Data / Rankings / Binge drinking in adults, local model estimate / US counties

US counties by binge drinking in adults, local model estimate, 2023

Denver County had the highest binge drinking in adults, local model estimate of 2956 counties in 2023, at 25.6%. Greene County had the lowest, at 8.8%. The median was 15.6%. Source: the Centers for Disease Control and Prevention.

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Highest25.6Denver County
Lowest8.8Greene County
Median15.62956 counties

Map of counties, 2023

%, 2023. Hatched areas have no value for this period. 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

Denver County: 25.6 %Denver County25.6Williams County: 24.3 %Williams County24.3Grand Forks County: 24.1 %Grand Forks County24.1Story County: 23.9 %Story County23.9Gallatin County: 23.7 %Gallatin County23.7Lyon County: 23.5 %Lyon County23.5District of Columbia: 23.4 %District of Columbia23.4Missoula County: 23.4 %Missoula County23.4Johnson County: 23 %Johnson County23Wayne County: 23 %Wayne County23McKenzie County: 22.9 %McKenzie County22.9Ward County: 22.2 %Ward County22.2Cass County: 22 %Cass County22Sherburne County: 22 %Sherburne County22Stark County: 22 %Stark County22Brookings County: 21.9 %Brookings County21.9Johnson County: 21.8 %Johnson County21.8Richland County: 21.8 %Richland County21.8Warren County: 21.8 %Warren County21.8Dallas County: 21.7 %Dallas County21.7Morton County: 21.6 %Morton County21.6Outagamie County: 21.6 %Outagamie County21.6Toole County: 21.5 %Toole County21.5Buchanan County: 21.4 %Buchanan County21.4Charleston County: 21.4 %Charleston County21.4Winnebago County: 21.4 %Winnebago County21.4Bremer County: 21.3 %Bremer County21.3Saunders County: 21.2 %Saunders County21.2Scott County: 21.2 %Scott County21.2Buffalo County: 21.1 %Buffalo County21.1Hill County: 21.1 %Hill County21.1Madison County: 21.1 %Madison County21.1Clay County: 21 %Clay County21New York County: 21 %New York County21Richland County: 21 %Richland County21Black Hawk County: 20.9 %Black Hawk County20.9Boone County: 20.9 %Boone County20.9Dubuque County: 20.9 %Dubuque County20.9Plymouth County: 20.9 %Plymouth County20.9Polk County: 20.9 %Polk County20.9Denver County: 25.6 %Denver County25.6Williams County: 24.3 %Williams County24.3Grand Forks County: 24.1 %Grand Forks County24.1Story County: 23.9 %Story County23.9Gallatin County: 23.7 %Gallatin County23.7Lyon County: 23.5 %Lyon County23.5District of Columbia: 23.4 %District of Columbia23.4Missoula County: 23.4 %Missoula County23.4Johnson County: 23 %Johnson County23Wayne County: 23 %Wayne County23McKenzie County: 22.9 %McKenzie County22.9Ward County: 22.2 %Ward County22.2Cass County: 22 %Cass County22Sherburne County: 22 %Sherburne County22Stark County: 22 %Stark County22Brookings County: 21.9 %Brookings County21.9Johnson County: 21.8 %Johnson County21.8Richland County: 21.8 %Richland County21.8Warren County: 21.8 %Warren County21.8Dallas County: 21.7 %Dallas County21.7Morton County: 21.6 %Morton County21.6Outagamie County: 21.6 %Outagamie County21.6Toole County: 21.5 %Toole County21.5Buchanan County: 21.4 %Buchanan County21.4Charleston County: 21.4 %Charleston County21.4Winnebago County: 21.4 %Winnebago County21.4Bremer County: 21.3 %Bremer County21.3Saunders County: 21.2 %Saunders County21.2Scott County: 21.2 %Scott County21.2Buffalo County: 21.1 %Buffalo County21.1Hill County: 21.1 %Hill County21.1Madison County: 21.1 %Madison County21.1Clay County: 21 %Clay County21New York County: 21 %New York County21Richland County: 21 %Richland County21Black Hawk County: 20.9 %Black Hawk County20.9Boone County: 20.9 %Boone County20.9Dubuque County: 20.9 %Dubuque County20.9Plymouth County: 20.9 %Plymouth County20.9Polk County: 20.9 %Polk County20.9
%. 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
1Denver County25.6-0.3 pts
2Williams County24.3-1.4 pts
3Grand Forks County24.1+0.9 pts
4Story County23.90 pts
5Gallatin County23.7-1.9 pts
6Lyon County23.5+1.4 pts
7District of Columbia23.4-1.2 pts
7Missoula County23.4-2.6 pts
9Johnson County23-2.7 pts
9Wayne County23+2.7 pts
11McKenzie County22.9-1 pts
12Ward County22.2-1.6 pts
13Cass County22-0.2 pts
13Sherburne County22-3.1 pts
13Stark County22-1.9 pts
16Brookings County21.9-2.6 pts
17Johnson County21.8+1.4 pts
17Richland County21.80 pts
17Warren County21.8-0.7 pts
20Dallas County21.7-2.5 pts
21Morton County21.6-0.5 pts
21Outagamie County21.60 pts
23Toole County21.5-0.2 pts
24Buchanan County21.4-3.2 pts
24Charleston County21.4-0.4 pts
24Winnebago County21.4-0.6 pts
27Bremer County21.3-0.6 pts
28Saunders County21.2-0.4 pts
28Scott County21.2-0.1 pts
30Buffalo County21.1+0.7 pts
30Hill County21.1-1.5 pts
30Madison County21.1-1.2 pts
33Clay County21-2.4 pts
33New York County21-1.8 pts
33Richland County21-0.7 pts
36Black Hawk County20.9-0.5 pts
36Boone County20.9-1.2 pts
36Dubuque County20.9-1.1 pts
36Plymouth County20.9-1.7 pts
36Polk County20.9-1.4 pts
36Stutsman County20.9+0.7 pts
36Washington County20.9+1.6 pts
43Dane County20.8-2.7 pts
43Marion County20.8-1.6 pts
43Powell County20.8-2.8 pts
43Saline County20.8+3.3 pts
43Seward County20.8-0.2 pts
43Webster County20.8-1 pts
49Lancaster County20.7+1 pts
49Muscatine County20.7-2.5 pts
49Pierce County20.7-2.8 pts
49Sioux County20.7-1 pts
49St. Croix County20.7-3.5 pts
54Chattahoochee County20.6-0.2 pts
54Gage County20.6+3.3 pts
54Traill County20.6-0.5 pts
54Waukesha County20.6-0.2 pts
58Barnes County20.5+0.8 pts
58Burleigh County20.5-1.8 pts
58Butler County20.5+1 pts
58Gunnison County20.5-2 pts
58Washington County20.5-2.3 pts
63Butler County20.4+0.3 pts
63Calumet County20.4-1.8 pts
63Custer County20.4-1.9 pts
63Dawson County20.40 pts
63Grundy County20.4-0.1 pts
63Jones County20.4-0.6 pts
63Lincoln County20.4-1.3 pts
63Linn County20.4-1 pts
63Pottawattamie County20.4-1.4 pts
72Benton County20.3-2.2 pts
72Cass County20.3+0.3 pts
72Dawes County20.3+0.3 pts
72Fallon County20.3-1.2 pts
72North Slope Borough20.3-1.9 pts
72Portage County20.3-3.5 pts
72Stanton County20.3+1.8 pts
79Clinton County20.2-0.8 pts
79Dickey County20.2-0.7 pts
79Douglas County20.2+0.5 pts
79Dunn County20.2-1.9 pts
79Jefferson County20.2+1.3 pts
79Mountrail County20.2-1.6 pts
79Pennington County20.2+1.7 pts
79Renville County20.2-1 pts
79Silver Bow County20.2-2.3 pts
88Athens County20.1+0.9 pts
88Cedar County20.1-1.8 pts
88Chickasaw County20.1-0.4 pts
88Flathead County20.1-0.9 pts
88Riley County20.1-0.7 pts
88Suffolk County20.1+0.1 pts
88Washington County20.1-1 pts
88Yellowstone County20.1-2 pts
96Adams County20+1.2 pts
96Cascade County20-0.8 pts
96Denali Borough20-1.2 pts
96Eau Claire County20-2 pts
96Harrison County20-1 pts
96Jackson County20+0.4 pts
96Jefferson County20-1.2 pts
96Mills County20-1.4 pts
96Walworth County20-1.5 pts
105Grant County19.9-1.3 pts
105Grundy County19.9-2.6 pts
105Kendall County19.9-0.8 pts
105Minnehaha County19.9-1 pts
105Monroe County19.9-1.5 pts
105Thurston County19.9+1.2 pts
111Chippewa County19.8-3.6 pts
111Fayette County19.8-0.7 pts
111La Crosse County19.8-0.4 pts
111Sargent County19.8-0.5 pts
111Stevens County19.8-1.4 pts
111Woodbury County19.8-3.1 pts
117Carroll County19.7-1.4 pts
117DeKalb County19.7-0.9 pts
117Dodge County19.7+1.2 pts
117Dunn County19.7-1.8 pts
117Hamilton County19.7+1.7 pts
117Henry County19.7-1.7 pts
117Jasper County19.7-1.2 pts
117Lake County19.7-1.3 pts
117LaSalle Parish19.7+0.5 pts
117Marshall County19.7-0.9 pts
117Mitchell County19.7-1.1 pts
117Palo Alto County19.7-1.8 pts
117Pembina County19.7+0.8 pts
117Sheboygan County19.7-2.2 pts
117Waupaca County19.7-2.3 pts
117Winnebago County19.7-1 pts
117Winona County19.7-2.2 pts
117Wright County19.7-2.6 pts
117York County19.7+0.8 pts
136Broadwater County19.6+0.1 pts
136Brown County19.6-0.6 pts
136Carlton County19.6-1.9 pts
136Howard County19.6+1.2 pts
136Ida County19.6-1 pts
136Iowa County19.6-1.9 pts
136Kearney County19.6+0.8 pts
136Lewis and Clark County19.6-1.2 pts
136Mahaska County19.6-1.1 pts
136Nance County19.6+1.6 pts
136Nicollet County19.6-1.5 pts
136Winneshiek County19.6-2.7 pts
148Clay County19.5+0.4 pts
148Crowley County19.5-1.3 pts
148Hancock County19.5-0.5 pts
148Larimer County19.5-2.6 pts
148Pierce County19.5+0.3 pts
148Ransom County19.5-0.8 pts
154Antelope County19.4+1.5 pts
154Blue Earth County19.4-2.1 pts
154Carver County19.4-1.2 pts
154Clay County19.4-3.1 pts
154Davis County19.4-1.6 pts
154Des Moines County19.4+0.3 pts
154Dodge County19.4-3.1 pts
154Douglas County19.4-0.6 pts
154Eagle County19.4-1.9 pts
154Emmet County19.4-1.3 pts
154Hardin County19.4-1.9 pts
154Merrick County19.4+0.5 pts
154Perkins County19.4+1.9 pts
154Scott County19.4-3.7 pts
168Beaverhead County19.3-0.5 pts
168Brazos County19.3+0.4 pts
168Burke County19.3-1.7 pts
168Cuming County19.3+1.6 pts
168Howard County19.3-1.6 pts
168Kenosha County19.3-3 pts
168Parker County19.3-1 pts
168Ringgold County19.3-0.7 pts
168Summit County19.3-3 pts
168Travis County19.3-2.9 pts
178Becker County19.2+0.1 pts
178Bon Homme County19.2-0.8 pts
178Calhoun County19.2-1.6 pts
178Cerro Gordo County19.2-0.1 pts
178Chambers County19.2-0.9 pts
178Columbia County19.2-2.6 pts
178Decatur County19.2-0.7 pts
178Foster County19.2-0.4 pts
178Hamilton County19.2-1.1 pts
178Hamlin County19.2-1.8 pts
178Jefferson County19.2-1.2 pts
178Nemaha County19.2+1 pts
178Otoe County19.2+0.7 pts
178St. Louis County19.2-2.4 pts
178Trempealeau County19.2-1.3 pts
178Wood County19.2-1 pts
194Clay County19.1-2.1 pts
194Clinton County19.1-0.5 pts
194Dodge County19.1-2 pts
194Ellis County19.1-1.2 pts
194Humboldt County19.1-0.6 pts
194Jefferson County19.1-2.5 pts
194Le Sueur County19.1-1.9 pts
194Meade County19.1-2.7 pts
194Polk County19.1+0.5 pts
194Pulaski County19.1-2.7 pts
194Randall County19.1-0.2 pts
194Shelby County19.1-1.2 pts
194Sterling County19.1-0.9 pts
194Weld County19.1-0.1 pts
194Worth County19.1-1.8 pts
209Benton County19-3.3 pts
209Champaign County19+0.8 pts
209Custer County19+2.2 pts
209Guthrie County19-1.8 pts
209Hall County19+0.4 pts
209Keokuk County19-1.2 pts
209McHenry County19-0.7 pts
209Midland County19-0.2 pts
209Monroe County19-1.3 pts
209O'Brien County19-0.8 pts
209Ozaukee County19-2.7 pts
209Pierce County19-1.2 pts
209Sac County19-2.2 pts
209Sauk County19-3.4 pts
209Union County19-1.2 pts
224Albany County18.9-3.4 pts
224Bottineau County18.9-1 pts
224Cedar County18.9-0.7 pts
224Chisago County18.9-3.5 pts
224Crawford County18.9-1.3 pts
224Delaware County18.9-2.5 pts
224Garfield County18.9+2.3 pts
224Glasscock County18.9-1.9 pts
224Livingston Parish18.9-0.8 pts
224Madison County18.9-1.3 pts
224Phelps County18.90 pts
224Phillips County18.9-0.6 pts
224Platte County18.9-1 pts
224Poweshiek County18.9-1.7 pts
224Putnam County18.9-1.5 pts
224Woodford County18.9-1 pts
240Adair County18.8-1.2 pts
240Arthur County18.8+0.4 pts
240Bee County18.8-0.5 pts
240Boone County18.8+0.9 pts
240Boulder County18.8-1.9 pts
240Childress County18.80 pts
240Deer Lodge County18.8-0.2 pts
240Effingham County18.8-0.8 pts
240Fillmore County18.8+0.5 pts
240Hanson County18.8-2 pts
240Hartley County18.8-1.2 pts

Showing the top 250 of 2956. The Excel download has every row.

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. 188 counties with data in other periods have no value for 2023 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties (Accessed: 12 October 2026).

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

Denver County, with 25.6% in 2023, according to the Centers for Disease Control and Prevention.

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

Greene County, with 8.8% 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. 188 counties have no value for 2023 and are not ranked.

Binge drinking in adults, local model estimate: other rankings

US counties: more rankings