Special Report

City With the Highest Excessive Drinking Rate in Every State


To identify the drunkest city in every state, 24/7 Tempo reviewed the percentage of adults in each of the country’s 382 metropolitan statistical areas who reported drinking excessively in the past 30 days. Metro level data was aggregated from county level data assembled in 2021 by County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program.

Excessive drinking includes both binge and heavy drinking. CHR’s excessive drinking estimates are derived from 2018 survey data. 

Health outcomes, including the number of alcohol-related driving deaths, also came from county-level data obtained from County Health Rankings & Roadmaps. Driving fatalities involving alcohol are for the years 2015-2019.

Social and economic factors such as median household income came from the U.S. Census Bureau’s 2019 1-year American Community Survey.

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