20. San Luis Obispo-Paso Robles, CA
> Adults binge or heavy drinking: 24.4%
> Driving deaths involving alcohol: 40.5% — 17th highest of 384 metros
> Median household income: $77,265 — 38th highest of 384 metros
> Adults reporting poor or fair health: 15.2% — 64th lowest of 384 metros
Source: Henryk Sadura / Shutterstock.com
19. Des Moines-West Des Moines, IA
> Adults binge or heavy drinking: 24.7%
> Driving deaths involving alcohol: 35.0% — 61st highest of 384 metros
> Median household income: $71,164 — 64th highest of 384 metros
> Adults reporting poor or fair health: 13.0% — 16th lowest of 384 metros
24/7 Wall St.
Source: BergmannD / iStock
18. Janesville-Beloit, WI
> Adults binge or heavy drinking: 25.1%
> Driving deaths involving alcohol: 42.1% — 8th highest of 384 metros
> Median household income: $61,243 — 159th highest of 384 metros
> Adults reporting poor or fair health: 16.9% — 128th lowest of 384 metros
Source: DenisTangneyJr / Getty Images
17. Racine, WI
> Adults binge or heavy drinking: 25.2%
> Driving deaths involving alcohol: 36.4% — 43rd highest of 384 metros
> Median household income: $60,779 — 170th highest of 384 metros
> Adults reporting poor or fair health: 16.4% — 105th lowest of 384 metros
Source: JodiJacobson / E+ via Getty Images
16. Duluth, MN-WI
> Adults binge or heavy drinking: 25.2%
> Driving deaths involving alcohol: 34.5% — 67th highest of 384 metros
> Median household income: $60,316 — 183rd highest of 384 metros
> Adults reporting poor or fair health: 14.3% — 42nd lowest of 384 metros
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