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

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

Pulaski County had the highest binge drinking in adults, local model estimate of 115 counties in 2023, at 19.1%. Hickory County had the lowest, at 12%. The median was 15.3%. Source: the Centers for Disease Control and Prevention.

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Highest19.1Pulaski County
Lowest12Hickory County
Median15.3115 counties

Map of counties, 2023

Adair County: 17.2 %Andrew County: 16.4 %Atchison County: 14.3 %Audrain County: 15.6 %Barry County: 14.9 %Barton County: 14.8 %Bates County: 15.3 %Benton County: 13 %Bollinger County: 15 %Boone County: 18.4 %Buchanan County: 15.8 %Butler County: 14.4 %Caldwell County: 15.7 %Callaway County: 16.7 %Camden County: 13.5 %Cape Girardeau County: 16.7 %Carroll County: 14.8 %Carter County: 14.7 %Cass County: 15.7 %Cedar County: 14 %Chariton County: 14.5 %Christian County: 16.9 %Clark County: 15.1 %Clay County: 15.7 %Clinton County: 16.2 %Cole County: 17.4 %Cooper County: 16.5 %Crawford County: 15.6 %Dade County: 14.3 %Dallas County: 14.8 %Daviess County: 15 %DeKalb County: 16.3 %Dent County: 14.5 %Douglas County: 14.3 %Dunklin County: 13.6 %Franklin County: 17.4 %Gasconade County: 14.8 %Gentry County: 15.5 %Greene County: 15.7 %Grundy County: 14.7 %Harrison County: 14.7 %Henry County: 14.4 %Hickory County: 12 %Holt County: 14.6 %Howard County: 16.3 %Howell County: 14.2 %Iron County: 14.6 %Jackson County: 17.1 %Jasper County: 15.9 %Jefferson County: 16.2 %Johnson County: 18.1 %Knox County: 14.5 %Laclede County: 14.8 %Lafayette County: 16.2 %Lawrence County: 15.8 %Lewis County: 15.5 %Lincoln County: 17.8 %Linn County: 15.1 %Livingston County: 15.5 %McDonald County: 14.7 %Macon County: 15.4 %Madison County: 15.7 %Maries County: 15.1 %Marion County: 16 %Mercer County: 14.1 %Miller County: 16 %Mississippi County: 13.7 %Moniteau County: 16.6 %Monroe County: 14.2 %Montgomery County: 15.3 %Morgan County: 14.4 %New Madrid County: 13.3 %Newton County: 15 %Nodaway County: 17.6 %Oregon County: 13.9 %Osage County: 17 %Ozark County: 12.9 %Pemiscot County: 12.8 %Perry County: 15.7 %Pettis County: 15.7 %Phelps County: 17 %Pike County: 16.1 %Platte County: 16.5 %Polk County: 16 %Pulaski County: 19.1 %Putnam County: 15.2 %Ralls County: 15.2 %Randolph County: 15.7 %Ray County: 15.6 %Reynolds County: 14.3 %Ripley County: 14.8 %St. Charles County: 18.5 %St. Clair County: 13.9 %Ste. Genevieve County: 16.1 %St. Francois County: 16.8 %St. Louis County: 16.1 %Saline County: 16.4 %Schuyler County: 16.2 %Scotland County: 15.3 %Scott County: 14.7 %Shannon County: 14.3 %Shelby County: 14.7 %Stoddard County: 15 %Stone County: 12.8 %Sullivan County: 14.8 %Taney County: 14.8 %Texas County: 14.5 %Vernon County: 15.3 %Warren County: 16.4 %Washington County: 15.3 %Wayne County: 13.5 %Webster County: 16.5 %Worth County: 13.8 %Wright County: 14.5 %St. Louis city: 17.1 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 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

Pulaski County: 19.1 %Pulaski County19.1St. Charles County: 18.5 %St. Charles County18.5Boone County: 18.4 %Boone County18.4Johnson County: 18.1 %Johnson County18.1Lincoln County: 17.8 %Lincoln County17.8Nodaway County: 17.6 %Nodaway County17.6Cole County: 17.4 %Cole County17.4Franklin County: 17.4 %Franklin County17.4Adair County: 17.2 %Adair County17.2Jackson County: 17.1 %Jackson County17.1St. Louis city: 17.1 %St. Louis city17.1Osage County: 17 %Osage County17Phelps County: 17 %Phelps County17Christian County: 16.9 %Christian County16.9St. Francois County: 16.8 %St. Francois County16.8Callaway County: 16.7 %Callaway County16.7Cape Girardeau County: 16.7 %Cape Girardeau County16.7Moniteau County: 16.6 %Moniteau County16.6Cooper County: 16.5 %Cooper County16.5Platte County: 16.5 %Platte County16.5Webster County: 16.5 %Webster County16.5Andrew County: 16.4 %Andrew County16.4Saline County: 16.4 %Saline County16.4Warren County: 16.4 %Warren County16.4DeKalb County: 16.3 %DeKalb County16.3Howard County: 16.3 %Howard County16.3Clinton County: 16.2 %Clinton County16.2Jefferson County: 16.2 %Jefferson County16.2Lafayette County: 16.2 %Lafayette County16.2Schuyler County: 16.2 %Schuyler County16.2Pike County: 16.1 %Pike County16.1St. Louis County: 16.1 %St. Louis County16.1Ste. Genevieve County: 16.1 %Ste. Genevieve County16.1Marion County: 16 %Marion County16Miller County: 16 %Miller County16Polk County: 16 %Polk County16Jasper County: 15.9 %Jasper County15.9Buchanan County: 15.8 %Buchanan County15.8Lawrence County: 15.8 %Lawrence County15.8Caldwell County: 15.7 %Caldwell County15.7Pulaski County: 19.1 %Pulaski County19.1St. Charles County: 18.5 %St. Charles County18.5Boone County: 18.4 %Boone County18.4Johnson County: 18.1 %Johnson County18.1Lincoln County: 17.8 %Lincoln County17.8Nodaway County: 17.6 %Nodaway County17.6Cole County: 17.4 %Cole County17.4Franklin County: 17.4 %Franklin County17.4Adair County: 17.2 %Adair County17.2Jackson County: 17.1 %Jackson County17.1St. Louis city: 17.1 %St. Louis city17.1Osage County: 17 %Osage County17Phelps County: 17 %Phelps County17Christian County: 16.9 %Christian County16.9St. Francois County: 16.8 %St. Francois County16.8Callaway County: 16.7 %Callaway County16.7Cape Girardeau County: 16.7 %Cape Girardeau County16.7Moniteau County: 16.6 %Moniteau County16.6Cooper County: 16.5 %Cooper County16.5Platte County: 16.5 %Platte County16.5Webster County: 16.5 %Webster County16.5Andrew County: 16.4 %Andrew County16.4Saline County: 16.4 %Saline County16.4Warren County: 16.4 %Warren County16.4DeKalb County: 16.3 %DeKalb County16.3Howard County: 16.3 %Howard County16.3Clinton County: 16.2 %Clinton County16.2Jefferson County: 16.2 %Jefferson County16.2Lafayette County: 16.2 %Lafayette County16.2Schuyler County: 16.2 %Schuyler County16.2Pike County: 16.1 %Pike County16.1St. Louis County: 16.1 %St. Louis County16.1Ste. Genevieve County: 16.1 %Ste. Genevieve County16.1Marion County: 16 %Marion County16Miller County: 16 %Miller County16Polk County: 16 %Polk County16Jasper County: 15.9 %Jasper County15.9Buchanan County: 15.8 %Buchanan County15.8Lawrence County: 15.8 %Lawrence County15.8Caldwell County: 15.7 %Caldwell County15.7
%. 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
1Pulaski County19.1-2.7 pts
2St. Charles County18.5-1.9 pts
3Boone County18.4-2.9 pts
4Johnson County18.1-1.5 pts
5Lincoln County17.8-1.8 pts
6Nodaway County17.6-1.8 pts
7Cole County17.4-0.5 pts
7Franklin County17.4-1.7 pts
9Adair County17.2-1.1 pts
10Jackson County17.1-2.3 pts
10St. Louis city17.1-1.2 pts
12Osage County17-2.5 pts
12Phelps County17-0.9 pts
14Christian County16.9-1.5 pts
15St. Francois County16.8-1 pts
16Callaway County16.7-2 pts
16Cape Girardeau County16.7-1.4 pts
18Moniteau County16.6-1.8 pts
19Cooper County16.5-1.6 pts
19Platte County16.5-3.4 pts
19Webster County16.5-1.7 pts
22Andrew County16.4-1.1 pts
22Saline County16.4-1.8 pts
22Warren County16.4-2.5 pts
25DeKalb County16.3-2.7 pts
25Howard County16.3-1.8 pts
27Clinton County16.2-2.3 pts
27Jefferson County16.2-5.5 pts
27Lafayette County16.2-0.9 pts
27Schuyler County16.2-2.1 pts
31Pike County16.1-1.3 pts
31St. Louis County16.1-2.1 pts
31Ste. Genevieve County16.1-2.1 pts
34Marion County16-1.6 pts
34Miller County16-1 pts
34Polk County16-1.4 pts
37Jasper County15.9-1.8 pts
38Buchanan County15.8-0.7 pts
38Lawrence County15.8-1.8 pts
40Caldwell County15.7-1.2 pts
40Cass County15.7-2.9 pts
40Clay County15.7-3 pts
40Greene County15.7-2.9 pts
40Madison County15.7-1.9 pts
40Perry County15.7-3.4 pts
40Pettis County15.7-3 pts
40Randolph County15.7-2.5 pts
48Audrain County15.6-1.3 pts
48Crawford County15.6-1.4 pts
48Ray County15.6-2.6 pts
51Gentry County15.5-2.3 pts
51Lewis County15.5-2 pts
51Livingston County15.5-2.3 pts
54Macon County15.4-1.8 pts
55Bates County15.3-1.6 pts
55Montgomery County15.3-1.7 pts
55Scotland County15.3-2.1 pts
55Vernon County15.3-1.3 pts
55Washington County15.3-1.6 pts
60Putnam County15.2-1.7 pts
60Ralls County15.2-2.4 pts
62Clark County15.1-1.9 pts
62Linn County15.1-1.3 pts
62Maries County15.1-1.1 pts
65Bollinger County15-1.2 pts
65Daviess County15-1.1 pts
65Newton County15-2.8 pts
65Stoddard County15-1.2 pts
69Barry County14.9-1 pts
70Barton County14.8-1.5 pts
70Carroll County14.8-2.4 pts
70Dallas County14.8-1.6 pts
70Gasconade County14.8-2.6 pts
70Laclede County14.8-2.5 pts
70Ripley County14.8-0.8 pts
70Sullivan County14.8-1.4 pts
70Taney County14.8-1.4 pts
78Carter County14.7-1.3 pts
78Grundy County14.7-2.4 pts
78Harrison County14.7-1.2 pts
78McDonald County14.7-2.6 pts
78Scott County14.7-1.7 pts
78Shelby County14.7-1.6 pts
84Holt County14.6-1.7 pts
84Iron County14.6-2 pts
86Chariton County14.5-2 pts
86Dent County14.5-1.8 pts
86Knox County14.5-1.2 pts
86Texas County14.5-1.9 pts
86Wright County14.5-2 pts
91Butler County14.4-2.3 pts
91Henry County14.4-2.7 pts
91Morgan County14.4-2.1 pts
94Atchison County14.3-2 pts
94Dade County14.3-1.1 pts
94Douglas County14.3-1.7 pts
94Reynolds County14.3-2.1 pts
94Shannon County14.3-2.2 pts
99Howell County14.2-1.7 pts
99Monroe County14.2-2 pts
101Mercer County14.1-2.1 pts
102Cedar County14-1.3 pts
103Oregon County13.9-1.2 pts
103St. Clair County13.9-1.7 pts
105Worth County13.8-2.2 pts
106Mississippi County13.7-1.5 pts
107Dunklin County13.6-1.8 pts
108Camden County13.5-3.2 pts
108Wayne County13.5-1.6 pts
110New Madrid County13.3-3 pts
111Benton County13-1.6 pts
112Ozark County12.9-1 pts
113Pemiscot County12.8-2.3 pts
113Stone County12.8-2.1 pts
115Hickory County12-1.1 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-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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Questions

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

Pulaski County, with 19.1% in 2023, according to the Centers for Disease Control and Prevention.

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

Hickory County, with 12% 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 Missouri: more rankings