1. Alabama
> Drunkest city: Auburn-Opelika
> Pct of MSA adults binge or heavy drinking: 17.8%
> Pct. of state adults binge or heavy drinking: 12.2%
> Pct of driving deaths alcohol related: 26.1%

Nearly 18% of adults in the Auburn-Opelika metro area report heavy drinking or binge drinking — defined as more than five drinks for men and four drinks for women on a single occasion — in the past 30 days, according to the CDC. This is the highest proportion compared with the other 10 metro areas in Alabama, where 12.2% of adults report such heavy drinking habits. More than 26% of all driving deaths in the Auburn area are associated with alcohol consumption. Unlike most of the metro areas on this list, this percentage was actually lower than the national proportion of 31%.

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2. Alaska
> Drunkest city: Fairbanks
> Pct of MSA adults binge or heavy drinking: 20.0%
> Pct. of state adults binge or heavy drinking: 19.2%
> Pct of driving deaths alcohol related: 34.9%

Alaska is one of the heaviest drinking states in the nation. In Fairbanks, one-fifth of men and women report excessive drinking in the past 30 days. Alaska has one of the strictest Driving Under the Influence (DUI) penalties of any state. The minimum fine for drunk driving in Alaska is $1,500, which doubles for the second offense. Even with these punishments in place, almost 35% of driving deaths in Fairbanks are alcohol related, higher than the national proportion of 31%.

3. Arizona
> Drunkest city: Phoenix-Mesa-Scottsdale
> Pct of MSA adults binge or heavy drinking: 17.1%
> Pct. of state adults binge or heavy drinking: 16.1%
> Pct of driving deaths alcohol related: 27.9%

Across Arizona, 16.1% of adults drink excessively, slightly more than the national rate of 15%. In Phoenix, more than 17% of adults report binge or heavy drinking, a larger share than in any other metro area in the state. While Arizona residents are slightly more likely to drink excessively than Americans, the state has the eighth lowest rate of alcohol-related driving deaths in the country, at 26.6%. In Phoenix, 27.9% of driving fatalities are alcohol related, slightly higher than the state figure, but lower than the nation’s.

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4. Arkansas
> Drunkest city: Hot Springs
> Pct of MSA adults binge or heavy drinking: 17.4%
> Pct. of state adults binge or heavy drinking: 12.6%
> Pct of driving deaths alcohol related: 40.8%

Hot Springs has one of the highest levels nationwide of life lost due to premature death with an estimated 10,279 years of life lost each year per 100,000 residents. This reflects relatively poor health among area residents, which could be related to the high alcohol consumption, particularly while driving. More than two in five car fatalities in the Hot Spring metro area are alcohol related, one of the highest proportions in the country.

5. California
> Drunkest city: Napa
> Pct of MSA adults binge or heavy drinking: 23.7%
> Pct. of state adults binge or heavy drinking: 17.2%
> Pct of driving deaths alcohol related: 35.7%

The Napa region of California is famous for its wineries, and the area attracts tourists from around the country to go on tours and sample the local wines. While those tourists would not be counted in these numbers, it is not surprising that the Napa metropolitan area has one of the highest rates of excessive alcohol consumption in the country. Roughly 23.7% of area adults engaged in binge drinking or heavy drinking.