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

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

Pulaski County had the highest binge drinking in adults, local model estimate of 115 counties in 2022, at 21.8%. Hickory County had the lowest, at 13.1%. The median was 17.1%. Source: the Centers for Disease Control and Prevention.

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Highest21.8Pulaski County
Lowest13.1Hickory County
Median17.1115 counties

Map of counties, 2022

Adair County: 18.3 %Andrew County: 17.5 %Atchison County: 16.3 %Audrain County: 16.9 %Barry County: 15.9 %Barton County: 16.3 %Bates County: 16.9 %Benton County: 14.6 %Bollinger County: 16.2 %Boone County: 21.3 %Buchanan County: 16.5 %Butler County: 16.7 %Caldwell County: 16.9 %Callaway County: 18.7 %Camden County: 16.7 %Cape Girardeau County: 18.1 %Carroll County: 17.2 %Carter County: 16 %Cass County: 18.6 %Cedar County: 15.3 %Chariton County: 16.5 %Christian County: 18.4 %Clark County: 17 %Clay County: 18.7 %Clinton County: 18.5 %Cole County: 17.9 %Cooper County: 18.1 %Crawford County: 17 %Dade County: 15.4 %Dallas County: 16.4 %Daviess County: 16.1 %DeKalb County: 19 %Dent County: 16.3 %Douglas County: 16 %Dunklin County: 15.4 %Franklin County: 19.1 %Gasconade County: 17.4 %Gentry County: 17.8 %Greene County: 18.6 %Grundy County: 17.1 %Harrison County: 15.9 %Henry County: 17.1 %Hickory County: 13.1 %Holt County: 16.3 %Howard County: 18.1 %Howell County: 15.9 %Iron County: 16.6 %Jackson County: 19.4 %Jasper County: 17.7 %Jefferson County: 21.7 %Johnson County: 19.6 %Knox County: 15.7 %Laclede County: 17.3 %Lafayette County: 17.1 %Lawrence County: 17.6 %Lewis County: 17.5 %Lincoln County: 19.6 %Linn County: 16.4 %Livingston County: 17.8 %McDonald County: 17.3 %Macon County: 17.2 %Madison County: 17.6 %Maries County: 16.2 %Marion County: 17.6 %Mercer County: 16.2 %Miller County: 17 %Mississippi County: 15.2 %Moniteau County: 18.4 %Monroe County: 16.2 %Montgomery County: 17 %Morgan County: 16.5 %New Madrid County: 16.3 %Newton County: 17.8 %Nodaway County: 19.4 %Oregon County: 15.1 %Osage County: 19.5 %Ozark County: 13.9 %Pemiscot County: 15.1 %Perry County: 19.1 %Pettis County: 18.7 %Phelps County: 17.9 %Pike County: 17.4 %Platte County: 19.9 %Polk County: 17.4 %Pulaski County: 21.8 %Putnam County: 16.9 %Ralls County: 17.6 %Randolph County: 18.2 %Ray County: 18.2 %Reynolds County: 16.4 %Ripley County: 15.6 %St. Charles County: 20.4 %St. Clair County: 15.6 %Ste. Genevieve County: 18.2 %St. Francois County: 17.8 %St. Louis County: 18.2 %Saline County: 18.2 %Schuyler County: 18.3 %Scotland County: 17.4 %Scott County: 16.4 %Shannon County: 16.5 %Shelby County: 16.3 %Stoddard County: 16.2 %Stone County: 14.9 %Sullivan County: 16.2 %Taney County: 16.2 %Texas County: 16.4 %Vernon County: 16.6 %Warren County: 18.9 %Washington County: 16.9 %Wayne County: 15.1 %Webster County: 18.2 %Worth County: 16 %Wright County: 16.5 %St. Louis city: 18.3 %
  • Under 16
  • 16 to 17
  • 17 to 18
  • 18 to 19
  • 19 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

Pulaski County: 21.8 %Pulaski County21.8Jefferson County: 21.7 %Jefferson County21.7Boone County: 21.3 %Boone County21.3St. Charles County: 20.4 %St. Charles County20.4Platte County: 19.9 %Platte County19.9Johnson County: 19.6 %Johnson County19.6Lincoln County: 19.6 %Lincoln County19.6Osage County: 19.5 %Osage County19.5Jackson County: 19.4 %Jackson County19.4Nodaway County: 19.4 %Nodaway County19.4Franklin County: 19.1 %Franklin County19.1Perry County: 19.1 %Perry County19.1DeKalb County: 19 %DeKalb County19Warren County: 18.9 %Warren County18.9Callaway County: 18.7 %Callaway County18.7Clay County: 18.7 %Clay County18.7Pettis County: 18.7 %Pettis County18.7Cass County: 18.6 %Cass County18.6Greene County: 18.6 %Greene County18.6Clinton County: 18.5 %Clinton County18.5Christian County: 18.4 %Christian County18.4Moniteau County: 18.4 %Moniteau County18.4Adair County: 18.3 %Adair County18.3Schuyler County: 18.3 %Schuyler County18.3St. Louis city: 18.3 %St. Louis city18.3Randolph County: 18.2 %Randolph County18.2Ray County: 18.2 %Ray County18.2Saline County: 18.2 %Saline County18.2St. Louis County: 18.2 %St. Louis County18.2Ste. Genevieve County: 18.2 %Ste. Genevieve County18.2Webster County: 18.2 %Webster County18.2Cape Girardeau County: 18.1 %Cape Girardeau County18.1Cooper County: 18.1 %Cooper County18.1Howard County: 18.1 %Howard County18.1Cole County: 17.9 %Cole County17.9Phelps County: 17.9 %Phelps County17.9Gentry County: 17.8 %Gentry County17.8Livingston County: 17.8 %Livingston County17.8Newton County: 17.8 %Newton County17.8St. Francois County: 17.8 %St. Francois County17.8Pulaski County: 21.8 %Pulaski County21.8Jefferson County: 21.7 %Jefferson County21.7Boone County: 21.3 %Boone County21.3St. Charles County: 20.4 %St. Charles County20.4Platte County: 19.9 %Platte County19.9Johnson County: 19.6 %Johnson County19.6Lincoln County: 19.6 %Lincoln County19.6Osage County: 19.5 %Osage County19.5Jackson County: 19.4 %Jackson County19.4Nodaway County: 19.4 %Nodaway County19.4Franklin County: 19.1 %Franklin County19.1Perry County: 19.1 %Perry County19.1DeKalb County: 19 %DeKalb County19Warren County: 18.9 %Warren County18.9Callaway County: 18.7 %Callaway County18.7Clay County: 18.7 %Clay County18.7Pettis County: 18.7 %Pettis County18.7Cass County: 18.6 %Cass County18.6Greene County: 18.6 %Greene County18.6Clinton County: 18.5 %Clinton County18.5Christian County: 18.4 %Christian County18.4Moniteau County: 18.4 %Moniteau County18.4Adair County: 18.3 %Adair County18.3Schuyler County: 18.3 %Schuyler County18.3St. Louis city: 18.3 %St. Louis city18.3Randolph County: 18.2 %Randolph County18.2Ray County: 18.2 %Ray County18.2Saline County: 18.2 %Saline County18.2St. Louis County: 18.2 %St. Louis County18.2Ste. Genevieve County: 18.2 %Ste. Genevieve County18.2Webster County: 18.2 %Webster County18.2Cape Girardeau County: 18.1 %Cape Girardeau County18.1Cooper County: 18.1 %Cooper County18.1Howard County: 18.1 %Howard County18.1Cole County: 17.9 %Cole County17.9Phelps County: 17.9 %Phelps County17.9Gentry County: 17.8 %Gentry County17.8Livingston County: 17.8 %Livingston County17.8Newton County: 17.8 %Newton County17.8St. Francois County: 17.8 %St. Francois County17.8
%. 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
1Pulaski County21.8+3 pts
2Jefferson County21.7+4.9 pts
3Boone County21.3+2.7 pts
4St. Charles County20.4+2.3 pts
5Platte County19.9+2.6 pts
6Johnson County19.6+1 pts
6Lincoln County19.6+2.1 pts
8Osage County19.5+2.4 pts
9Jackson County19.4+1 pts
9Nodaway County19.4+0.6 pts
11Franklin County19.1+1.7 pts
11Perry County19.1+1.8 pts
13DeKalb County19+1.8 pts
14Warren County18.9+0.6 pts
15Callaway County18.7+2 pts
15Clay County18.70 pts
15Pettis County18.7+2.2 pts
18Cass County18.6+2.8 pts
18Greene County18.6+2 pts
20Clinton County18.5+1.6 pts
21Christian County18.4+2.3 pts
21Moniteau County18.4+1.5 pts
23Adair County18.3+1.9 pts
23Schuyler County18.3+2 pts
23St. Louis city18.3+0.2 pts
26Randolph County18.2+2.3 pts
26Ray County18.2+2.5 pts
26Saline County18.2+2.2 pts
26St. Louis County18.2+1.2 pts
26Ste. Genevieve County18.2+1.1 pts
26Webster County18.2+2.2 pts
32Cape Girardeau County18.1+1.1 pts
32Cooper County18.1+1.7 pts
32Howard County18.1+1.4 pts
35Cole County17.9+2.2 pts
35Phelps County17.9+1.6 pts
37Gentry County17.8+2.8 pts
37Livingston County17.8+2.8 pts
37Newton County17.8+2.6 pts
37St. Francois County17.8+0.9 pts
41Jasper County17.7+2.4 pts
42Lawrence County17.6+2.6 pts
42Madison County17.6+2.3 pts
42Marion County17.6+1.1 pts
42Ralls County17.6+2 pts
46Andrew County17.5+1.2 pts
46Lewis County17.5+0.8 pts
48Gasconade County17.4+1.3 pts
48Pike County17.4+1.1 pts
48Polk County17.4+1.3 pts
48Scotland County17.4+2.3 pts
52Laclede County17.3+2.5 pts
52McDonald County17.3+2.2 pts
54Carroll County17.2+1.9 pts
54Macon County17.2+1.4 pts
56Grundy County17.1+2.7 pts
56Henry County17.1+2.1 pts
56Lafayette County17.1-0.3 pts
59Clark County17+1.9 pts
59Crawford County17+2.1 pts
59Miller County17+1 pts
59Montgomery County17+2 pts
63Audrain County16.9+2.7 pts
63Bates County16.9+1.9 pts
63Caldwell County16.9+2 pts
63Putnam County16.9+1.7 pts
63Washington County16.9+1.4 pts
68Butler County16.7+2 pts
68Camden County16.7+1.7 pts
70Iron County16.6+2.7 pts
70Vernon County16.6+1.8 pts
72Buchanan County16.5+0.5 pts
72Chariton County16.5+1.4 pts
72Morgan County16.5+2.4 pts
72Shannon County16.5+2.2 pts
72Wright County16.5+2.8 pts
77Dallas County16.4+1.9 pts
77Linn County16.4+1.7 pts
77Reynolds County16.4+1.8 pts
77Scott County16.4+0.9 pts
77Texas County16.4+1.8 pts
82Atchison County16.3+1.3 pts
82Barton County16.3+2 pts
82Dent County16.3+2.2 pts
82Holt County16.3+2 pts
82New Madrid County16.3+2.8 pts
82Shelby County16.3+1.9 pts
88Bollinger County16.2+1.6 pts
88Maries County16.2+0.7 pts
88Mercer County16.2+1.6 pts
88Monroe County16.2+1.7 pts
88Stoddard County16.2+1.8 pts
88Sullivan County16.2+1.8 pts
88Taney County16.2+1.5 pts
95Daviess County16.1+0.6 pts
96Carter County16+1.3 pts
96Douglas County16+1.8 pts
96Worth County16+1.4 pts
99Barry County15.9+1.4 pts
99Harrison County15.9+1.3 pts
99Howell County15.9+1.7 pts
102Knox County15.7+1.9 pts
103Ripley County15.6+1.9 pts
103St. Clair County15.6+2.2 pts
105Dade County15.4+1.5 pts
105Dunklin County15.4+1.8 pts
107Cedar County15.3+1.7 pts
108Mississippi County15.2+1.3 pts
109Oregon County15.1+2 pts
109Pemiscot County15.1+1.7 pts
109Wayne County15.1+1.8 pts
112Stone County14.9+1.8 pts
113Benton County14.6+2.3 pts
114Ozark County13.9+1.3 pts
115Hickory County13.1+0.4 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, 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties?period=2022 (Accessed: 12 October 2026).

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

Pulaski County, with 21.8% in 2022, according to the Centers for Disease Control and Prevention.

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

Hickory County, with 13.1% 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 Missouri: more rankings