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

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

Story County had the highest binge drinking in adults, local model estimate of 99 counties in 2023, at 23.9%. Jefferson County had the lowest, at 17.2%. The median was 19.4%. Source: the Centers for Disease Control and Prevention.

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Highest23.9Story County
Lowest17.2Jefferson County
Median19.499 counties

Map of counties, 2023

Adair County: 18.8 %Adams County: 18.1 %Allamakee County: 18.5 %Appanoose County: 17.8 %Audubon County: 18.1 %Benton County: 20.3 %Black Hawk County: 20.9 %Boone County: 20.9 %Bremer County: 21.3 %Buchanan County: 21.4 %Buena Vista County: 17.5 %Butler County: 20.4 %Calhoun County: 19.2 %Carroll County: 19.7 %Cass County: 18 %Cedar County: 20.1 %Cerro Gordo County: 19.2 %Cherokee County: 17.7 %Chickasaw County: 20.1 %Clarke County: 18.7 %Clay County: 19.1 %Clayton County: 18.7 %Clinton County: 20.2 %Crawford County: 18.9 %Dallas County: 21.7 %Davis County: 19.4 %Decatur County: 19.2 %Delaware County: 18.9 %Des Moines County: 19.4 %Dickinson County: 17.7 %Dubuque County: 20.9 %Emmet County: 19.4 %Fayette County: 19.8 %Floyd County: 18.4 %Franklin County: 18.2 %Fremont County: 18.5 %Greene County: 18.4 %Grundy County: 19.9 %Guthrie County: 19 %Hamilton County: 19.2 %Hancock County: 19.5 %Hardin County: 19.4 %Harrison County: 20 %Henry County: 19.7 %Howard County: 19.3 %Humboldt County: 19.1 %Ida County: 19.6 %Iowa County: 19.6 %Jackson County: 20 %Jasper County: 19.7 %Jefferson County: 17.2 %Johnson County: 23 %Jones County: 20.4 %Keokuk County: 19 %Kossuth County: 18.7 %Lee County: 18.1 %Linn County: 20.4 %Louisa County: 18.6 %Lucas County: 18.5 %Lyon County: 23.5 %Madison County: 21.1 %Mahaska County: 19.6 %Marion County: 20.8 %Marshall County: 19.7 %Mills County: 20 %Mitchell County: 19.7 %Monona County: 17.9 %Monroe County: 19.9 %Montgomery County: 18.7 %Muscatine County: 20.7 %O'Brien County: 19 %Osceola County: 17.9 %Page County: 18.5 %Palo Alto County: 19.7 %Plymouth County: 20.9 %Pocahontas County: 18.3 %Polk County: 20.9 %Pottawattamie County: 20.4 %Poweshiek County: 18.9 %Ringgold County: 19.3 %Sac County: 19 %Scott County: 21.2 %Shelby County: 19.1 %Sioux County: 20.7 %Story County: 23.9 %Tama County: 18.6 %Taylor County: 18.8 %Union County: 19 %Van Buren County: 18.3 %Wapello County: 18.5 %Warren County: 21.8 %Washington County: 20.1 %Wayne County: 18.4 %Webster County: 20.8 %Winnebago County: 19.7 %Winneshiek County: 19.6 %Woodbury County: 19.8 %Worth County: 19.1 %Wright County: 18.8 %
  • Under 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 and over
%, 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

Story County: 23.9 %Story County23.9Lyon County: 23.5 %Lyon County23.5Johnson County: 23 %Johnson County23Warren County: 21.8 %Warren County21.8Dallas County: 21.7 %Dallas County21.7Buchanan County: 21.4 %Buchanan County21.4Bremer County: 21.3 %Bremer County21.3Scott County: 21.2 %Scott County21.2Madison County: 21.1 %Madison County21.1Black Hawk County: 20.9 %Black Hawk County20.9Boone County: 20.9 %Boone County20.9Dubuque County: 20.9 %Dubuque County20.9Plymouth County: 20.9 %Plymouth County20.9Polk County: 20.9 %Polk County20.9Marion County: 20.8 %Marion County20.8Webster County: 20.8 %Webster County20.8Muscatine County: 20.7 %Muscatine County20.7Sioux County: 20.7 %Sioux County20.7Butler County: 20.4 %Butler County20.4Jones County: 20.4 %Jones County20.4Linn County: 20.4 %Linn County20.4Pottawattamie County: 20.4 %Pottawattamie County20.4Benton County: 20.3 %Benton County20.3Clinton County: 20.2 %Clinton County20.2Cedar County: 20.1 %Cedar County20.1Chickasaw County: 20.1 %Chickasaw County20.1Washington County: 20.1 %Washington County20.1Harrison County: 20 %Harrison County20Jackson County: 20 %Jackson County20Mills County: 20 %Mills County20Grundy County: 19.9 %Grundy County19.9Monroe County: 19.9 %Monroe County19.9Fayette County: 19.8 %Fayette County19.8Woodbury County: 19.8 %Woodbury County19.8Carroll County: 19.7 %Carroll County19.7Henry County: 19.7 %Henry County19.7Jasper County: 19.7 %Jasper County19.7Marshall County: 19.7 %Marshall County19.7Mitchell County: 19.7 %Mitchell County19.7Palo Alto County: 19.7 %Palo Alto County19.7Story County: 23.9 %Story County23.9Lyon County: 23.5 %Lyon County23.5Johnson County: 23 %Johnson County23Warren County: 21.8 %Warren County21.8Dallas County: 21.7 %Dallas County21.7Buchanan County: 21.4 %Buchanan County21.4Bremer County: 21.3 %Bremer County21.3Scott County: 21.2 %Scott County21.2Madison County: 21.1 %Madison County21.1Black Hawk County: 20.9 %Black Hawk County20.9Boone County: 20.9 %Boone County20.9Dubuque County: 20.9 %Dubuque County20.9Plymouth County: 20.9 %Plymouth County20.9Polk County: 20.9 %Polk County20.9Marion County: 20.8 %Marion County20.8Webster County: 20.8 %Webster County20.8Muscatine County: 20.7 %Muscatine County20.7Sioux County: 20.7 %Sioux County20.7Butler County: 20.4 %Butler County20.4Jones County: 20.4 %Jones County20.4Linn County: 20.4 %Linn County20.4Pottawattamie County: 20.4 %Pottawattamie County20.4Benton County: 20.3 %Benton County20.3Clinton County: 20.2 %Clinton County20.2Cedar County: 20.1 %Cedar County20.1Chickasaw County: 20.1 %Chickasaw County20.1Washington County: 20.1 %Washington County20.1Harrison County: 20 %Harrison County20Jackson County: 20 %Jackson County20Mills County: 20 %Mills County20Grundy County: 19.9 %Grundy County19.9Monroe County: 19.9 %Monroe County19.9Fayette County: 19.8 %Fayette County19.8Woodbury County: 19.8 %Woodbury County19.8Carroll County: 19.7 %Carroll County19.7Henry County: 19.7 %Henry County19.7Jasper County: 19.7 %Jasper County19.7Marshall County: 19.7 %Marshall County19.7Mitchell County: 19.7 %Mitchell County19.7Palo Alto County: 19.7 %Palo Alto County19.7
%. 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
1Story County23.90 pts
2Lyon County23.5+1.4 pts
3Johnson County23-2.7 pts
4Warren County21.8-0.7 pts
5Dallas County21.7-2.5 pts
6Buchanan County21.4-3.2 pts
7Bremer County21.3-0.6 pts
8Scott County21.2-0.1 pts
9Madison County21.1-1.2 pts
10Black Hawk County20.9-0.5 pts
10Boone County20.9-1.2 pts
10Dubuque County20.9-1.1 pts
10Plymouth County20.9-1.7 pts
10Polk County20.9-1.4 pts
15Marion County20.8-1.6 pts
15Webster County20.8-1 pts
17Muscatine County20.7-2.5 pts
17Sioux County20.7-1 pts
19Butler County20.4+0.3 pts
19Jones County20.4-0.6 pts
19Linn County20.4-1 pts
19Pottawattamie County20.4-1.4 pts
23Benton County20.3-2.2 pts
24Clinton County20.2-0.8 pts
25Cedar County20.1-1.8 pts
25Chickasaw County20.1-0.4 pts
25Washington County20.1-1 pts
28Harrison County20-1 pts
28Jackson County20+0.4 pts
28Mills County20-1.4 pts
31Grundy County19.9-2.6 pts
31Monroe County19.9-1.5 pts
33Fayette County19.8-0.7 pts
33Woodbury County19.8-3.1 pts
35Carroll County19.7-1.4 pts
35Henry County19.7-1.7 pts
35Jasper County19.7-1.2 pts
35Marshall County19.7-0.9 pts
35Mitchell County19.7-1.1 pts
35Palo Alto County19.7-1.8 pts
35Winnebago County19.7-1 pts
42Ida County19.6-1 pts
42Iowa County19.6-1.9 pts
42Mahaska County19.6-1.1 pts
42Winneshiek County19.6-2.7 pts
46Hancock County19.5-0.5 pts
47Davis County19.4-1.6 pts
47Des Moines County19.4+0.3 pts
47Emmet County19.4-1.3 pts
47Hardin County19.4-1.9 pts
51Howard County19.3-1.6 pts
51Ringgold County19.3-0.7 pts
53Calhoun County19.2-1.6 pts
53Cerro Gordo County19.2-0.1 pts
53Decatur County19.2-0.7 pts
53Hamilton County19.2-1.1 pts
57Clay County19.1-2.1 pts
57Humboldt County19.1-0.6 pts
57Shelby County19.1-1.2 pts
57Worth County19.1-1.8 pts
61Guthrie County19-1.8 pts
61Keokuk County19-1.2 pts
61O'Brien County19-0.8 pts
61Sac County19-2.2 pts
61Union County19-1.2 pts
66Crawford County18.9-1.3 pts
66Delaware County18.9-2.5 pts
66Poweshiek County18.9-1.7 pts
69Adair County18.8-1.2 pts
69Taylor County18.8-1.4 pts
69Wright County18.8-0.4 pts
72Clarke County18.7-0.7 pts
72Clayton County18.7-0.9 pts
72Kossuth County18.7-0.8 pts
72Montgomery County18.7-0.6 pts
76Louisa County18.6-4.4 pts
76Tama County18.6-1.3 pts
78Allamakee County18.5-0.7 pts
78Fremont County18.5-1.5 pts
78Lucas County18.5-0.8 pts
78Page County18.5-1.1 pts
78Wapello County18.5-0.3 pts
83Floyd County18.4-1.3 pts
83Greene County18.4-0.7 pts
83Wayne County18.4-1.2 pts
86Pocahontas County18.3-1.5 pts
86Van Buren County18.3-0.9 pts
88Franklin County18.2-1.4 pts
89Adams County18.1-1.7 pts
89Audubon County18.1-2.2 pts
89Lee County18.1-1.7 pts
92Cass County18-1.1 pts
93Monona County17.9-1.1 pts
93Osceola County17.9-1.4 pts
95Appanoose County17.8-1.1 pts
96Cherokee County17.7-2.6 pts
96Dickinson County17.7-2.3 pts
98Buena Vista County17.5-1.3 pts
99Jefferson County17.2-1.2 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 Iowa 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 Iowa 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/iowa-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 Iowa 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/iowa-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 Iowa 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/iowa-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_iowa_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 Iowa 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/iowa-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 Iowa 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/iowa-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/iowa-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 Iowa 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?

Story County, with 23.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Jefferson County, with 17.2% 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 Iowa: more rankings