenshaw County13
37Fayette County13
41Covington County12.9
41Geneva County12.9
41Talladega County12.9
44Randolph County12.8
45Tallapoosa County12.6
45Washington County12.6
47Coosa County12.5
47Escambia County12.5
47Henry County12.5
50Chambers County12.2
50Pickens County12.2
52Butler County12.1
53Barbour County12
54Monroe County11.9
55Bullock County11.5
55Clarke County11.5
57Choctaw County11.3
57Marengo County11.3
59Conecuh County11.2
60Hale County11.1
61Macon County10.9
61Sumter County10.9
63Dallas County10.7
64Perry County10.4
65Lowndes County10.3
66Wilcox County10.2
67Greene County9.1

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties?period=2021.
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.
rank_places {"indicator":"adult_binge_drinking_rate_modelled","level":"province","within":"Alabama","limit":10}
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Questions

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

Shelby County, with 16.1% in 2021, according to the Centers for Disease Control and Prevention.

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

Greene County, with 9.1% in 2021.

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