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

St. Clair County had the highest binge drinking in adults, local model estimate of 67 counties in 2022, at 16.4%. Greene County had the lowest, at 9.1%. The median was 13.9%. Source: the Centers for Disease Control and Prevention.

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Highest16.4St. Clair County
Lowest9.1Greene County
Median13.967 counties

Map of counties, 2022

Autauga County: 15.4 %Baldwin County: 15.7 %Barbour County: 12.2 %Bibb County: 14.5 %Blount County: 15.2 %Bullock County: 11.7 %Butler County: 12 %Calhoun County: 14.4 %Chambers County: 12.6 %Cherokee County: 14.2 %Chilton County: 15.2 %Choctaw County: 11.7 %Clarke County: 12.4 %Clay County: 13.6 %Cleburne County: 14.7 %Coffee County: 15.3 %Colbert County: 14.3 %Conecuh County: 11.4 %Coosa County: 12.8 %Covington County: 13.3 %Crenshaw County: 13.4 %Cullman County: 15.7 %Dale County: 14.4 %Dallas County: 10.6 %DeKalb County: 13.8 %Elmore County: 15.5 %Escambia County: 12.8 %Etowah County: 14 %Fayette County: 13.4 %Franklin County: 14.3 %Geneva County: 13.9 %Greene County: 9.1 %Hale County: 11.4 %Henry County: 13.1 %Houston County: 13.3 %Jackson County: 14.3 %Jefferson County: 13.9 %Lamar County: 13.9 %Lauderdale County: 14.9 %Lawrence County: 14.8 %Lee County: 16 %Limestone County: 15.3 %Lowndes County: 10.7 %Macon County: 10.8 %Madison County: 15.4 %Marengo County: 12 %Marion County: 14 %Marshall County: 15.3 %Mobile County: 14.6 %Monroe County: 12.2 %Montgomery County: 12.1 %Morgan County: 14.6 %Perry County: 10.5 %Pickens County: 13 %Pike County: 14.6 %Randolph County: 14.1 %Russell County: 13.8 %St. Clair County: 16.4 %Shelby County: 15.5 %Sumter County: 11.2 %Talladega County: 13.3 %Tallapoosa County: 13.3 %Tuscaloosa County: 15.4 %Walker County: 13.8 %Washington County: 13 %Wilcox County: 10.2 %Winston County: 14.7 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 and over
%, 2022. 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, 2022

St. Clair County: 16.4 %St. Clair County16.4Lee County: 16 %Lee County16Baldwin County: 15.7 %Baldwin County15.7Cullman County: 15.7 %Cullman County15.7Elmore County: 15.5 %Elmore County15.5Shelby County: 15.5 %Shelby County15.5Autauga County: 15.4 %Autauga County15.4Madison County: 15.4 %Madison County15.4Tuscaloosa County: 15.4 %Tuscaloosa County15.4Coffee County: 15.3 %Coffee County15.3Limestone County: 15.3 %Limestone County15.3Marshall County: 15.3 %Marshall County15.3Blount County: 15.2 %Blount County15.2Chilton County: 15.2 %Chilton County15.2Lauderdale County: 14.9 %Lauderdale County14.9Lawrence County: 14.8 %Lawrence County14.8Cleburne County: 14.7 %Cleburne County14.7Winston County: 14.7 %Winston County14.7Mobile County: 14.6 %Mobile County14.6Morgan County: 14.6 %Morgan County14.6Pike County: 14.6 %Pike County14.6Bibb County: 14.5 %Bibb County14.5Calhoun County: 14.4 %Calhoun County14.4Dale County: 14.4 %Dale County14.4Colbert County: 14.3 %Colbert County14.3Franklin County: 14.3 %Franklin County14.3Jackson County: 14.3 %Jackson County14.3Cherokee County: 14.2 %Cherokee County14.2Randolph County: 14.1 %Randolph County14.1Etowah County: 14 %Etowah County14Marion County: 14 %Marion County14Geneva County: 13.9 %Geneva County13.9Jefferson County: 13.9 %Jefferson County13.9Lamar County: 13.9 %Lamar County13.9DeKalb County: 13.8 %DeKalb County13.8Russell County: 13.8 %Russell County13.8Walker County: 13.8 %Walker County13.8Clay County: 13.6 %Clay County13.6Crenshaw County: 13.4 %Crenshaw County13.4Fayette County: 13.4 %Fayette County13.4St. Clair County: 16.4 %St. Clair County16.4Lee County: 16 %Lee County16Baldwin County: 15.7 %Baldwin County15.7Cullman County: 15.7 %Cullman County15.7Elmore County: 15.5 %Elmore County15.5Shelby County: 15.5 %Shelby County15.5Autauga County: 15.4 %Autauga County15.4Madison County: 15.4 %Madison County15.4Tuscaloosa County: 15.4 %Tuscaloosa County15.4Coffee County: 15.3 %Coffee County15.3Limestone County: 15.3 %Limestone County15.3Marshall County: 15.3 %Marshall County15.3Blount County: 15.2 %Blount County15.2Chilton County: 15.2 %Chilton County15.2Lauderdale County: 14.9 %Lauderdale County14.9Lawrence County: 14.8 %Lawrence County14.8Cleburne County: 14.7 %Cleburne County14.7Winston County: 14.7 %Winston County14.7Mobile County: 14.6 %Mobile County14.6Morgan County: 14.6 %Morgan County14.6Pike County: 14.6 %Pike County14.6Bibb County: 14.5 %Bibb County14.5Calhoun County: 14.4 %Calhoun County14.4Dale County: 14.4 %Dale County14.4Colbert County: 14.3 %Colbert County14.3Franklin County: 14.3 %Franklin County14.3Jackson County: 14.3 %Jackson County14.3Cherokee County: 14.2 %Cherokee County14.2Randolph County: 14.1 %Randolph County14.1Etowah County: 14 %Etowah County14Marion County: 14 %Marion County14Geneva County: 13.9 %Geneva County13.9Jefferson County: 13.9 %Jefferson County13.9Lamar County: 13.9 %Lamar County13.9DeKalb County: 13.8 %DeKalb County13.8Russell County: 13.8 %Russell County13.8Walker County: 13.8 %Walker County13.8Clay County: 13.6 %Clay County13.6Crenshaw County: 13.4 %Crenshaw County13.4Fayette County: 13.4 %Fayette County13.4
%. 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

RankCounties2022 (%)Change on 2021
1St. Clair County16.4+2.2 pts
2Lee County16+0.8 pts
3Baldwin County15.7+0.4 pts
3Cullman County15.7+0.7 pts
5Elmore County15.5+0.9 pts
5Shelby County15.5-0.6 pts
7Autauga County15.4+1 pts
7Madison County15.4+1.8 pts
7Tuscaloosa County15.4-0.3 pts
10Coffee County15.3+1.2 pts
10Limestone County15.3+0.7 pts
10Marshall County15.3+0.9 pts
13Blount County15.2+0.9 pts
13Chilton County15.2+0.9 pts
15Lauderdale County14.9+0.4 pts
16Lawrence County14.8+1.1 pts
17Cleburne County14.7+0.8 pts
17Winston County14.7+1.4 pts
19Mobile County14.60 pts
19Morgan County14.6+0.7 pts
19Pike County14.6+1.1 pts
22Bibb County14.5+0.1 pts
23Calhoun County14.4+1.4 pts
23Dale County14.4+0.2 pts
25Colbert County14.3+0.4 pts
25Franklin County14.3+0.7 pts
25Jackson County14.3+0.9 pts
28Cherokee County14.2+0.9 pts
29Randolph County14.1+1.3 pts
30Etowah County14+0.5 pts
30Marion County14+0.3 pts
32Geneva County13.9+1 pts
32Jefferson County13.9+0.1 pts
32Lamar County13.9+0.8 pts
35DeKalb County13.8+0.2 pts
35Russell County13.8+0.4 pts
35Walker County13.8+0.4 pts
38Clay County13.6+0.6 pts
39Crenshaw County13.4+0.4 pts
39Fayette County13.4+0.4 pts
41Covington County13.3+0.4 pts
41Houston County13.3+0.1 pts
41Talladega County13.3+0.4 pts
41Tallapoosa County13.3+0.7 pts
45Henry County13.1+0.6 pts
46Pickens County13+0.8 pts
46Washington County13+0.4 pts
48Coosa County12.8+0.3 pts
48Escambia County12.8+0.3 pts
50Chambers County12.6+0.4 pts
51Clarke County12.4+0.9 pts
52Barbour County12.2+0.2 pts
52Monroe County12.2+0.3 pts
54Montgomery County12.1-1.1 pts
55Butler County12-0.1 pts
55Marengo County12+0.7 pts
57Bullock County11.7+0.2 pts
57Choctaw County11.7+0.4 pts
59Conecuh County11.4+0.2 pts
59Hale County11.4+0.3 pts
61Sumter County11.2+0.3 pts
62Macon County10.8-0.1 pts
63Lowndes County10.7+0.4 pts
64Dallas County10.6-0.1 pts
65Perry County10.5+0.1 pts
66Wilcox County10.20 pts
67Greene County9.10 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, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2022,
  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, 2022}},
  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=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/alabama-counties?period=2022.
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?

St. Clair County, with 16.4% in 2022, 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 2022.

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