10. Charleston, WV
>Pct. adults drinking to excess: 11.7%
>Pct. driving deaths involving alcohol: 27.6%
>Premature death: 497 deaths before age 75 per 100,000
>Median household income: $42,761

While excessive alcohol consumption can lead to a host of negative health outcomes, responsible drinking alone is not enough to ensure good health. While a relatively small 11.7% share of Charleston adults drink excessively, area adults also experience an average of 5.0 physically unhealthy days a month, the highest share of any metro in the country.

9. Johnson City, TN
>Pct. adults drinking to excess: 11.5%
>Pct. driving deaths involving alcohol: 29.0%
>Premature death: 444 deaths before age 75 per 100,000
>Median household income: $38,813

While many counties and cities in Tennessee forbid liquor sales, Johnson City does not. Despite the lack of legal restrictions, only 11.5% of adults report unhealthy drinking habits, one of the smallest such shares in the country.

8. Jackson, TN
>Pct. adults drinking to excess: 11.4%
>Pct. driving deaths involving alcohol: 27.0%
>Premature death: 411 deaths before age 75 per 100,000
>Median household income: $40,338

While a relatively small 11.4% share of adults in Jackson drink excessively, the metro area is not without its unhealthy vices. The adverse health effects associated with smoking are well established, yet 22.1% of metro area adults report a smoking habit — a considerably larger share than the comparable 17.0% national figure.

7. Morristown, TN
>Pct. adults drinking to excess: 11.3%
>Pct. driving deaths involving alcohol: 32.6%
>Premature death: 478 deaths before age 75 per 100,000
>Median household income: $38,542

People who report a heavy drinking habit are more likely to live in relatively high income households. In Morristown, a metro area where excessive drinking is relatively uncommon, 22.3% of residents live in poverty, one of the highest shares in the country.

6. Parkersburg-Vienna, WV
>Pct. adults drinking to excess: 11.3%
>Pct. driving deaths involving alcohol: 29.9%
>Premature death: 422 deaths before age 75 per 100,000
>Median household income: $41,793

While adults in the Parkersburg-Vienna metro area are far less likely to drink excessively than most Americans, they are more likely to identify as smokers. The metro area’s 11.3% excessive drinking rate is the sixth lowest in the country, while the 24.2% smoking rate is the fifth highest.