Source: csfotoimages / Getty Images
40. Monroe, Michigan
> Pct. of adults who drink excessively: 22.8% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 40.6% — No. 14 out of 382 (US rate: 27.0%)
> Median household income: $62,839 — No. 128 out of 382 (US median: $65,712)
> Metro area population: 150,500
Source: DenisTangneyJr / Getty Images
39. Springfield, Massachusetts
> Pct. of adults who drink excessively: 22.8% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 31.1% — No. 123 out of 382 (US rate: 27.0%)
> Median household income: $62,346 — No. 139 out of 382 (US median: $65,712)
> Metro area population: 697,382
Source: StevenGaertner / Getty Images
38. Minneapolis-St. Paul-Bloomington, Minnesota
> Pct. of adults who drink excessively: 22.9% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 31.4% — No. 117 out of 382 (US rate: 27.0%)
> Median household income: $83,698 — No. 18 out of 382 (US median: $65,712)
> Metro area population: 3,640,043
Source: peeterv / Getty Images
37. Rapid City, South Dakota
> Pct. of adults who drink excessively: 23.0% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 34.3% — No. 70 out of 382 (US rate: 27.0%)
> Median household income: $58,361 — No. 205 out of 382 (US median: $65,712)
> Metro area population: 142,191
Source: unclegene / Getty Images
36. Kahului-Wailuku-Lahaina, Hawaii
> Pct. of adults who drink excessively: 23.0% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 49.0% — No. 3 out of 382 (US rate: 27.0%)
> Median household income: $80,754 — No. 24 out of 382 (US median: $65,712)
> Metro area population: 167,488
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