US states by heavy drinking in adults, 2025
Montana had the highest heavy drinking in adults of 48 states in 2025, at 7.7%. New Jersey had the lowest, at 3.4%. The median was 5.3%. Source: the Centers for Disease Control and Prevention.
Map of states, 2025
- Under 4.4
- 4.4 to 4.9
- 4.9 to 5.3
- 5.3 to 5.8
- 5.8 to 6.4
- 6.4 and over
- No data
All states, 2025
Full ranking
| Rank | States | 2025 (%) | Change on 2024 |
|---|---|---|---|
| 1 | Montana | 7.7 | -2.1 pts |
| 2 | District of Columbia | 7.3 | -0.2 pts |
| 3 | Vermont | 7.2 | -1 pts |
| 4 | Alaska | 7 | -1.8 pts |
| 5 | New Hampshire | 6.7 | -0.9 pts |
| 6 | South Dakota | 6.6 | -1 pts |
| 7 | Iowa | 6.6 | -1.1 pts |
| 8 | Wisconsin | 6.6 | -0.8 pts |
| 9 | Maine | 6.3 | -0.7 pts |
| 10 | Oregon | 6.3 | -0.2 pts |
| 11 | Wyoming | 6 | -0.1 pts |
| 12 | Colorado | 5.9 | -1.3 pts |
| 12 | Louisiana | 5.9 | -1.3 pts |
| 14 | Hawaii | 5.9 | -0.9 pts |
| 15 | Idaho | 5.9 | -0.9 pts |
| 16 | Missouri | 5.8 | -0.3 pts |
| 17 | Florida | 5.8 | -0 pts |
| 18 | North Dakota | 5.7 | -1.5 pts |
| 19 | Nebraska | 5.6 | -0.9 pts |
| 20 | Rhode Island | 5.6 | -0.7 pts |
| 21 | Minnesota | 5.5 | -1.5 pts |
| 22 | Texas | 5.5 | -1 pts |
| 23 | Illinois | 5.4 | -0.7 pts |
| 24 | Delaware | 5.4 | -0.7 pts |
| 25 | Ohio | 5.2 | -1 pts |
| 26 | New Mexico | 5.2 | +0.5 pts |
| 27 | Virginia | 5.1 | -0.5 pts |
| 28 | Kansas | 5.1 | -1.3 pts |
| 28 | Washington | 5.1 | -0.8 pts |
| 30 | Connecticut | 5 | -0.4 pts |
| 31 | Arizona | 5 | -1.8 pts |
| 32 | South Carolina | 5 | -2.1 pts |
| 33 | Georgia | 4.9 | -0.1 pts |
| 34 | Massachusetts | 4.9 | -0.7 pts |
| 35 | West Virginia | 4.8 | -0 pts |
| 36 | Arkansas | 4.6 | -1.7 pts |
| 36 | Indiana | 4.6 | -0.8 pts |
| 36 | Pennsylvania | 4.6 | +1.4 pts |
| 39 | Michigan | 4.5 | -1.7 pts |
| 40 | Tennessee | 4.5 | |
| 41 | New York | 4.4 | -0.7 pts |
| 42 | Maryland | 4.3 | -0.1 pts |
| 43 | North Carolina | 4.2 | -0 pts |
| 44 | Kentucky | 4.1 | -0.7 pts |
| 45 | Alabama | 3.7 | -2.3 pts |
| 46 | Utah | 3.4 | -0.1 pts |
| 47 | Oklahoma | 3.4 | -1.5 pts |
| 48 | New Jersey | 3.4 | -1 pts |
Other periods
About this ranking
Percentage of adults aged 18 and over who are heavy drinkers: men having more than 14 drinks a week and women more than 7 drinks a week, on average over the past 30 days. Crude prevalence, not age-adjusted.
CDC Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey of adults, crude prevalence. States and DC only: BRFSS publishes the median of the states rather than a national prevalence, so no national value is served. A state that did not meet BRFSS data standards in a year has no value, and CDC withholds estimates from fewer than 50 respondents or with a relative standard error above 0.3. The dataset also publishes 95% confidence intervals. The series starts in 2011, when BRFSS changed its weighting and added cell phones. From 2011 to 2014 (variable _RFDRHV4) BRFSS stated the threshold per day: more than two drinks for men and more than one for women, the same average. Later years use variables _RFDRHV5 to _RFDRHV9.
Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. 3 states with data in other periods have no value for 2025 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). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. 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
APA 7
Centers for Disease Control and Prevention. (2026). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall (US states by heavy drinking in adults, 2025) [Data set]. Retrieved October 12, 2026, from https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27
MLA 9
Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall, US states by heavy drinking in adults, 2025. Centers for Disease Control and Prevention, 15 Sept. 2026, https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Invokely, https://invokely.ai/rankings/adult-heavy-drinking-rate/us-states. Accessed 12 Oct. 2026.
Chicago (author-date)
Centers for Disease Control and Prevention. 2026. Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall. US states by heavy drinking in adults, 2025. Dataset. Accessed October 12, 2026. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. Also distributed by Invokely, https://invokely.ai/rankings/adult-heavy-drinking-rate/us-states.
Harvard
Centers for Disease Control and Prevention (2026) Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall, US states by heavy drinking in adults, 2025 [Dataset]. Available at: https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27, via Invokely: https://invokely.ai/rankings/adult-heavy-drinking-rate/us-states (Accessed: 12 October 2026).
BibTeX
@misc{centers_us_states_by_heavy_2025,
author = {{Centers for Disease Control and Prevention}},
title = {{Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall: US states by heavy drinking in adults, 2025}},
year = {2026},
howpublished = {Data set},
url = {https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27},
urldate = {2026-10-12},
note = {Accessed via Invokely, https://invokely.ai/rankings/adult-heavy-drinking-rate/us-states. Publisher attribution: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?\%24order=\%3Aid\&\%24limit=50000\&\%24where=questionid+in+\%28\%27\_RFDRHV4\%27\%2C\%27\_RFDRHV5\%27\%2C\%27\_RFDRHV6\%27\%2C\%27\_RFDRHV7\%27\%2C\%27\_RFDRHV8\%27\%2C\%27\_RFDRHV9\%27\%29+AND+responseid+in+\%28\%27RESP046\%27\%2C\%27RESP206\%27\%29+AND+breakoutid\%3D\%27BO1\%27+AND+data\_value\_type\%3D\%27Crude+Prevalence\%27. 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 - Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall: US states by heavy drinking in adults, 2025
PY - 2026
DA - 2026/09/15
PB - Centers for Disease Control and Prevention
DB - Invokely
UR - https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27
L2 - https://invokely.ai/rankings/adult-heavy-drinking-rate/us-states
Y2 - 2026/10/12
N1 - Accessed via Invokely, https://invokely.ai/rankings/adult-heavy-drinking-rate/us-states.
N1 - Publisher attribution: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall. https://data.cdc.gov/resource/dttw-5yxu.json?%24order=%3Aid&%24limit=50000&%24where=questionid+in+%28%27_RFDRHV4%27%2C%27_RFDRHV5%27%2C%27_RFDRHV6%27%2C%27_RFDRHV7%27%2C%27_RFDRHV8%27%2C%27_RFDRHV9%27%29+AND+responseid+in+%28%27RESP046%27%2C%27RESP206%27%29+AND+breakoutid%3D%27BO1%27+AND+data_value_type%3D%27Crude+Prevalence%27. 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 -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
Rank US states by heavy drinking in adults using official data, and cite the source.
rank_places {"indicator":"adult_heavy_drinking_rate","level":"region","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_heavy_drinking_rate&level=region&within=United%20States&limit=10
Questions
Which state has the highest heavy drinking in adults?
Montana, with 7.7% in 2025, according to the Centers for Disease Control and Prevention.
Which state has the lowest heavy drinking in adults?
New Jersey, with 3.4% in 2025.
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, Behavioral Risk Factor Surveillance System (BRFSS) Prevalence Data, 2011 to present (dttw-5yxu), heavy drinking in adults, crude prevalence, overall. Retrieved 2026-10-12. 3 states have no value for 2025 and are not ranked.