Special Report

The Drunkest Place in Every State


To identify the drunkest county in each state, 24/7 Wall St. reviewed excessive drinking rates from the 2021 County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program.

We ranked every county and county equivalent in each state by the share of residents 18 and older who drank excessively in the last 30 days — defined as the share of adult men who have more than five alcoholic drinks in single occasion or more than two drinks per day on average and the share of women who have more than four alcoholic drinks in single occasion or more than one drink per day on average. Excessive alcohol consumption data is for 2018, the most recent year for which data are available. 

We also considered the share of driving deaths involving alcohol between 2015 and 2019 as well as the share of adults who report being fair or poor health in 2018. Each of these measures is also from County Health Rankings.

Additional data on annual median household income and the share of adults with a bachelor’s degree or higher is from the U.S. Census Bureau’s 2019 American Community Survey and are five-year averages. 

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