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

US counties by binge drinking in adults, local model estimate

Missoula County had the highest binge drinking in adults, local model estimate of 3144 counties in 2022, at 26%. Greene County had the lowest, at 9.1%. The median was 16.6%. Source: the Centers for Disease Control and Prevention.

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Highest26Missoula County
Lowest9.1Greene County
Median16.63144 counties

Map of counties, 2022

%, 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

Missoula County: 26 %Missoula County26Denver County: 25.9 %Denver County25.9Johnson County: 25.7 %Johnson County25.7Williams County: 25.7 %Williams County25.7Gallatin County: 25.6 %Gallatin County25.6Sherburne County: 25.1 %Sherburne County25.1Loving County: 25 %Loving County25Buchanan County: 24.6 %Buchanan County24.6District of Columbia: 24.6 %District of Columbia24.6Brookings County: 24.5 %Brookings County24.5Dallas County: 24.2 %Dallas County24.2St. Croix County: 24.2 %St. Croix County24.2McKenzie County: 23.9 %McKenzie County23.9Stark County: 23.9 %Stark County23.9Story County: 23.9 %Story County23.9Portage County: 23.8 %Portage County23.8Ward County: 23.8 %Ward County23.8Powell County: 23.6 %Powell County23.6Dane County: 23.5 %Dane County23.5Pierce County: 23.5 %Pierce County23.5Chippewa County: 23.4 %Chippewa County23.4Clay County: 23.4 %Clay County23.4Grand Forks County: 23.2 %Grand Forks County23.2Muscatine County: 23.2 %Muscatine County23.2Scott County: 23.1 %Scott County23.1Louisa County: 23 %Louisa County23Woodbury County: 22.9 %Woodbury County22.9New York County: 22.8 %New York County22.8Washington County: 22.8 %Washington County22.8Arlington County: 22.6 %Arlington County22.6Hill County: 22.6 %Hill County22.6Plymouth County: 22.6 %Plymouth County22.6Benton County: 22.5 %Benton County22.5Clay County: 22.5 %Clay County22.5Dodge County: 22.5 %Dodge County22.5Grundy County: 22.5 %Grundy County22.5Gunnison County: 22.5 %Gunnison County22.5Silver Bow County: 22.5 %Silver Bow County22.5Warren County: 22.5 %Warren County22.5Chisago County: 22.4 %Chisago County22.4Missoula County: 26 %Missoula County26Denver County: 25.9 %Denver County25.9Johnson County: 25.7 %Johnson County25.7Williams County: 25.7 %Williams County25.7Gallatin County: 25.6 %Gallatin County25.6Sherburne County: 25.1 %Sherburne County25.1Loving County: 25 %Loving County25Buchanan County: 24.6 %Buchanan County24.6District of Columbia: 24.6 %District of Columbia24.6Brookings County: 24.5 %Brookings County24.5Dallas County: 24.2 %Dallas County24.2St. Croix County: 24.2 %St. Croix County24.2McKenzie County: 23.9 %McKenzie County23.9Stark County: 23.9 %Stark County23.9Story County: 23.9 %Story County23.9Portage County: 23.8 %Portage County23.8Ward County: 23.8 %Ward County23.8Powell County: 23.6 %Powell County23.6Dane County: 23.5 %Dane County23.5Pierce County: 23.5 %Pierce County23.5Chippewa County: 23.4 %Chippewa County23.4Clay County: 23.4 %Clay County23.4Grand Forks County: 23.2 %Grand Forks County23.2Muscatine County: 23.2 %Muscatine County23.2Scott County: 23.1 %Scott County23.1Louisa County: 23 %Louisa County23Woodbury County: 22.9 %Woodbury County22.9New York County: 22.8 %New York County22.8Washington County: 22.8 %Washington County22.8Arlington County: 22.6 %Arlington County22.6Hill County: 22.6 %Hill County22.6Plymouth County: 22.6 %Plymouth County22.6Benton County: 22.5 %Benton County22.5Clay County: 22.5 %Clay County22.5Dodge County: 22.5 %Dodge County22.5Grundy County: 22.5 %Grundy County22.5Gunnison County: 22.5 %Gunnison County22.5Silver Bow County: 22.5 %Silver Bow County22.5Warren County: 22.5 %Warren County22.5Chisago County: 22.4 %Chisago County22.4
%. 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

RankCounties2022 (%)Change on 2021
1Missoula County26+2.5 pts
2Denver County25.9+3.7 pts
3Johnson County25.7+3.6 pts
3Williams County25.7+1.9 pts
5Gallatin County25.6+1.1 pts
6Sherburne County25.1+5.5 pts
7Loving County25+1.4 pts
8Buchanan County24.6+3.2 pts
8District of Columbia24.6+2.9 pts
10Brookings County24.5+2.1 pts
11Dallas County24.2+1.5 pts
11St. Croix County24.2+1.3 pts
13McKenzie County23.9+1.7 pts
13Stark County23.9+3.7 pts
13Story County23.9+1.2 pts
16Portage County23.8+1.6 pts
16Ward County23.8+0.8 pts
18Powell County23.6+2.7 pts
19Dane County23.5+0.2 pts
19Pierce County23.5-0.5 pts
21Chippewa County23.4+1.2 pts
21Clay County23.4+2.5 pts
23Grand Forks County23.2+1 pts
23Muscatine County23.2+5.1 pts
25Scott County23.1+4.7 pts
26Louisa County23+4.2 pts
27Woodbury County22.9+2.9 pts
28New York County22.8+3.9 pts
28Washington County22.8+0.5 pts
30Arlington County22.6+2.9 pts
30Hill County22.6+1 pts
30Plymouth County22.6+2.8 pts
33Benton County22.5+3.3 pts
33Clay County22.5+3.4 pts
33Dodge County22.5+3.2 pts
33Grundy County22.5+2.1 pts
33Gunnison County22.5+0.6 pts
33Silver Bow County22.5+1.5 pts
33Warren County22.5+1.8 pts
40Chisago County22.4+3.2 pts
40Marion County22.4+2.1 pts
40Sauk County22.4+0.8 pts
43Albany County22.3+1.9 pts
43Benton County22.3+3 pts
43Burleigh County22.3+2.7 pts
43Custer County22.3+2.1 pts
43Kenosha County22.3+0.4 pts
43Madison County22.3+2 pts
43Polk County22.3+2 pts
43Summit County22.3+2.1 pts
43Winneshiek County22.3+3.7 pts
43Wright County22.3+2.5 pts
53Calumet County22.2-0.6 pts
53Cass County22.2+0.4 pts
53North Slope Borough22.2+1.7 pts
53Stearns County22.2+1.5 pts
53Travis County22.2+1.6 pts
58Boone County22.1+2.2 pts
58Douglas County22.1-1.3 pts
58Dunn County22.1-0.7 pts
58Larimer County22.1+0.8 pts
58Lyon County22.1+2.1 pts
58Morton County22.1+1.3 pts
58Ramsey County22.1+1.6 pts
58Yellowstone County22.1+0.6 pts
66Dubuque County22+1.7 pts
66Eau Claire County22-2.5 pts
66San Francisco County22+6.6 pts
66Waupaca County22+0.8 pts
66Winnebago County22-0.3 pts
71Bremer County21.9+1.7 pts
71Cedar County21.9+2.4 pts
71Sheboygan County21.9+0.7 pts
71Winona County21.9+2.5 pts
75Charleston County21.8+0.1 pts
75Columbia County21.8-1.2 pts
75Fairbanks North Star Borough21.8+2 pts
75Meade County21.8+5 pts
75Monroe County21.8+0.6 pts
75Mountrail County21.8+0.1 pts
75Pottawattamie County21.8+2.3 pts
75Pulaski County21.8+3 pts
75Richland County21.8+0.3 pts
75Webster County21.8+1.8 pts
85Dillingham Census Area21.7+2.8 pts
85Green County21.7-1.2 pts
85Jefferson County21.7+4.9 pts
85Lincoln County21.7+1 pts
85Marathon County21.7-1.1 pts
85Ozaukee County21.7-0.2 pts
85Richland County21.7+0.5 pts
85Sioux County21.7+2 pts
85Toole County21.7+0.7 pts
94Isanti County21.6+3.6 pts
94Jefferson County21.6-0.4 pts
94Outagamie County21.6-2.4 pts
94Saunders County21.6+0.7 pts
94St. Louis County21.6+2.8 pts
99Blue Earth County21.5+0.8 pts
99Carlton County21.5+2.5 pts
99Dunn County21.5+0.5 pts
99Fallon County21.5-0.2 pts
99Hennepin County21.5+2 pts
99Iowa County21.5+2.6 pts
99Lincoln County21.5+1 pts
99Palo Alto County21.5+3 pts
99Walworth County21.5-0.6 pts
108Black Hawk County21.4+0.8 pts
108Delaware County21.4+2.4 pts
108Elko County21.4+5 pts
108Henry County21.4+2.7 pts
108Linn County21.4+0.5 pts
108Mills County21.4+1.1 pts
108Monroe County21.4+2.6 pts
115Boone County21.3+2.7 pts
115Eagle County21.3+1.9 pts
115Hardin County21.3+3.2 pts
115Kewaunee County21.3-0.4 pts
115Lexington city21.3+1.4 pts
115Scott County21.3+2.1 pts
121Ascension Parish21.2+2.8 pts
121Brown County21.2+2.8 pts
121Clay County21.2+3.1 pts
121Denali Borough21.2+3.2 pts
121Grant County21.2-1.4 pts
121Hamilton County21.2+2.1 pts
121Jefferson County21.2+0.5 pts
121McLeod County21.2+3.4 pts
121Onslow County21.2+1.4 pts
121Racine County21.2+0.7 pts
121Renville County21.2+2.1 pts
121Sac County21.2+3.2 pts
121San Diego County21.2+3.1 pts
121Stevens County21.2+1.4 pts
121Tompkins County21.2+4.1 pts
136Carroll County21.1+2.1 pts
136Codington County21.1+2.9 pts
136Dodge County21.1-1.2 pts
136Garza County21.1+0.9 pts
136Lyon County21.1+3.2 pts
136Nicollet County21.1+1 pts
136Traill County21.1-0.3 pts
136Washington County21.1+3.4 pts
144Burke County21+2.1 pts
144Centre County21+3.2 pts
144Clinton County21+1.6 pts
144Davis County21+2.2 pts
144Flathead County21+2.3 pts
144Garfield County21+0.9 pts
144Hamlin County21+2.4 pts
144Harrison County21+1.6 pts
144Iowa County21-0.8 pts
144Jones County21+2.5 pts
144Lake County21+1.7 pts
144Le Sueur County21+1.6 pts
144Menominee County21-0.1 pts
144Rolette County21+1.1 pts
144Seward County21+0.5 pts
144Union County21+2.9 pts
160Dickey County20.9+2.6 pts
160Fond du Lac County20.9-0.4 pts
160Howard County20.9+2.3 pts
160Jackson County20.9-0.8 pts
160Jasper County20.9+1.9 pts
160Milwaukee County20.9-1.5 pts
160Minnehaha County20.9-0.6 pts
160Norfolk city20.9+3.5 pts
160Worth County20.9+2.2 pts
169Broomfield County20.8+1.9 pts
169Brown County20.8-1.7 pts
169Calhoun County20.8+2.2 pts
169Cascade County20.8+0.6 pts
169Chattahoochee County20.8-0.2 pts
169Cortland County20.8+3.2 pts
169Crowley County20.8+1.3 pts
169Glasscock County20.8+2.7 pts
169Guthrie County20.8+2.6 pts
169Hanson County20.8+1.7 pts
169Lassen County20.8+2.6 pts
169Lewis and Clark County20.8+1 pts
169Mitchell County20.8+2.1 pts
169Pennington County20.8+1.4 pts
169Riley County20.8-2.9 pts
169Sibley County20.8+2.5 pts
169Taylor County20.8-0.8 pts
169Waukesha County20.8-1 pts
187Albany County20.7+3.9 pts
187Boulder County20.7+1.4 pts
187Emmet County20.7+2.3 pts
187Kendall County20.7+3.1 pts
187Lafayette County20.7-0.2 pts
187Mahaska County20.7+2.1 pts
187Mille Lacs County20.7+2.8 pts
187Northwest Arctic Borough20.7+2.1 pts
187Polk County20.7+0.1 pts
187Polk County20.7+1.8 pts
187Teton County20.7+1.4 pts
187Winnebago County20.7+2 pts
199Carver County20.6+0.9 pts
199Chouteau County20.6+2.3 pts
199Crow Wing County20.6+4.6 pts
199DeKalb County20.6+2.9 pts
199Grand County20.6+1.2 pts
199Ida County20.6+2.8 pts
199Isabella County20.6+2.7 pts
199Manitowoc County20.6-0.1 pts
199Marshall County20.6+2.7 pts
199Poweshiek County20.6+2.1 pts
199Washington County20.6+1.3 pts
210Buffalo County20.5-0.2 pts
210Carbon County20.5+2.1 pts
210Chickasaw County20.5+1.6 pts
210Fayette County20.5+2.9 pts
210Grundy County20.5+2.7 pts
210Guadalupe County20.5+2.9 pts
210McLean County20.5+3.5 pts
210Oconto County20.5-0.5 pts
210Santa Cruz County20.5+4.9 pts
210Steele County20.5+2 pts
210Stillwater County20.5+0.7 pts
210Trempealeau County20.5-1.1 pts
210Washington County20.5+2.2 pts
223Aleutians West Census Area20.4+2.3 pts
223Anoka County20.4+1.4 pts
223Bristol Bay Borough20.4+2.7 pts
223Buffalo County20.4-1 pts
223Chittenden County20.4+0.5 pts
223Dawson County20.4-0.3 pts
223Jefferson County20.4+1.3 pts
223Johnson County20.4-0.4 pts
223McCook County20.4+1.7 pts
223Mower County20.4+3.5 pts
223Putnam County20.4+2.9 pts
223Rice County20.4+2.4 pts
223Richmond city20.4+1 pts
223Rock County20.4+2.4 pts
223Shawano County20.4+0.1 pts
223St. Charles County20.4+2.3 pts
239Audubon County20.3+3.2 pts
239Cherokee County20.3+3.1 pts
239Chugach Census Area20.3+1.9 pts
239Ellis County20.3+1.2 pts
239Goodhue County20.3+3.2 pts
239Hamilton County20.3+1.6 pts
239Kandiyohi County20.3+3.2 pts
239Monroe County20.3+3.7 pts
239Parker County20.3+1.9 pts
239Ransom County20.3+2 pts
239Rockwall County20.3+1.2 pts
239Sargent County20.3-0.2 pts

Showing the top 250 of 3144. 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. 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, 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_binge_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: US counties 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/us-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: US counties 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/us-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/us-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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Questions

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

Missoula County, with 26% in 2022, according to the Centers for Disease Control and Prevention.

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

Greene County, with 9.1% 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

US counties: more rankings