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5. North Dakota
> Adults who drink excessively: 24.1% (US rate: 19.8%)
> Fatal car accidents involving alcohol: 41.4% — 2nd highest (US rate: 26.6%)
> Median household income: $64,577 — 20th highest (US median: $65,712)
> Population: 762,062
Source: peeterv / iStock via Getty Images
4. Montana
> Adults who drink excessively: 24.3% (US rate: 19.8%)
> Fatal car accidents involving alcohol: 46.4% — the highest (US rate: 26.6%)
> Median household income: $57,153 — 11th lowest (US median: $65,712)
> Population: 1,068,778
24/7 Wall St.
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3. South Dakota
> Adults who drink excessively: 24.4% (US rate: 19.8%)
> Fatal car accidents involving alcohol: 36.1% — 5th highest (US rate: 26.6%)
> Median household income: $59,533 — 18th lowest (US median: $65,712)
> Population: 884,659
Source: pabradyphoto / iStock via Getty Images
2. Iowa
> Adults who drink excessively: 24.6% (US rate: 19.8%)
> Fatal car accidents involving alcohol: 26.8% — 19th lowest (US rate: 26.6%)
> Median household income: $61,691 — 21st lowest (US median: $65,712)
> Population: 3,155,070
Source: JamesBrey / E+ via Getty Images
1. Wisconsin
> Adults who drink excessively: 25.2% (US rate: 19.8%)
> Fatal car accidents involving alcohol: 35.6% — 6th highest (US rate: 26.6%)
> Median household income: $64,168 — 21st highest (US median: $65,712)
> Population: 5,822,434
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