The Drunkest City in Every State

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11. Hawaii
> Drunkest city: Kahului-Wailuku-Lahaina, HI
> MSA adults binge or heavy drinking: 21.8% (top 10%)
> State adults binge or heavy drinking: 20.5% (8th highest)
> Alcohol related driving deaths: 50.5% (top 10%)

Nearly 22% of adults in Kahului-Wailuku-Lahaina either binge or heavily drink, a larger share than both the statewide and nationwide excessive drinking rates. Driving deaths that involve alcohol are often more common in areas with heavy drinking populations, and the Kahului-Wailuku-Lahaina is no exception. The metro area is one of only five nationwide in which over half of all roadway fatalities involve alcohol.

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12. Idaho
> Drunkest city: Coeur d’Alene, ID
> MSA adults binge or heavy drinking: 17.9%
> State adults binge or heavy drinking: 15.4% (10th lowest)
> Alcohol related driving deaths: 38.3% (top 25%)

An estimated, 15.4% of Idahoans drink excessively, the 10th smallest share of any state. While in the wettest metro area in the state — Coeur d’Alene — the excessive drinking rate is 17.9%, it is still lower than the national rate of 18.0% and less than close to half that of all U.S. cities.

While the typical Coeur d’Alene adult is less likely to binge or heavily drink than the typical American adult, motorists in the metro area may be more likely to be involved in a fatal alcohol-related accident. Alcohol is involved in an estimated 38.3% of all fatal car crashes in Coeur d’Alene, far more than the 30.0% national figure.

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13. Illinois
> Drunkest city: Bloomington, IL
> MSA adults binge or heavy drinking: 21.5% (top 10%)
> State adults binge or heavy drinking: 21.2% (5th highest)
> Alcohol related driving deaths: 35.1%

With a 21.5% excessive drinking rate, Bloomington is the heaviest drinking metro area in Illinois. Unhealthy alcohol consumption is more common among better educated populations, and Bloomington is home to a relatively large share of adults with a bachelor’s degree. Some 42.4% of adults in Bloomington have a four year college degree, compared to the statewide college attainment rate of 34.0% and the nationwide rate of 31.3%.

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14. Indiana
> Drunkest city: Bloomington, IN
> MSA adults binge or heavy drinking: 19.7% (top 25%)
> State adults binge or heavy drinking: 16.8% (17th lowest)
> Alcohol related driving deaths: 26.2% (bottom 25%)

Colleges students are more likely to drink heavily than nearly any other group. The Bloomington metro area is the home of Indiana University, one of the largest universities in the United States. Nearly 1 in 4 metro area residents are enrolled in college or graduate school, the third highest share in the country, and 19.7% of residents over the age of 18 drink excessively, the largest share of any Indiana metro.

College graduates are also more likely to drink than the average American. Some 38.9% of Bloomington adults have a bachelor’s degree, also the largest share in the state.

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15. Iowa
> Drunkest city: Iowa City, IA
> MSA adults binge or heavy drinking: 23.1% (top 10%)
> State adults binge or heavy drinking: 21.0% (7th highest)
> Alcohol related driving deaths: 17.7% (bottom 10%)

Iowa City is the heaviest drinking metro area in a relatively heavy drinking state. Across Iowa, 21.0% of adults drink excessively, a larger share than in all but six other states and well above the U.S. excessive drinking rate of 18.0%. Meanwhile, Iowa City is one of only 13 metro areas nationwide in which more than 23% of adults either binge drink or drink excessively. Like many of the heaviest drinking metro areas, Iowa City is in the Midwest.