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

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

Onslow County had the highest binge drinking in adults, local model estimate of 100 counties in 2022, at 21.2%. Northampton County had the lowest, at 11.8%. The median was 15.7%. Source: the Centers for Disease Control and Prevention.

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Highest21.2Onslow County
Lowest11.8Northampton County
Median15.7100 counties

Map of counties, 2022

Alamance County: 16.9 %Alexander County: 17 %Alleghany County: 14.2 %Anson County: 14.2 %Ashe County: 15.3 %Avery County: 17.2 %Beaufort County: 13.9 %Bertie County: 12.7 %Bladen County: 13.6 %Brunswick County: 14.2 %Buncombe County: 17.2 %Burke County: 15.5 %Cabarrus County: 17.5 %Caldwell County: 16 %Camden County: 18.1 %Carteret County: 15.2 %Caswell County: 15.1 %Catawba County: 16.9 %Chatham County: 14.6 %Cherokee County: 13.9 %Chowan County: 13.6 %Clay County: 14.1 %Cleveland County: 15.4 %Columbus County: 14.8 %Craven County: 16 %Cumberland County: 17.3 %Currituck County: 18.5 %Dare County: 18.4 %Davidson County: 16.7 %Davie County: 16.2 %Duplin County: 14.4 %Durham County: 18.6 %Edgecombe County: 13 %Forsyth County: 16 %Franklin County: 16.7 %Gaston County: 17.8 %Gates County: 14.9 %Graham County: 16.4 %Granville County: 15.9 %Greene County: 15.6 %Guilford County: 15.7 %Halifax County: 12.5 %Harnett County: 17 %Haywood County: 15.7 %Henderson County: 15.6 %Hertford County: 13.3 %Hoke County: 16.9 %Hyde County: 14.6 %Iredell County: 17.2 %Jackson County: 17.4 %Johnston County: 17 %Jones County: 14.5 %Lee County: 15.9 %Lenoir County: 13.1 %Lincoln County: 17.2 %McDowell County: 15.5 %Macon County: 14.4 %Madison County: 16.4 %Martin County: 13.1 %Mecklenburg County: 19.6 %Mitchell County: 16.3 %Montgomery County: 15 %Moore County: 16.2 %Nash County: 14.7 %New Hanover County: 19.3 %Northampton County: 11.8 %Onslow County: 21.2 %Orange County: 17.3 %Pamlico County: 13.8 %Pasquotank County: 16.4 %Pender County: 16.8 %Perquimans County: 14.2 %Person County: 15.9 %Pitt County: 17 %Polk County: 14.5 %Randolph County: 16.4 %Richmond County: 15.3 %Robeson County: 13.3 %Rockingham County: 15 %Rowan County: 16.3 %Rutherford County: 15.2 %Sampson County: 14.8 %Scotland County: 14.3 %Stanly County: 16.7 %Stokes County: 16.8 %Surry County: 15.7 %Swain County: 16.4 %Transylvania County: 15 %Tyrrell County: 14.5 %Union County: 19.1 %Vance County: 13.6 %Wake County: 18.5 %Warren County: 12.2 %Washington County: 12.2 %Watauga County: 19.7 %Wayne County: 15.6 %Wilkes County: 15.6 %Wilson County: 13.4 %Yadkin County: 16.7 %Yancey County: 15.8 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 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

Onslow County: 21.2 %Onslow County21.2Watauga County: 19.7 %Watauga County19.7Mecklenburg County: 19.6 %Mecklenburg County19.6New Hanover County: 19.3 %New Hanover County19.3Union County: 19.1 %Union County19.1Durham County: 18.6 %Durham County18.6Currituck County: 18.5 %Currituck County18.5Wake County: 18.5 %Wake County18.5Dare County: 18.4 %Dare County18.4Camden County: 18.1 %Camden County18.1Gaston County: 17.8 %Gaston County17.8Cabarrus County: 17.5 %Cabarrus County17.5Jackson County: 17.4 %Jackson County17.4Cumberland County: 17.3 %Cumberland County17.3Orange County: 17.3 %Orange County17.3Avery County: 17.2 %Avery County17.2Buncombe County: 17.2 %Buncombe County17.2Iredell County: 17.2 %Iredell County17.2Lincoln County: 17.2 %Lincoln County17.2Alexander County: 17 %Alexander County17Harnett County: 17 %Harnett County17Johnston County: 17 %Johnston County17Pitt County: 17 %Pitt County17Alamance County: 16.9 %Alamance County16.9Catawba County: 16.9 %Catawba County16.9Hoke County: 16.9 %Hoke County16.9Pender County: 16.8 %Pender County16.8Stokes County: 16.8 %Stokes County16.8Davidson County: 16.7 %Davidson County16.7Franklin County: 16.7 %Franklin County16.7Stanly County: 16.7 %Stanly County16.7Yadkin County: 16.7 %Yadkin County16.7Graham County: 16.4 %Graham County16.4Madison County: 16.4 %Madison County16.4Pasquotank County: 16.4 %Pasquotank County16.4Randolph County: 16.4 %Randolph County16.4Swain County: 16.4 %Swain County16.4Mitchell County: 16.3 %Mitchell County16.3Rowan County: 16.3 %Rowan County16.3Davie County: 16.2 %Davie County16.2Onslow County: 21.2 %Onslow County21.2Watauga County: 19.7 %Watauga County19.7Mecklenburg County: 19.6 %Mecklenburg County19.6New Hanover County: 19.3 %New Hanover County19.3Union County: 19.1 %Union County19.1Durham County: 18.6 %Durham County18.6Currituck County: 18.5 %Currituck County18.5Wake County: 18.5 %Wake County18.5Dare County: 18.4 %Dare County18.4Camden County: 18.1 %Camden County18.1Gaston County: 17.8 %Gaston County17.8Cabarrus County: 17.5 %Cabarrus County17.5Jackson County: 17.4 %Jackson County17.4Cumberland County: 17.3 %Cumberland County17.3Orange County: 17.3 %Orange County17.3Avery County: 17.2 %Avery County17.2Buncombe County: 17.2 %Buncombe County17.2Iredell County: 17.2 %Iredell County17.2Lincoln County: 17.2 %Lincoln County17.2Alexander County: 17 %Alexander County17Harnett County: 17 %Harnett County17Johnston County: 17 %Johnston County17Pitt County: 17 %Pitt County17Alamance County: 16.9 %Alamance County16.9Catawba County: 16.9 %Catawba County16.9Hoke County: 16.9 %Hoke County16.9Pender County: 16.8 %Pender County16.8Stokes County: 16.8 %Stokes County16.8Davidson County: 16.7 %Davidson County16.7Franklin County: 16.7 %Franklin County16.7Stanly County: 16.7 %Stanly County16.7Yadkin County: 16.7 %Yadkin County16.7Graham County: 16.4 %Graham County16.4Madison County: 16.4 %Madison County16.4Pasquotank County: 16.4 %Pasquotank County16.4Randolph County: 16.4 %Randolph County16.4Swain County: 16.4 %Swain County16.4Mitchell County: 16.3 %Mitchell County16.3Rowan County: 16.3 %Rowan County16.3Davie County: 16.2 %Davie County16.2
%. 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
1Onslow County21.2+1.4 pts
2Watauga County19.7+2.1 pts
3Mecklenburg County19.6+2.1 pts
4New Hanover County19.3+1.3 pts
5Union County19.1+2.1 pts
6Durham County18.6+1.4 pts
7Currituck County18.5+0.7 pts
7Wake County18.5-0.6 pts
9Dare County18.4+1.9 pts
10Camden County18.1+0.9 pts
11Gaston County17.8+1.6 pts
12Cabarrus County17.5+1.4 pts
13Jackson County17.4+0.5 pts
14Cumberland County17.3-0.1 pts
14Orange County17.3-0.1 pts
16Avery County17.2+0.9 pts
16Buncombe County17.2+0.1 pts
16Iredell County17.2+0.9 pts
16Lincoln County17.2+0.6 pts
20Alexander County17+0.8 pts
20Harnett County17+1.7 pts
20Johnston County17+0.4 pts
20Pitt County17+2.3 pts
24Alamance County16.9+1.3 pts
24Catawba County16.9+0.8 pts
24Hoke County16.9+0.5 pts
27Pender County16.8+0.7 pts
27Stokes County16.8+1.9 pts
29Davidson County16.7+2 pts
29Franklin County16.7+1.2 pts
29Stanly County16.7+0.9 pts
29Yadkin County16.7+1.6 pts
33Graham County16.4+1.2 pts
33Madison County16.4+0.8 pts
33Pasquotank County16.4+0.7 pts
33Randolph County16.4+0.8 pts
33Swain County16.4+0.9 pts
38Mitchell County16.3+1.2 pts
38Rowan County16.3-0.3 pts
40Davie County16.2+0.9 pts
40Moore County16.2+0.2 pts
42Caldwell County16+1.1 pts
42Craven County16+0.2 pts
42Forsyth County16+1.1 pts
45Granville County15.9+0.3 pts
45Lee County15.9+1 pts
45Person County15.9+1.4 pts
48Yancey County15.8+1.1 pts
49Guilford County15.7+0.7 pts
49Haywood County15.7+0.7 pts
49Surry County15.7+1.2 pts
52Greene County15.6+0.3 pts
52Henderson County15.6+0.7 pts
52Wayne County15.6+1 pts
52Wilkes County15.6+1.3 pts
56Burke County15.5+0.5 pts
56McDowell County15.5+0.2 pts
58Cleveland County15.4+0.5 pts
59Ashe County15.3+0.7 pts
59Richmond County15.3+1.4 pts
61Carteret County15.2+0.4 pts
61Rutherford County15.2+0.7 pts
63Caswell County15.1+1.1 pts
64Montgomery County15+1.1 pts
64Rockingham County15+0.5 pts
64Transylvania County15+0.7 pts
67Gates County14.9+0.6 pts
68Columbus County14.8+0.9 pts
68Sampson County14.8+0.7 pts
70Nash County14.7-0.1 pts
71Chatham County14.6+0.1 pts
71Hyde County14.6+0.5 pts
73Jones County14.5+1.2 pts
73Polk County14.5+0.7 pts
73Tyrrell County14.5+0.3 pts
76Duplin County14.4+0.5 pts
76Macon County14.4+0.9 pts
78Scotland County14.3+0.8 pts
79Alleghany County14.2+1.1 pts
79Anson County14.2+0.6 pts
79Brunswick County14.2+0.5 pts
79Perquimans County14.2+0.7 pts
83Clay County14.1+0.8 pts
84Beaufort County13.9+0.6 pts
84Cherokee County13.9+0.9 pts
86Pamlico County13.8+0.2 pts
87Bladen County13.6+0.3 pts
87Chowan County13.6+0.9 pts
87Vance County13.6+0.3 pts
90Wilson County13.4-0.2 pts
91Hertford County13.3+0.6 pts
91Robeson County13.3-0.7 pts
93Lenoir County13.1-0.1 pts
93Martin County13.1+0.2 pts
95Edgecombe County13+0.8 pts
96Bertie County12.7+0.6 pts
97Halifax County12.5+0.6 pts
98Warren County12.2+0.2 pts
98Washington County12.2+0.6 pts
100Northampton County11.8+0.5 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/north-carolina-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 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 21.2% in 2022, according to the Centers for Disease Control and Prevention.

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

Northampton County, with 11.8% 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 North Carolina: more rankings