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

US counties by binge drinking in adults, local model estimate

Eau Claire County had the highest binge drinking in adults, local model estimate of 3068 counties in 2021, at 24.5%. Utah County had the lowest, at 9.1%. The median was 15.5%. Source: the Centers for Disease Control and Prevention.

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Highest24.5Eau Claire County
Lowest9.1Utah County
Median15.53068 counties

Map of counties, 2021

%, 2021. 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, 2021

Eau Claire County: 24.5 %Eau Claire County24.5Gallatin County: 24.5 %Gallatin County24.5Outagamie County: 24 %Outagamie County24Pierce County: 24 %Pierce County24Williams County: 23.8 %Williams County23.8Riley County: 23.7 %Riley County23.7Loving County: 23.6 %Loving County23.6Missoula County: 23.5 %Missoula County23.5Douglas County: 23.4 %Douglas County23.4Dane County: 23.3 %Dane County23.3La Crosse County: 23.1 %La Crosse County23.1Columbia County: 23 %Columbia County23Ward County: 23 %Ward County23Green County: 22.9 %Green County22.9St. Croix County: 22.9 %St. Croix County22.9Calumet County: 22.8 %Calumet County22.8Dunn County: 22.8 %Dunn County22.8Marathon County: 22.8 %Marathon County22.8Ashland County: 22.7 %Ashland County22.7Dallas County: 22.7 %Dallas County22.7Story County: 22.7 %Story County22.7Wayne County: 22.7 %Wayne County22.7Grant County: 22.6 %Grant County22.6Brown County: 22.5 %Brown County22.5Brookings County: 22.4 %Brookings County22.4Milwaukee County: 22.4 %Milwaukee County22.4Dodge County: 22.3 %Dodge County22.3Washington County: 22.3 %Washington County22.3Winnebago County: 22.3 %Winnebago County22.3Chippewa County: 22.2 %Chippewa County22.2Denver County: 22.2 %Denver County22.2Grand Forks County: 22.2 %Grand Forks County22.2McKenzie County: 22.2 %McKenzie County22.2Portage County: 22.2 %Portage County22.2Johnson County: 22.1 %Johnson County22.1Walworth County: 22.1 %Walworth County22.1Jefferson County: 22 %Jefferson County22Gunnison County: 21.9 %Gunnison County21.9Kenosha County: 21.9 %Kenosha County21.9Ozaukee County: 21.9 %Ozaukee County21.9Eau Claire County: 24.5 %Eau Claire County24.5Gallatin County: 24.5 %Gallatin County24.5Outagamie County: 24 %Outagamie County24Pierce County: 24 %Pierce County24Williams County: 23.8 %Williams County23.8Riley County: 23.7 %Riley County23.7Loving County: 23.6 %Loving County23.6Missoula County: 23.5 %Missoula County23.5Douglas County: 23.4 %Douglas County23.4Dane County: 23.3 %Dane County23.3La Crosse County: 23.1 %La Crosse County23.1Columbia County: 23 %Columbia County23Ward County: 23 %Ward County23Green County: 22.9 %Green County22.9St. Croix County: 22.9 %St. Croix County22.9Calumet County: 22.8 %Calumet County22.8Dunn County: 22.8 %Dunn County22.8Marathon County: 22.8 %Marathon County22.8Ashland County: 22.7 %Ashland County22.7Dallas County: 22.7 %Dallas County22.7Story County: 22.7 %Story County22.7Wayne County: 22.7 %Wayne County22.7Grant County: 22.6 %Grant County22.6Brown County: 22.5 %Brown County22.5Brookings County: 22.4 %Brookings County22.4Milwaukee County: 22.4 %Milwaukee County22.4Dodge County: 22.3 %Dodge County22.3Washington County: 22.3 %Washington County22.3Winnebago County: 22.3 %Winnebago County22.3Chippewa County: 22.2 %Chippewa County22.2Denver County: 22.2 %Denver County22.2Grand Forks County: 22.2 %Grand Forks County22.2McKenzie County: 22.2 %McKenzie County22.2Portage County: 22.2 %Portage County22.2Johnson County: 22.1 %Johnson County22.1Walworth County: 22.1 %Walworth County22.1Jefferson County: 22 %Jefferson County22Gunnison County: 21.9 %Gunnison County21.9Kenosha County: 21.9 %Kenosha County21.9Ozaukee County: 21.9 %Ozaukee County21.9
%. 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

RankCounties2021 (%)
1Eau Claire County24.5
1Gallatin County24.5
3Outagamie County24
3Pierce County24
5Williams County23.8
6Riley County23.7
7Loving County23.6
8Missoula County23.5
9Douglas County23.4
10Dane County23.3
11La Crosse County23.1
12Columbia County23
12Ward County23
14Green County22.9
14St. Croix County22.9
16Calumet County22.8
16Dunn County22.8
16Marathon County22.8
19Ashland County22.7
19Dallas County22.7
19Story County22.7
19Wayne County22.7
23Grant County22.6
24Brown County22.5
25Brookings County22.4
25Milwaukee County22.4
27Dodge County22.3
27Washington County22.3
27Winnebago County22.3
30Chippewa County22.2
30Denver County22.2
30Grand Forks County22.2
30McKenzie County22.2
30Portage County22.2
35Johnson County22.1
35Walworth County22.1
37Jefferson County22
38Gunnison County21.9
38Kenosha County21.9
38Ozaukee County21.9
41Cass County21.8
41Iowa County21.8
41Waukesha County21.8
44Charleston County21.7
44District of Columbia21.7
44Fallon County21.7
44Jackson County21.7
44Kewaunee County21.7
44Mountrail County21.7
50Hill County21.6
50Sauk County21.6
50Taylor County21.6
50Trempealeau County21.6
54Lancaster County21.5
54Minnehaha County21.5
54Richland County21.5
54Yellowstone County21.5
58Buchanan County21.4
58Buffalo County21.4
58Traill County21.4
61Clark County21.3
61Fond du Lac County21.3
61Larimer County21.3
64Monroe County21.2
64Richland County21.2
64Sheboygan County21.2
64Waupaca County21.2
68Juneau County21.1
68Menominee County21.1
70Chattahoochee County21
70Dunn County21
70Oconto County21
70Rock County21
70Silver Bow County21
70Toole County21
76Clay County20.9
76Lafayette County20.9
76Linn County20.9
76Marinette County20.9
76Pepin County20.9
76Powell County20.9
76Saunders County20.9
83Adams County20.8
83Johnson County20.8
83Morton County20.8
86Blue Earth County20.7
86Buffalo County20.7
86Dawson County20.7
86Douglas County20.7
86Jefferson County20.7
86Lincoln County20.7
86Manitowoc County20.7
86Stearns County20.7
86Warren County20.7
95Black Hawk County20.6
95Polk County20.6
95Travis County20.6
98Lincoln County20.5
98North Slope Borough20.5
98Racine County20.5
98Ramsey County20.5
98Sargent County20.5
98Sarpy County20.5
98Seward County20.5
105Albany County20.4
105Glacier County20.4
105Grundy County20.4
105Multnomah County20.4
109Dubuque County20.3
109Madison County20.3
109Marion County20.3
109Mills County20.3
109Polk County20.3
109Routt County20.3
109Sawyer County20.3
109Shawano County20.3
109Vernon County20.3
118Barron County20.2
118Bremer County20.2
118Cascade County20.2
118Custer County20.2
118Forest County20.2
118Garza County20.2
118Langlade County20.2
118Stark County20.2
118Summit County20.2
127Douglas County20.1
127Garfield County20.1
127Jefferson County20.1
127Mercer County20.1
127Nicollet County20.1
132Bayfield County20
132Green Lake County20
132Lyon County20
132Webster County20
132Woodbury County20
137Boone County19.9
137Chittenden County19.9
137Crawford County19.9
137Hartley County19.9
137Lexington city19.9
137Rolette County19.9
137Thurston County19.9
144Blaine County19.8
144Brazos County19.8
144Fairbanks North Star Borough19.8
144Lewis and Clark County19.8
144Madison County19.8
144Onslow County19.8
144Platte County19.8
144Plymouth County19.8
144Roosevelt County19.8
144Stevens County19.8
144Stillwater County19.8
144Waushara County19.8
144Wright County19.8
157Arlington County19.7
157Carver County19.7
157Orleans Parish19.7
157Sioux County19.7
157Vernon Parish19.7
157York County19.7
163Burleigh County19.6
163Cass County19.6
163Richland County19.6
163Sherburne County19.6
167Cedar County19.5
167Crowley County19.5
167Hays County19.5
167Hennepin County19.5
167Marquette County19.5
167Park County19.5
167Pondera County19.5
167Pottawattamie County19.5
175Butler County19.4
175Childress County19.4
175Clinton County19.4
175Colfax County19.4
175Dodge County19.4
175Eagle County19.4
175Grand County19.4
175Harrison County19.4
175Le Sueur County19.4
175Pennington County19.4
175Richmond city19.4
175Stanton County19.4
175Stutsman County19.4
175Teton County19.4
175Winona County19.4
190Aurora County19.3
190Benton County19.3
190Boulder County19.3
190Broadwater County19.3
190Dodge County19.3
190Lake County19.3
190Nemaha County19.3
190Nome Census Area19.3
190Oneida County19.3
190Teton County19.3
190Washington County19.3
201Beaverhead County19.2
201Benton County19.2
201Bottineau County19.2
201Chisago County19.2
201Des Moines County19.2
201Fergus County19.2
201Kearney County19.2
201Ketchikan Gateway Borough19.2
201Rosebud County19.2
201Scott County19.2
201Sheridan County19.2
212Allegheny County19.1
212Clay County19.1
212Coryell County19.1
212Ellis County19.1
212Florence County19.1
212Franklin County19.1
212Hamilton County19.1
212Hanson County19.1
212Jefferson County19.1
212Midland County19.1
212Renville County19.1
212Rockwall County19.1
212Skagway Municipality19.1
212Vilas County19.1
212Wake County19.1
212Wood County19.1
228Anoka County19
228Carlton County19
228Carroll County19
228Delaware County19
228Door County19
228Fillmore County19
228Garfield County19
228Geary County19
228Jasper County19
228Logan County19
228McCone County19
228Randall County19
228Saratoga County19
228Yankton County19
242Broomfield County18.9
242Burke County18.9
242Cheyenne County18.9
242Chickasaw County18.9
242Decatur County18.9
242Dillingham Census Area18.9
242Hamilton County18.9
242Iowa County18.9
242New York County18.9

Showing the top 250 of 3068. 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. 76 counties with data in other periods have no value for 2021 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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/us-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_binge_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/us-counties?period=2021.
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?

Eau Claire County, with 24.5% in 2021, according to the Centers for Disease Control and Prevention.

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

Utah County, with 9.1% in 2021.

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. 76 counties have no value for 2021 and are not ranked.

Binge drinking in adults, local model estimate: other rankings

US counties: more rankings