The Drunkest City in Every State

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21. Massachusetts
> Drunkest city: Barnstable Town, MA
> MSA adults binge or heavy drinking: 21.0% (top 25%)
> State adults binge or heavy drinking: 19.5% (13th highest)
> Alcohol related driving deaths: 23.1% (bottom 25%)

Binge and heavy drinking are never healthy behaviors. Still, 21.0% of adults in the Barnstable Town metro area drink excessively, a larger share than in any other metro area in Massachusetts.

In other key measures, however, adults in Barnstable Town are relatively healthy. Of the five metro areas in Massachusetts, Barnstable Town has the lowest smoking rate, the lowest obesity rate, and the largest share of adults who are regularly physically active.

Source: Thinkstock

22. Michigan
> Drunkest city: Lansing-East Lansing, MI
> MSA adults binge or heavy drinking: 21.9% (top 10%)
> State adults binge or heavy drinking: 20.0% (10th highest)
> Alcohol related driving deaths: 27.8%

According to a nationwide survey by the National Institute on Alcohol Abuse, nearly 3 in 5 college students aged 18 to 22 drink alcohol on a monthly basis. In the Lansing-East Lansing metro area — home to Michigan State University, the largest school in Michigan and the ninth largest in the country — some 14.2% of residents are enrolled in college, more than double the 7.0% share nationwide. An estimated 21.9% of adults in the Lansing-East Lansing metro area drink excessively, more than the comparable 20.0% statewide share and more than any other metro in Michigan.

Source: Wikimedia Commons

23. Minnesota
> Drunkest city: Mankato-North Mankato, MN
> MSA adults binge or heavy drinking: 23.6% (top 10%)
> State adults binge or heavy drinking: 21.1% (6th highest)
> Alcohol related driving deaths: 18.0% (bottom 10%)

Nearly 24% of adults in the Mankato-North Mankato drink excessively, the largest share of any of any of Minnesota’s five metro areas. Despite ranking as the state’s heaviest drinking metro area, driving deaths attributable to alcohol are relatively uncommon. Only 18% of all roadway fatalities in the metro area involve alcohol, the smallest share of any metro area in Minnesota and well below the comparable 30.9% statewide share.

Source: Thinkstock

24. Mississippi
> Drunkest city: Gulfport-Biloxi-Pascagoula, MS
> MSA adults binge or heavy drinking: 14.0% (bottom 10%)
> State adults binge or heavy drinking: 13.3% (5th lowest)
> Alcohol related driving deaths: 26.4%

Some 13.3% of Mississippi adults drink excessively, the fifth smallest share of any state. While the 14.0% excessive drinking rate in the Gulfport-Biloxi-Pascagoula metro area is the highest of any metro in the state, it is far below the 18.0% national excessive drinking rate and among the lowest of any city nationwide.

Alcohol is expensive — prohibitively so for many lower income individuals. In Gulfport, the typical household earns just $46,434 a year, far below the national median household income of $57,617.

Source: Thinkstock

25. Missouri
> Drunkest city: Columbia, MO
> MSA adults binge or heavy drinking: 20.9% (top 25%)
> State adults binge or heavy drinking: 17.7% (25th lowest)
> Alcohol related driving deaths: 44.4% (top 10%)

Columbia is the only metro area in Missouri in which more than 1 in every 5 adults drink excessively. Alcohol consumption is only one lifestyle factor that can impact health, however, and by other measures Columbia residents are relatively healthy. For example, adults in Columbia are more likely to lead physically active lives than those in any other metro area in the state. Additionally, only 28.4% of metro area adults are obese, the smallest share in Missouri and well below the 30.8% statewide obesity rate.