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

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

Lexington city had the highest binge drinking in adults, local model estimate of 133 counties in 2021, at 19.9%. Emporia city had the lowest, at 11.1%. The median was 15.1%. Source: the Centers for Disease Control and Prevention.

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Highest19.9Lexington city
Lowest11.1Emporia city
Median15.1133 counties

Map of counties, 2021

Accomack County: 12.5 %Albemarle County: 16.4 %Alleghany County: 14 %Amelia County: 14.8 %Amherst County: 15.1 %Appomattox County: 14.7 %Arlington County: 19.7 %Augusta County: 15.7 %Bath County: 12.9 %Bedford County: 15.4 %Bland County: 15.9 %Botetourt County: 15.7 %Brunswick County: 13.6 %Buchanan County: 13.6 %Buckingham County: 14.7 %Campbell County: 14.7 %Caroline County: 15.8 %Carroll County: 14.1 %Charles City County: 12.7 %Charlotte County: 13.5 %Chesterfield County: 17 %Clarke County: 15.8 %Craig County: 15 %Culpeper County: 15.9 %Cumberland County: 14.5 %Dickenson County: 13.8 %Dinwiddie County: 15 %Essex County: 12.7 %Fairfax County: 14.3 %Fauquier County: 16.4 %Floyd County: 14.6 %Fluvanna County: 15.3 %Franklin County: 14.1 %Frederick County: 16.8 %Giles County: 15.2 %Gloucester County: 15 %Goochland County: 14.9 %Grayson County: 13.9 %Greene County: 16.2 %Greensville County: 15.6 %Halifax County: 12.5 %Hanover County: 17 %Henrico County: 15.7 %Henry County: 13 %Highland County: 12.6 %Isle of Wight County: 16.1 %James City County: 15.7 %King and Queen County: 14.3 %King George County: 17.1 %King William County: 16.4 %Lancaster County: 11.2 %Lee County: 13.9 %Loudoun County: 16.7 %Louisa County: 15.2 %Lunenburg County: 13.4 %Madison County: 14.7 %Mathews County: 13.5 %Mecklenburg County: 12.4 %Middlesex County: 13.4 %Montgomery County: 18.7 %Nelson County: 13.5 %New Kent County: 17.3 %Northampton County: 12 %Northumberland County: 11.2 %Nottoway County: 14.5 %Orange County: 15.6 %Page County: 15.1 %Patrick County: 13.9 %Pittsylvania County: 13 %Powhatan County: 17.4 %Prince Edward County: 15.5 %Prince George County: 16.2 %Prince William County: 15.9 %Pulaski County: 15.4 %Rappahannock County: 14.3 %Richmond County: 14.8 %Roanoke County: 15.5 %Rockbridge County: 14.1 %Rockingham County: 16.5 %Russell County: 14 %Scott County: 13.7 %Shenandoah County: 14.5 %Smyth County: 13.9 %Southampton County: 14.8 %Spotsylvania County: 16.1 %Stafford County: 17.8 %Surry County: 12.9 %Sussex County: 16 %Tazewell County: 15.1 %Warren County: 16 %Washington County: 14.8 %Westmoreland County: 13.1 %Wise County: 15.1 %Wythe County: 15.6 %York County: 16 %Alexandria city: 17.5 %Bristol city: 14.7 %Buena Vista city: 15.1 %Charlottesville city: 17.3 %Chesapeake city: 15.4 %Colonial Heights city: 15.6 %Covington city: 14.6 %Danville city: 11.9 %Emporia city: 11.1 %Fairfax city: 16.1 %Falls Church city: 17.8 %Franklin city: 12.1 %Fredericksburg city: 17.5 %Galax city: 14.3 %Hampton city: 14.7 %Harrisonburg city: 17.4 %Hopewell city: 13.5 %Lexington city: 19.9 %Lynchburg city: 16.5 %Manassas city: 16.8 %Manassas Park city: 16.7 %Martinsville city: 13 %Newport News city: 16.7 %Norfolk city: 17.4 %Norton city: 14.9 %Petersburg city: 11.6 %Poquoson city: 17.2 %Portsmouth city: 14.3 %Radford city: 17.7 %Richmond city: 19.4 %Roanoke city: 15.1 %Salem city: 16.9 %Staunton city: 15.5 %Suffolk city: 15.6 %Virginia Beach city: 16.2 %Waynesboro city: 15.4 %Williamsburg city: 16.7 %Winchester city: 15.7 %
  • Under 14
  • 14 to 15
  • 15 to 16
  • 16 to 17
  • 17 and over
%, 2021. 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

Lexington city: 19.9 %Lexington city19.9Arlington County: 19.7 %Arlington County19.7Richmond city: 19.4 %Richmond city19.4Montgomery County: 18.7 %Montgomery County18.7Falls Church city: 17.8 %Falls Church city17.8Stafford County: 17.8 %Stafford County17.8Radford city: 17.7 %Radford city17.7Alexandria city: 17.5 %Alexandria city17.5Fredericksburg city: 17.5 %Fredericksburg city17.5Harrisonburg city: 17.4 %Harrisonburg city17.4Norfolk city: 17.4 %Norfolk city17.4Powhatan County: 17.4 %Powhatan County17.4Charlottesville city: 17.3 %Charlottesville city17.3New Kent County: 17.3 %New Kent County17.3Poquoson city: 17.2 %Poquoson city17.2King George County: 17.1 %King George County17.1Chesterfield County: 17 %Chesterfield County17Hanover County: 17 %Hanover County17Salem city: 16.9 %Salem city16.9Frederick County: 16.8 %Frederick County16.8Manassas city: 16.8 %Manassas city16.8Loudoun County: 16.7 %Loudoun County16.7Manassas Park city: 16.7 %Manassas Park city16.7Newport News city: 16.7 %Newport News city16.7Williamsburg city: 16.7 %Williamsburg city16.7Lynchburg city: 16.5 %Lynchburg city16.5Rockingham County: 16.5 %Rockingham County16.5Albemarle County: 16.4 %Albemarle County16.4Fauquier County: 16.4 %Fauquier County16.4King William County: 16.4 %King William County16.4Greene County: 16.2 %Greene County16.2Prince George County: 16.2 %Prince George County16.2Virginia Beach city: 16.2 %Virginia Beach city16.2Fairfax city: 16.1 %Fairfax city16.1Isle of Wight County: 16.1 %Isle of Wight County16.1Spotsylvania County: 16.1 %Spotsylvania County16.1Sussex County: 16 %Sussex County16Warren County: 16 %Warren County16York County: 16 %York County16Bland County: 15.9 %Bland County15.9Lexington city: 19.9 %Lexington city19.9Arlington County: 19.7 %Arlington County19.7Richmond city: 19.4 %Richmond city19.4Montgomery County: 18.7 %Montgomery County18.7Falls Church city: 17.8 %Falls Church city17.8Stafford County: 17.8 %Stafford County17.8Radford city: 17.7 %Radford city17.7Alexandria city: 17.5 %Alexandria city17.5Fredericksburg city: 17.5 %Fredericksburg city17.5Harrisonburg city: 17.4 %Harrisonburg city17.4Norfolk city: 17.4 %Norfolk city17.4Powhatan County: 17.4 %Powhatan County17.4Charlottesville city: 17.3 %Charlottesville city17.3New Kent County: 17.3 %New Kent County17.3Poquoson city: 17.2 %Poquoson city17.2King George County: 17.1 %King George County17.1Chesterfield County: 17 %Chesterfield County17Hanover County: 17 %Hanover County17Salem city: 16.9 %Salem city16.9Frederick County: 16.8 %Frederick County16.8Manassas city: 16.8 %Manassas city16.8Loudoun County: 16.7 %Loudoun County16.7Manassas Park city: 16.7 %Manassas Park city16.7Newport News city: 16.7 %Newport News city16.7Williamsburg city: 16.7 %Williamsburg city16.7Lynchburg city: 16.5 %Lynchburg city16.5Rockingham County: 16.5 %Rockingham County16.5Albemarle County: 16.4 %Albemarle County16.4Fauquier County: 16.4 %Fauquier County16.4King William County: 16.4 %King William County16.4Greene County: 16.2 %Greene County16.2Prince George County: 16.2 %Prince George County16.2Virginia Beach city: 16.2 %Virginia Beach city16.2Fairfax city: 16.1 %Fairfax city16.1Isle of Wight County: 16.1 %Isle of Wight County16.1Spotsylvania County: 16.1 %Spotsylvania County16.1Sussex County: 16 %Sussex County16Warren County: 16 %Warren County16York County: 16 %York County16Bland County: 15.9 %Bland County15.9
%. 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 (%)
1Lexington city19.9
2Arlington County19.7
3Richmond city19.4
4Montgomery County18.7
5Falls Church city17.8
5Stafford County17.8
7Radford city17.7
8Alexandria city17.5
8Fredericksburg city17.5
10Harrisonburg city17.4
10Norfolk city17.4
10Powhatan County17.4
13Charlottesville city17.3
13New Kent County17.3
15Poquoson city17.2
16King George County17.1
17Chesterfield County17
17Hanover County17
19Salem city16.9
20Frederick County16.8
20Manassas city16.8
22Loudoun County16.7
22Manassas Park city16.7
22Newport News city16.7
22Williamsburg city16.7
26Lynchburg city16.5
26Rockingham County16.5
28Albemarle County16.4
28Fauquier County16.4
28King William County16.4
31Greene County16.2
31Prince George County16.2
31Virginia Beach city16.2
34Fairfax city16.1
34Isle of Wight County16.1
34Spotsylvania County16.1
37Sussex County16
37Warren County16
37York County16
40Bland County15.9
40Culpeper County15.9
40Prince William County15.9
43Caroline County15.8
43Clarke County15.8
45Augusta County15.7
45Botetourt County15.7
45Henrico County15.7
45James City County15.7
45Winchester city15.7
50Colonial Heights city15.6
50Greensville County15.6
50Orange County15.6
50Suffolk city15.6
50Wythe County15.6
55Prince Edward County15.5
55Roanoke County15.5
55Staunton city15.5
58Bedford County15.4
58Chesapeake city15.4
58Pulaski County15.4
58Waynesboro city15.4
62Fluvanna County15.3
63Giles County15.2
63Louisa County15.2
65Amherst County15.1
65Buena Vista city15.1
65Page County15.1
65Roanoke city15.1
65Tazewell County15.1
65Wise County15.1
71Craig County15
71Dinwiddie County15
71Gloucester County15
74Goochland County14.9
74Norton city14.9
76Amelia County14.8
76Richmond County14.8
76Southampton County14.8
76Washington County14.8
80Appomattox County14.7
80Bristol city14.7
80Buckingham County14.7
80Campbell County14.7
80Hampton city14.7
80Madison County14.7
86Covington city14.6
86Floyd County14.6
88Cumberland County14.5
88Nottoway County14.5
88Shenandoah County14.5
91Fairfax County14.3
91Galax city14.3
91King and Queen County14.3
91Portsmouth city14.3
91Rappahannock County14.3
96Carroll County14.1
96Franklin County14.1
96Rockbridge County14.1
99Alleghany County14
99Russell County14
101Grayson County13.9
101Lee County13.9
101Patrick County13.9
101Smyth County13.9
105Dickenson County13.8
106Scott County13.7
107Brunswick County13.6
107Buchanan County13.6
109Charlotte County13.5
109Hopewell city13.5
109Mathews County13.5
109Nelson County13.5
113Lunenburg County13.4
113Middlesex County13.4
115Westmoreland County13.1
116Henry County13
116Martinsville city13
116Pittsylvania County13
119Bath County12.9
119Surry County12.9
121Charles City County12.7
121Essex County12.7
123Highland County12.6
124Accomack County12.5
124Halifax County12.5
126Mecklenburg County12.4
127Franklin city12.1
128Northampton County12
129Danville city11.9
130Petersburg city11.6
131Lancaster County11.2
131Northumberland County11.2
133Emporia city11.1

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, 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, Counties in Virginia 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/virginia-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. Counties in Virginia 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/virginia-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, Counties in Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

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

Lexington city, with 19.9% in 2021, according to the Centers for Disease Control and Prevention.

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

Emporia city, with 11.1% 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.

Binge drinking in adults, local model estimate: other rankings

Counties in Virginia: more rankings