Counties in North Carolina by binge drinking in adults, local model estimate, 2023

Onslow County had the highest binge drinking in adults, local model estimate of 100 counties in 2023, at 17.8%. Northampton County had the lowest, at 10.2%. The median was 14.1%. Source: the Centers for Disease Control and Prevention.

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Highest17.8Onslow County
Median14.1100 counties

Map of counties, 2023

Alamance County: 14.1 %Alexander County: 15 %Alleghany County: 12.8 %Anson County: 12.3 %Ashe County: 13.5 %Avery County: 15.1 %Beaufort County: 12.9 %Bertie County: 11.3 %Bladen County: 12.4 %Brunswick County: 12.9 %Buncombe County: 15.3 %Burke County: 14.2 %Cabarrus County: 15 %Caldwell County: 14.7 %Camden County: 16.1 %Carteret County: 14.3 %Caswell County: 13.2 %Catawba County: 14.8 %Chatham County: 13.9 %Cherokee County: 12.8 %Chowan County: 11.9 %Clay County: 12.6 %Cleveland County: 14 %Columbus County: 13 %Craven County: 14.6 %Cumberland County: 15.8 %Currituck County: 16.4 %Dare County: 14.4 %Davidson County: 14 %Davie County: 14.6 %Duplin County: 13.2 %Durham County: 15.4 %Edgecombe County: 11.4 %Forsyth County: 14.6 %Franklin County: 14.5 %Gaston County: 15.3 %Gates County: 12.9 %Graham County: 14.6 %Granville County: 13.9 %Greene County: 14 %Guilford County: 13.7 %Halifax County: 11.5 %Harnett County: 16 %Haywood County: 14.5 %Henderson County: 13.4 %Hertford County: 11.1 %Hoke County: 14.5 %Hyde County: 13.2 %Iredell County: 15.6 %Jackson County: 15.6 %Johnston County: 15.2 %Jones County: 12.4 %Lee County: 14.9 %Lenoir County: 11.9 %Lincoln County: 15.7 %McDowell County: 14.6 %Macon County: 13.2 %Madison County: 14.9 %Martin County: 11.5 %Mecklenburg County: 15.3 %Mitchell County: 14.4 %Montgomery County: 13.1 %Moore County: 14.1 %Nash County: 13.2 %New Hanover County: 17.6 %Northampton County: 10.2 %Onslow County: 17.8 %Orange County: 15.8 %Pamlico County: 12.4 %Pasquotank County: 14.2 %Pender County: 16.1 %Perquimans County: 12.7 %Person County: 13.8 %Pitt County: 14.8 %Polk County: 12.6 %Randolph County: 14.7 %Richmond County: 12.7 %Robeson County: 11.4 %Rockingham County: 14 %Rowan County: 14.6 %Rutherford County: 13.7 %Sampson County: 13.6 %Scotland County: 12.8 %Stanly County: 14.8 %Stokes County: 14.2 %Surry County: 13.8 %Swain County: 14.2 %Transylvania County: 13.4 %Tyrrell County: 12.4 %Union County: 15.6 %Vance County: 11.9 %Wake County: 14.8 %Warren County: 10.8 %Washington County: 10.4 %Watauga County: 17.7 %Wayne County: 14.4 %Wilkes County: 14.1 %Wilson County: 12.2 %Yadkin County: 14.2 %Yancey County: 13.9 %
  • Under 12
  • 12 to 13
  • 13 to 14
  • 14 to 15
  • 15 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

Onslow County: 17.8 %Onslow County17.8Watauga County: 17.7 %Watauga County17.7New Hanover County: 17.6 %New Hanover County17.6Currituck County: 16.4 %Currituck County16.4Camden County: 16.1 %Camden County16.1Pender County: 16.1 %Pender County16.1Harnett County: 16 %Harnett County16Cumberland County: 15.8 %Cumberland County15.8Orange County: 15.8 %Orange County15.8Lincoln County: 15.7 %Lincoln County15.7Iredell County: 15.6 %Iredell County15.6Jackson County: 15.6 %Jackson County15.6Union County: 15.6 %Union County15.6Durham County: 15.4 %Durham County15.4Buncombe County: 15.3 %Buncombe County15.3Gaston County: 15.3 %Gaston County15.3Mecklenburg County: 15.3 %Mecklenburg County15.3Johnston County: 15.2 %Johnston County15.2Avery County: 15.1 %Avery County15.1Alexander County: 15 %Alexander County15Cabarrus County: 15 %Cabarrus County15Lee County: 14.9 %Lee County14.9Madison County: 14.9 %Madison County14.9Catawba County: 14.8 %Catawba County14.8Pitt County: 14.8 %Pitt County14.8Stanly County: 14.8 %Stanly County14.8Wake County: 14.8 %Wake County14.8Caldwell County: 14.7 %Caldwell County14.7Randolph County: 14.7 %Randolph County14.7Craven County: 14.6 %Craven County14.6Davie County: 14.6 %Davie County14.6Forsyth County: 14.6 %Forsyth County14.6Graham County: 14.6 %Graham County14.6McDowell County: 14.6 %McDowell County14.6Rowan County: 14.6 %Rowan County14.6Franklin County: 14.5 %Franklin County14.5Haywood County: 14.5 %Haywood County14.5Hoke County: 14.5 %Hoke County14.5Dare County: 14.4 %Dare County14.4Mitchell County: 14.4 %Mitchell County14.4Onslow County: 17.8 %Onslow County17.8Watauga County: 17.7 %Watauga County17.7New Hanover County: 17.6 %New Hanover County17.6Currituck County: 16.4 %Currituck County16.4Camden County: 16.1 %Camden County16.1Pender County: 16.1 %Pender County16.1Harnett County: 16 %Harnett County16Cumberland County: 15.8 %Cumberland County15.8Orange County: 15.8 %Orange County15.8Lincoln County: 15.7 %Lincoln County15.7Iredell County: 15.6 %Iredell County15.6Jackson County: 15.6 %Jackson County15.6Union County: 15.6 %Union County15.6Durham County: 15.4 %Durham County15.4Buncombe County: 15.3 %Buncombe County15.3Gaston County: 15.3 %Gaston County15.3Mecklenburg County: 15.3 %Mecklenburg County15.3Johnston County: 15.2 %Johnston County15.2Avery County: 15.1 %Avery County15.1Alexander County: 15 %Alexander County15Cabarrus County: 15 %Cabarrus County15Lee County: 14.9 %Lee County14.9Madison County: 14.9 %Madison County14.9Catawba County: 14.8 %Catawba County14.8Pitt County: 14.8 %Pitt County14.8Stanly County: 14.8 %Stanly County14.8Wake County: 14.8 %Wake County14.8Caldwell County: 14.7 %Caldwell County14.7Randolph County: 14.7 %Randolph County14.7Craven County: 14.6 %Craven County14.6Davie County: 14.6 %Davie County14.6Forsyth County: 14.6 %Forsyth County14.6Graham County: 14.6 %Graham County14.6McDowell County: 14.6 %McDowell County14.6Rowan County: 14.6 %Rowan County14.6Franklin County: 14.5 %Franklin County14.5Haywood County: 14.5 %Haywood County14.5Hoke County: 14.5 %Hoke County14.5Dare County: 14.4 %Dare County14.4Mitchell County: 14.4 %Mitchell County14.4
%. 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

RankCounties2023 (%)Change on 2022
1Onslow County17.8-3.4 pts
2Watauga County17.7-2 pts
3New Hanover County17.6-1.7 pts
4Currituck County16.4-2.1 pts
5Camden County16.1-2 pts
5Pender County16.1-0.7 pts
7Harnett County16-1 pts
8Cumberland County15.8-1.5 pts
8Orange County15.8-1.5 pts
10Lincoln County15.7-1.5 pts
11Iredell County15.6-1.6 pts
11Jackson County15.6-1.8 pts
11Union County15.6-3.5 pts
14Durham County15.4-3.2 pts
15Buncombe County15.3-1.9 pts
15Gaston County15.3-2.5 pts
15Mecklenburg County15.3-4.3 pts
18Johnston County15.2-1.8 pts
19Avery County15.1-2.1 pts
20Alexander County15-2 pts
20Cabarrus County15-2.5 pts
22Lee County14.9-1 pts
22Madison County14.9-1.5 pts
24Catawba County14.8-2.1 pts
24Pitt County14.8-2.2 pts
24Stanly County14.8-1.9 pts
24Wake County14.8-3.7 pts
28Caldwell County14.7-1.3 pts
28Randolph County14.7-1.7 pts
30Craven County14.6-1.4 pts
30Davie County14.6-1.6 pts
30Forsyth County14.6-1.4 pts
30Graham County14.6-1.8 pts
30McDowell County14.6-0.9 pts
30Rowan County14.6-1.7 pts
36Franklin County14.5-2.2 pts
36Haywood County14.5-1.2 pts
36Hoke County14.5-2.4 pts
39Dare County14.4-4 pts
39Mitchell County14.4-1.9 pts
39Wayne County14.4-1.2 pts
42Carteret County14.3-0.9 pts
43Burke County14.2-1.3 pts
43Pasquotank County14.2-2.2 pts
43Stokes County14.2-2.6 pts
43Swain County14.2-2.2 pts
43Yadkin County14.2-2.5 pts
48Alamance County14.1-2.8 pts
48Moore County14.1-2.1 pts
48Wilkes County14.1-1.5 pts
51Cleveland County14-1.4 pts
51Davidson County14-2.7 pts
51Greene County14-1.6 pts
51Rockingham County14-1 pts
55Chatham County13.9-0.7 pts
55Granville County13.9-2 pts
55Yancey County13.9-1.9 pts
58Person County13.8-2.1 pts
58Surry County13.8-1.9 pts
60Guilford County13.7-2 pts
60Rutherford County13.7-1.5 pts
62Sampson County13.6-1.2 pts
63Ashe County13.5-1.8 pts
64Henderson County13.4-2.2 pts
64Transylvania County13.4-1.6 pts
66Caswell County13.2-1.9 pts
66Duplin County13.2-1.2 pts
66Hyde County13.2-1.4 pts
66Macon County13.2-1.2 pts
66Nash County13.2-1.5 pts
71Montgomery County13.1-1.9 pts
72Columbus County13-1.8 pts
73Beaufort County12.9-1 pts
73Brunswick County12.9-1.3 pts
73Gates County12.9-2 pts
76Alleghany County12.8-1.4 pts
76Cherokee County12.8-1.1 pts
76Scotland County12.8-1.5 pts
79Perquimans County12.7-1.5 pts
79Richmond County12.7-2.6 pts
81Clay County12.6-1.5 pts
81Polk County12.6-1.9 pts
83Bladen County12.4-1.2 pts
83Jones County12.4-2.1 pts
83Pamlico County12.4-1.4 pts
83Tyrrell County12.4-2.1 pts
87Anson County12.3-1.9 pts
88Wilson County12.2-1.2 pts
89Chowan County11.9-1.7 pts
89Lenoir County11.9-1.2 pts
89Vance County11.9-1.7 pts
92Halifax County11.5-1 pts
92Martin County11.5-1.6 pts
94Edgecombe County11.4-1.6 pts
94Robeson County11.4-1.9 pts
96Bertie County11.3-1.4 pts
97Hertford County11.1-2.2 pts
98Warren County10.8-1.4 pts
99Washington County10.4-1.8 pts
100Northampton County10.2-1.6 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/north-carolina-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 North Carolina 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?

Onslow County, with 17.8% in 2023, according to the Centers for Disease Control and Prevention.

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

Northampton County, with 10.2% 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 North Carolina: more rankings