Source: russokm1105 / Getty Images
20. San Luis Obispo-Paso Robles, California
> Pct. of adults who drink excessively: 24.4% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 40.5% — No. 17 out of 382 (US rate: 27.0%)
> Median household income: $77,265 — No. 37 out of 382 (US median: $65,712)
> Metro area population: 283,111
Source: pabradyphoto / iStock via Getty Images
19. Des Moines-West Des Moines, Iowa
> Pct. of adults who drink excessively: 24.7% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 35.0% — No. 61 out of 382 (US rate: 27.0%)
> Median household income: $71,164 — No. 63 out of 382 (US median: $65,712)
> Metro area population: 699,292
24/7 Wall St.
Source: Jeramey Jannene (Grassferry49) / Wikimedia Commons
18. Janesville-Beloit, Wisconsin
> Pct. of adults who drink excessively: 25.1% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 42.1% — No. 8 out of 382 (US rate: 27.0%)
> Median household income: $61,243 — No. 158 out of 382 (US median: $65,712)
> Metro area population: 163,354
Source: DenisTangneyJr / iStock via Getty Images
17. Racine, Wisconsin
> Pct. of adults who drink excessively: 25.2% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 36.4% — No. 43 out of 382 (US rate: 27.0%)
> Median household income: $60,779 — No. 169 out of 382 (US median: $65,712)
> Metro area population: 196,311
Source: taarnes / Getty Images
16. Duluth, Minnesota
> Pct. of adults who drink excessively: 25.2% (US rate: 19.2%)
> Pct. of fatal car accidents involving alcohol: 34.5% — No. 67 out of 382 (US rate: 27.0%)
> Median household income: $60,316 — No. 182 out of 382 (US median: $65,712)
> Metro area population: 289,383
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