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

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

Williams County had the highest binge drinking in adults, local model estimate of 53 counties in 2023, at 24.3%. Sheridan County had the lowest, at 15.7%. The median was 18.7%. Source: the Centers for Disease Control and Prevention.

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Highest24.3Williams County
Lowest15.7Sheridan County
Median18.753 counties

Map of counties, 2023

Adams County: 16.2 %Barnes County: 20.5 %Benson County: 17.9 %Billings County: 18.2 %Bottineau County: 18.9 %Bowman County: 18.6 %Burke County: 19.3 %Burleigh County: 20.5 %Cass County: 22 %Cavalier County: 18.6 %Dickey County: 20.2 %Divide County: 18.7 %Dunn County: 19.7 %Eddy County: 18.1 %Emmons County: 17.4 %Foster County: 19.2 %Golden Valley County: 17.5 %Grand Forks County: 24.1 %Grant County: 16.2 %Griggs County: 16.8 %Hettinger County: 18.8 %Kidder County: 18.4 %LaMoure County: 18.1 %Logan County: 17.1 %McHenry County: 19 %McIntosh County: 15.9 %McKenzie County: 22.9 %McLean County: 18.5 %Mercer County: 18.5 %Morton County: 21.6 %Mountrail County: 20.2 %Nelson County: 18 %Oliver County: 18.8 %Pembina County: 19.7 %Pierce County: 19 %Ramsey County: 17.7 %Ransom County: 19.5 %Renville County: 20.2 %Richland County: 21 %Rolette County: 18.1 %Sargent County: 19.8 %Sheridan County: 15.7 %Sioux County: 17.3 %Slope County: 16.4 %Stark County: 22 %Steele County: 18.5 %Stutsman County: 20.9 %Towner County: 16.5 %Traill County: 20.6 %Walsh County: 18.1 %Ward County: 22.2 %Wells County: 17 %Williams County: 24.3 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 to 20
  • 20 to 21
  • 21 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.

All counties, 2023

Williams County: 24.3 %Williams County24.3Grand Forks County: 24.1 %Grand Forks County24.1McKenzie County: 22.9 %McKenzie County22.9Ward County: 22.2 %Ward County22.2Cass County: 22 %Cass County22Stark County: 22 %Stark County22Morton County: 21.6 %Morton County21.6Richland County: 21 %Richland County21Stutsman County: 20.9 %Stutsman County20.9Traill County: 20.6 %Traill County20.6Barnes County: 20.5 %Barnes County20.5Burleigh County: 20.5 %Burleigh County20.5Dickey County: 20.2 %Dickey County20.2Mountrail County: 20.2 %Mountrail County20.2Renville County: 20.2 %Renville County20.2Sargent County: 19.8 %Sargent County19.8Dunn County: 19.7 %Dunn County19.7Pembina County: 19.7 %Pembina County19.7Ransom County: 19.5 %Ransom County19.5Burke County: 19.3 %Burke County19.3Foster County: 19.2 %Foster County19.2McHenry County: 19 %McHenry County19Pierce County: 19 %Pierce County19Bottineau County: 18.9 %Bottineau County18.9Hettinger County: 18.8 %Hettinger County18.8Oliver County: 18.8 %Oliver County18.8Divide County: 18.7 %Divide County18.7Bowman County: 18.6 %Bowman County18.6Cavalier County: 18.6 %Cavalier County18.6McLean County: 18.5 %McLean County18.5Mercer County: 18.5 %Mercer County18.5Steele County: 18.5 %Steele County18.5Kidder County: 18.4 %Kidder County18.4Billings County: 18.2 %Billings County18.2Eddy County: 18.1 %Eddy County18.1LaMoure County: 18.1 %LaMoure County18.1Rolette County: 18.1 %Rolette County18.1Walsh County: 18.1 %Walsh County18.1Nelson County: 18 %Nelson County18Benson County: 17.9 %Benson County17.9Ramsey County: 17.7 %Ramsey County17.7Golden Valley County: 17.5 %Golden Valley County17.5Emmons County: 17.4 %Emmons County17.4Sioux County: 17.3 %Sioux County17.3Logan County: 17.1 %Logan County17.1Wells County: 17 %Wells County17Griggs County: 16.8 %Griggs County16.8Towner County: 16.5 %Towner County16.5Slope County: 16.4 %Slope County16.4Adams County: 16.2 %Adams County16.2Grant County: 16.2 %Grant County16.2McIntosh County: 15.9 %McIntosh County15.9Sheridan County: 15.7 %Sheridan County15.7Williams County: 24.3 %Williams County24.3Grand Forks County: 24.1 %Grand Forks County24.1McKenzie County: 22.9 %McKenzie County22.9Ward County: 22.2 %Ward County22.2Cass County: 22 %Cass County22Stark County: 22 %Stark County22Morton County: 21.6 %Morton County21.6Richland County: 21 %Richland County21Stutsman County: 20.9 %Stutsman County20.9Traill County: 20.6 %Traill County20.6Barnes County: 20.5 %Barnes County20.5Burleigh County: 20.5 %Burleigh County20.5Dickey County: 20.2 %Dickey County20.2Mountrail County: 20.2 %Mountrail County20.2Renville County: 20.2 %Renville County20.2Sargent County: 19.8 %Sargent County19.8Dunn County: 19.7 %Dunn County19.7Pembina County: 19.7 %Pembina County19.7Ransom County: 19.5 %Ransom County19.5Burke County: 19.3 %Burke County19.3Foster County: 19.2 %Foster County19.2McHenry County: 19 %McHenry County19Pierce County: 19 %Pierce County19Bottineau County: 18.9 %Bottineau County18.9Hettinger County: 18.8 %Hettinger County18.8Oliver County: 18.8 %Oliver County18.8Divide County: 18.7 %Divide County18.7Bowman County: 18.6 %Bowman County18.6Cavalier County: 18.6 %Cavalier County18.6McLean County: 18.5 %McLean County18.5Mercer County: 18.5 %Mercer County18.5Steele County: 18.5 %Steele County18.5Kidder County: 18.4 %Kidder County18.4Billings County: 18.2 %Billings County18.2Eddy County: 18.1 %Eddy County18.1LaMoure County: 18.1 %LaMoure County18.1Rolette County: 18.1 %Rolette County18.1Walsh County: 18.1 %Walsh County18.1Nelson County: 18 %Nelson County18Benson County: 17.9 %Benson County17.9Ramsey County: 17.7 %Ramsey County17.7Golden Valley County: 17.5 %Golden Valley County17.5Emmons County: 17.4 %Emmons County17.4Sioux County: 17.3 %Sioux County17.3Logan County: 17.1 %Logan County17.1Wells County: 17 %Wells County17Griggs County: 16.8 %Griggs County16.8Towner County: 16.5 %Towner County16.5Slope County: 16.4 %Slope County16.4Adams County: 16.2 %Adams County16.2Grant County: 16.2 %Grant County16.2McIntosh County: 15.9 %McIntosh County15.9Sheridan County: 15.7 %Sheridan 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
1Williams County24.3-1.4 pts
2Grand Forks County24.1+0.9 pts
3McKenzie County22.9-1 pts
4Ward County22.2-1.6 pts
5Cass County22-0.2 pts
5Stark County22-1.9 pts
7Morton County21.6-0.5 pts
8Richland County21-0.7 pts
9Stutsman County20.9+0.7 pts
10Traill County20.6-0.5 pts
11Barnes County20.5+0.8 pts
11Burleigh County20.5-1.8 pts
13Dickey County20.2-0.7 pts
13Mountrail County20.2-1.6 pts
13Renville County20.2-1 pts
16Sargent County19.8-0.5 pts
17Dunn County19.7-1.8 pts
17Pembina County19.7+0.8 pts
19Ransom County19.5-0.8 pts
20Burke County19.3-1.7 pts
21Foster County19.2-0.4 pts
22McHenry County19-0.7 pts
22Pierce County19-1.2 pts
24Bottineau County18.9-1 pts
25Hettinger County18.8-0.1 pts
25Oliver County18.8-0.5 pts
27Divide County18.7-0.5 pts
28Bowman County18.6-1.3 pts
28Cavalier County18.6-0.4 pts
30McLean County18.5-0.9 pts
30Mercer County18.5-1.4 pts
30Steele County18.5-0.5 pts
33Kidder County18.4-0.3 pts
34Billings County18.2-1.3 pts
35Eddy County18.1-1.1 pts
35LaMoure County18.1-0.5 pts
35Rolette County18.1-2.9 pts
35Walsh County18.1-0.8 pts
39Nelson County18-0.6 pts
40Benson County17.9-1 pts
41Ramsey County17.7-4.4 pts
42Golden Valley County17.5-0.2 pts
43Emmons County17.4-1 pts
44Sioux County17.3-1.8 pts
45Logan County17.1-0.9 pts
46Wells County17-1 pts
47Griggs County16.8-1.7 pts
48Towner County16.5-0.9 pts
49Slope County16.4-1.6 pts
50Adams County16.2-1.2 pts
50Grant County16.2+0.3 pts
52McIntosh County15.9-1.6 pts
53Sheridan County15.7-0.7 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties (Accessed: 12 October 2026).

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

Williams County, with 24.3% in 2023, according to the Centers for Disease Control and Prevention.

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

Sheridan County, with 15.7% 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 Dakota: more rankings