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

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

Johnson County had the highest binge drinking in adults, local model estimate of 99 counties in 2022, at 25.7%. Jefferson County had the lowest, at 18.4%. The median was 20.7%. Source: the Centers for Disease Control and Prevention.

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Highest25.7Johnson County
Lowest18.4Jefferson County
Median20.799 counties

Map of counties, 2022

Adair County: 20 %Adams County: 19.8 %Allamakee County: 19.2 %Appanoose County: 18.9 %Audubon County: 20.3 %Benton County: 22.5 %Black Hawk County: 21.4 %Boone County: 22.1 %Bremer County: 21.9 %Buchanan County: 24.6 %Buena Vista County: 18.8 %Butler County: 20.1 %Calhoun County: 20.8 %Carroll County: 21.1 %Cass County: 19.1 %Cedar County: 21.9 %Cerro Gordo County: 19.3 %Cherokee County: 20.3 %Chickasaw County: 20.5 %Clarke County: 19.4 %Clay County: 21.2 %Clayton County: 19.6 %Clinton County: 21 %Crawford County: 20.2 %Dallas County: 24.2 %Davis County: 21 %Decatur County: 19.9 %Delaware County: 21.4 %Des Moines County: 19.1 %Dickinson County: 20 %Dubuque County: 22 %Emmet County: 20.7 %Fayette County: 20.5 %Floyd County: 19.7 %Franklin County: 19.6 %Fremont County: 20 %Greene County: 19.1 %Grundy County: 22.5 %Guthrie County: 20.8 %Hamilton County: 20.3 %Hancock County: 20 %Hardin County: 21.3 %Harrison County: 21 %Henry County: 21.4 %Howard County: 20.9 %Humboldt County: 19.7 %Ida County: 20.6 %Iowa County: 21.5 %Jackson County: 19.6 %Jasper County: 20.9 %Jefferson County: 18.4 %Johnson County: 25.7 %Jones County: 21 %Keokuk County: 20.2 %Kossuth County: 19.5 %Lee County: 19.8 %Linn County: 21.4 %Louisa County: 23 %Lucas County: 19.3 %Lyon County: 22.1 %Madison County: 22.3 %Mahaska County: 20.7 %Marion County: 22.4 %Marshall County: 20.6 %Mills County: 21.4 %Mitchell County: 20.8 %Monona County: 19 %Monroe County: 21.4 %Montgomery County: 19.3 %Muscatine County: 23.2 %O'Brien County: 19.8 %Osceola County: 19.3 %Page County: 19.6 %Palo Alto County: 21.5 %Plymouth County: 22.6 %Pocahontas County: 19.8 %Polk County: 22.3 %Pottawattamie County: 21.8 %Poweshiek County: 20.6 %Ringgold County: 20 %Sac County: 21.2 %Scott County: 21.3 %Shelby County: 20.3 %Sioux County: 21.7 %Story County: 23.9 %Tama County: 19.9 %Taylor County: 20.2 %Union County: 20.2 %Van Buren County: 19.2 %Wapello County: 18.8 %Warren County: 22.5 %Washington County: 21.1 %Wayne County: 19.6 %Webster County: 21.8 %Winnebago County: 20.7 %Winneshiek County: 22.3 %Woodbury County: 22.9 %Worth County: 20.9 %Wright County: 19.2 %
  • Under 20
  • 20 to 21
  • 21 to 22
  • 22 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

Johnson County: 25.7 %Johnson County25.7Buchanan County: 24.6 %Buchanan County24.6Dallas County: 24.2 %Dallas County24.2Story County: 23.9 %Story County23.9Muscatine County: 23.2 %Muscatine County23.2Louisa County: 23 %Louisa County23Woodbury County: 22.9 %Woodbury County22.9Plymouth County: 22.6 %Plymouth County22.6Benton County: 22.5 %Benton County22.5Grundy County: 22.5 %Grundy County22.5Warren County: 22.5 %Warren County22.5Marion County: 22.4 %Marion County22.4Madison County: 22.3 %Madison County22.3Polk County: 22.3 %Polk County22.3Winneshiek County: 22.3 %Winneshiek County22.3Boone County: 22.1 %Boone County22.1Lyon County: 22.1 %Lyon County22.1Dubuque County: 22 %Dubuque County22Bremer County: 21.9 %Bremer County21.9Cedar County: 21.9 %Cedar County21.9Pottawattamie County: 21.8 %Pottawattamie County21.8Webster County: 21.8 %Webster County21.8Sioux County: 21.7 %Sioux County21.7Iowa County: 21.5 %Iowa County21.5Palo Alto County: 21.5 %Palo Alto County21.5Black Hawk County: 21.4 %Black Hawk County21.4Delaware County: 21.4 %Delaware County21.4Henry County: 21.4 %Henry County21.4Linn County: 21.4 %Linn County21.4Mills County: 21.4 %Mills County21.4Monroe County: 21.4 %Monroe County21.4Hardin County: 21.3 %Hardin County21.3Scott County: 21.3 %Scott County21.3Clay County: 21.2 %Clay County21.2Sac County: 21.2 %Sac County21.2Carroll County: 21.1 %Carroll County21.1Washington County: 21.1 %Washington County21.1Clinton County: 21 %Clinton County21Davis County: 21 %Davis County21Harrison County: 21 %Harrison County21Johnson County: 25.7 %Johnson County25.7Buchanan County: 24.6 %Buchanan County24.6Dallas County: 24.2 %Dallas County24.2Story County: 23.9 %Story County23.9Muscatine County: 23.2 %Muscatine County23.2Louisa County: 23 %Louisa County23Woodbury County: 22.9 %Woodbury County22.9Plymouth County: 22.6 %Plymouth County22.6Benton County: 22.5 %Benton County22.5Grundy County: 22.5 %Grundy County22.5Warren County: 22.5 %Warren County22.5Marion County: 22.4 %Marion County22.4Madison County: 22.3 %Madison County22.3Polk County: 22.3 %Polk County22.3Winneshiek County: 22.3 %Winneshiek County22.3Boone County: 22.1 %Boone County22.1Lyon County: 22.1 %Lyon County22.1Dubuque County: 22 %Dubuque County22Bremer County: 21.9 %Bremer County21.9Cedar County: 21.9 %Cedar County21.9Pottawattamie County: 21.8 %Pottawattamie County21.8Webster County: 21.8 %Webster County21.8Sioux County: 21.7 %Sioux County21.7Iowa County: 21.5 %Iowa County21.5Palo Alto County: 21.5 %Palo Alto County21.5Black Hawk County: 21.4 %Black Hawk County21.4Delaware County: 21.4 %Delaware County21.4Henry County: 21.4 %Henry County21.4Linn County: 21.4 %Linn County21.4Mills County: 21.4 %Mills County21.4Monroe County: 21.4 %Monroe County21.4Hardin County: 21.3 %Hardin County21.3Scott County: 21.3 %Scott County21.3Clay County: 21.2 %Clay County21.2Sac County: 21.2 %Sac County21.2Carroll County: 21.1 %Carroll County21.1Washington County: 21.1 %Washington County21.1Clinton County: 21 %Clinton County21Davis County: 21 %Davis County21Harrison County: 21 %Harrison County21
%. 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
1Johnson County25.7+3.6 pts
2Buchanan County24.6+3.2 pts
3Dallas County24.2+1.5 pts
4Story County23.9+1.2 pts
5Muscatine County23.2+5.1 pts
6Louisa County23+4.2 pts
7Woodbury County22.9+2.9 pts
8Plymouth County22.6+2.8 pts
9Benton County22.5+3.3 pts
9Grundy County22.5+2.1 pts
9Warren County22.5+1.8 pts
12Marion County22.4+2.1 pts
13Madison County22.3+2 pts
13Polk County22.3+2 pts
13Winneshiek County22.3+3.7 pts
16Boone County22.1+2.2 pts
16Lyon County22.1+2.1 pts
18Dubuque County22+1.7 pts
19Bremer County21.9+1.7 pts
19Cedar County21.9+2.4 pts
21Pottawattamie County21.8+2.3 pts
21Webster County21.8+1.8 pts
23Sioux County21.7+2 pts
24Iowa County21.5+2.6 pts
24Palo Alto County21.5+3 pts
26Black Hawk County21.4+0.8 pts
26Delaware County21.4+2.4 pts
26Henry County21.4+2.7 pts
26Linn County21.4+0.5 pts
26Mills County21.4+1.1 pts
26Monroe County21.4+2.6 pts
32Hardin County21.3+3.2 pts
32Scott County21.3+2.1 pts
34Clay County21.2+3.1 pts
34Sac County21.2+3.2 pts
36Carroll County21.1+2.1 pts
36Washington County21.1+3.4 pts
38Clinton County21+1.6 pts
38Davis County21+2.2 pts
38Harrison County21+1.6 pts
38Jones County21+2.5 pts
42Howard County20.9+2.3 pts
42Jasper County20.9+1.9 pts
42Worth County20.9+2.2 pts
45Calhoun County20.8+2.2 pts
45Guthrie County20.8+2.6 pts
45Mitchell County20.8+2.1 pts
48Emmet County20.7+2.3 pts
48Mahaska County20.7+2.1 pts
48Winnebago County20.7+2 pts
51Ida County20.6+2.8 pts
51Marshall County20.6+2.7 pts
51Poweshiek County20.6+2.1 pts
54Chickasaw County20.5+1.6 pts
54Fayette County20.5+2.9 pts
56Audubon County20.3+3.2 pts
56Cherokee County20.3+3.1 pts
56Hamilton County20.3+1.6 pts
56Shelby County20.3+1.7 pts
60Crawford County20.2+3.5 pts
60Keokuk County20.2+2.2 pts
60Taylor County20.2+1.6 pts
60Union County20.2+2.3 pts
64Butler County20.1+2.4 pts
65Adair County20+2.1 pts
65Dickinson County20+1.4 pts
65Fremont County20+2.4 pts
65Hancock County20+1.8 pts
65Ringgold County20+3 pts
70Decatur County19.9+1 pts
70Tama County19.9+2.1 pts
72Adams County19.8+2.7 pts
72Lee County19.8+2.3 pts
72O'Brien County19.8+1.6 pts
72Pocahontas County19.8+2.9 pts
76Floyd County19.7+1.7 pts
76Humboldt County19.7+1.7 pts
78Clayton County19.6+1.7 pts
78Franklin County19.6+2.1 pts
78Jackson County19.6+0.9 pts
78Page County19.6+1.1 pts
78Wayne County19.6+2.2 pts
83Kossuth County19.5+2.2 pts
84Clarke County19.4+2.1 pts
85Cerro Gordo County19.3+1.7 pts
85Lucas County19.3+1.4 pts
85Montgomery County19.3+1.2 pts
85Osceola County19.3+1.1 pts
89Allamakee County19.2+1.4 pts
89Van Buren County19.2+1.8 pts
89Wright County19.2+2.4 pts
92Cass County19.1+1.5 pts
92Des Moines County19.1-0.1 pts
92Greene County19.1+1.5 pts
95Monona County19+1.6 pts
96Appanoose County18.9+2.2 pts
97Buena Vista County18.8+1.8 pts
97Wapello County18.8+0.9 pts
99Jefferson County18.4+1.5 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, 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 Iowa 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/iowa-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 Iowa 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/iowa-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 Iowa 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/iowa-counties?period=2022 (Accessed: 12 October 2026).

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

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

Johnson County, with 25.7% in 2022, according to the Centers for Disease Control and Prevention.

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

Jefferson County, with 18.4% 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 Iowa: more rankings