Counties in Virginia by binge drinking in adults, local model estimate, 2023

Lexington city had the highest binge drinking in adults, local model estimate of 133 counties in 2023, at 18.3%. Lancaster County had the lowest, at 10.3%. The median was 14%. Source: the Centers for Disease Control and Prevention.

Highest18.3Lexington city
Median14133 counties

Top 40 counties, 2023

Lexington city: 18.3 %Lexington city18.3Arlington County: 17.2 %Arlington County17.2Montgomery County: 17.1 %Montgomery County17.1Radford city: 17.1 %Radford city17.1Norfolk city: 16.8 %Norfolk city16.8Williamsburg city: 16.7 %Williamsburg city16.7Harrisonburg city: 16.4 %Harrisonburg city16.4Fredericksburg city: 16.3 %Fredericksburg city16.3Prince George County: 16.3 %Prince George County16.3Alexandria city: 16.1 %Alexandria city16.1Charlottesville city: 16.1 %Charlottesville city16.1Falls Church city: 16.1 %Falls Church city16.1Fauquier County: 15.9 %Fauquier County15.9Poquoson city: 15.9 %Poquoson city15.9King William County: 15.8 %King William County15.8Stafford County: 15.8 %Stafford County15.8Manassas city: 15.7 %Manassas city15.7Powhatan County: 15.7 %Powhatan County15.7King George County: 15.6 %King George County15.6New Kent County: 15.6 %New Kent County15.6Richmond city: 15.6 %Richmond city15.6Warren County: 15.5 %Warren County15.5Virginia Beach city: 15.4 %Virginia Beach city15.4Salem city: 15.3 %Salem city15.3Buena Vista city: 15.1 %Buena Vista city15.1Culpeper County: 15.1 %Culpeper County15.1Frederick County: 15.1 %Frederick County15.1Greene County: 15.1 %Greene County15.1Lynchburg city: 15.1 %Lynchburg city15.1Prince Edward County: 15.1 %Prince Edward County15.1Prince William County: 15.1 %Prince William County15.1Spotsylvania County: 15.1 %Spotsylvania County15.1Albemarle County: 15 %Albemarle County15Chesapeake city: 15 %Chesapeake city15Hanover County: 15 %Hanover County15Bland County: 14.8 %Bland County14.8Clarke County: 14.7 %Clarke County14.7Giles County: 14.7 %Giles County14.7Rockingham County: 14.7 %Rockingham County14.7Staunton city: 14.7 %Staunton city14.7
%. 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
1Lexington city18.3-3 pts
2Arlington County17.2-5.4 pts
3Montgomery County17.1-1.5 pts
3Radford city17.1-2.4 pts
5Norfolk city16.8-4.1 pts
6Williamsburg city16.7-3 pts
7Harrisonburg city16.4-2.2 pts
8Fredericksburg city16.3-2.7 pts
8Prince George County16.3-1.5 pts
10Alexandria city16.1-2 pts
10Charlottesville city16.1-2.1 pts
10Falls Church city16.1-3.7 pts
13Fauquier County15.9-1.8 pts
13Poquoson city15.9-2.9 pts
15King William County15.8-2.4 pts
15Stafford County15.8-3.9 pts
17Manassas city15.7-2.9 pts
17Powhatan County15.7-3.3 pts
19King George County15.6-3 pts
19New Kent County15.6-3.6 pts
19Richmond city15.6-4.8 pts
22Warren County15.5-2.7 pts
23Virginia Beach city15.4-3.3 pts
24Salem city15.3-2.9 pts
25Buena Vista city15.1-2.4 pts
25Culpeper County15.1-2.3 pts
25Frederick County15.1-2.6 pts
25Greene County15.1-2.5 pts
25Lynchburg city15.1-3.8 pts
25Prince Edward County15.1-3.1 pts
25Prince William County15.1-2.4 pts
25Spotsylvania County15.1-2.8 pts
33Albemarle County15-2.2 pts
33Chesapeake city15-1.5 pts
33Hanover County15-4 pts
36Bland County14.8-3.1 pts
37Clarke County14.7-3 pts
37Giles County14.7-2.3 pts
37Rockingham County14.7-2.2 pts
37Staunton city14.7-1.9 pts
37York County14.7-2.9 pts
42Botetourt County14.6-2.4 pts
42Fairfax city14.6-2.5 pts
42Goochland County14.6-2.4 pts
42Winchester city14.6-2.6 pts
46Caroline County14.5-3 pts
46Colonial Heights city14.5-2.4 pts
46Manassas Park city14.5-3 pts
49Gloucester County14.4-3.5 pts
49Norton city14.4-2.3 pts
49Richmond County14.4-3.3 pts
49Roanoke city14.4-1.3 pts
49Waynesboro city14.4-2.3 pts
54Bedford County14.3-2.9 pts
54Fluvanna County14.3-2.7 pts
54Page County14.3-2.7 pts
57Campbell County14.2-3.3 pts
57Louisa County14.2-2.7 pts
57Wise County14.2-2.7 pts
57Wythe County14.2-3 pts
61Augusta County14.1-2.6 pts
61Floyd County14.1-2.2 pts
61Madison County14.1-2.2 pts
64Craig County14-3 pts
64Dinwiddie County14-2.6 pts
64Franklin County14-2.8 pts
64Loudoun County14-3.4 pts
64Orange County14-2.2 pts
64Pulaski County14-2.9 pts
64Roanoke County14-2.9 pts
64Shenandoah County14-2.7 pts
72Appomattox County13.9-2.2 pts
72Fairfax County13.9-2.5 pts
72Washington County13.9-2.9 pts
75Chesterfield County13.8-2.9 pts
75Greensville County13.8-2.6 pts
75Isle of Wight County13.8-3 pts
75Smyth County13.8-1.5 pts
79Bristol city13.7-2.3 pts
79Galax city13.7-1.9 pts
79Portsmouth city13.7-1.4 pts
82Alleghany County13.6-2 pts
82Amherst County13.6-2.3 pts
82Buckingham County13.6-2.5 pts
82Covington city13.6-2.9 pts
82Newport News city13.6-3.1 pts
82Nottoway County13.6-1.8 pts
82Rockbridge County13.6-1.7 pts
82Tazewell County13.6-2.2 pts
90Amelia County13.5-2.5 pts
90James City County13.5-2.1 pts
90Sussex County13.5-2.9 pts
93Henrico County13.4-4.6 pts
93Russell County13.4-1.7 pts
93Southampton County13.4-2.5 pts
96Dickenson County13.3-2.2 pts
96Lee County13.3-2.3 pts
98Scott County13.2-2.1 pts
99Carroll County13.1-2.1 pts
99Rappahannock County13.1-2.2 pts
99Suffolk city13.1-3.7 pts
102Buchanan County13-1.5 pts
102Hampton city13-3.7 pts
104Grayson County12.9-2 pts
105King and Queen County12.8-2.2 pts
105Patrick County12.8-2.7 pts
107Cumberland County12.7-2.9 pts
107Lunenburg County12.7-3.2 pts
107Pittsylvania County12.7-0.8 pts
110Mathews County12.5-3.4 pts
111Nelson County12.3-2.4 pts
112Bath County12.2-2.1 pts
113Charlotte County12.1-2.5 pts
113Henry County12.1-1.9 pts
113Highland County12.1-1.8 pts
113Hopewell city12.1-3.1 pts
113Surry County12.1-2.3 pts
118Brunswick County12-2.7 pts
119Martinsville city11.9-1.9 pts
120Essex County11.8-2 pts
120Westmoreland County11.8-2.6 pts
122Middlesex County11.7-4.6 pts
123Accomack County11.6-1.6 pts
124Charles City County11.5-2.7 pts
124Mecklenburg County11.5-2.7 pts
126Franklin city11.3-2.2 pts
127Halifax County11.2-2.4 pts
127Northampton County11.2-2.3 pts
129Northumberland County11.1-2.2 pts
130Danville city11-2.1 pts
130Petersburg city11-2.8 pts
132Emporia city10.6-1.9 pts
133Lancaster County10.3-2.3 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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties (Accessed: 12 October 2026).

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

Lexington city, with 18.3% in 2023, according to the Centers for Disease Control and Prevention.

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

Lancaster County, with 10.3% 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 Virginia: more rankings