These states have the highest rates of binge drinking (2024)

Story at a glance

  • Rates of alcohol consumption have historically been higher in the Midwest region of the United States.
  • Data from NiceRx details which states have the highest and lowest rates of excessive alcohol intake.
  • Binge drinking is a leading cause of preventable death in the country and costs the nation billions of dollars each year.

Excessive alcohol use takes the lives of about 380 Americans each day, and some in the Midwest are particularly vulnerable, according to new research.

Wisconsin, Iowa and North Dakota have the highest binge drinking rates in the country according to data from medication access company NiceRx, at 25.8 percent, 24.5 percent and 22.7 percent, respectively.

These top three are followed by Nebraska, South Dakota, Minnesota, Massachusetts, Hawaii, Illinois and Colorado.

In 2010, the most recent year for which data are available, excessive drinking cost the country $249 billion, due in part to treatment costs for cancer, liver disease and heart disease.

Furthermore, excessive drinking shortens average life expectancy by 26 years, accounting for nearly 3.6 million years of potential life lost annually.

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Although those aged 35 and older and males are more likely to engage in binge drinking, recent figures show around 1 in 3 young people report doing so recently.

NiceRx data were collected from the Centers for Disease Control and Prevention (CDC), while the state of New Jersey was not included in the final analysis.

In the study, binge drinking was defined as consuming five or more drinks on one occasion for males, and four or more drinks for females.

One study conducted in 2016 suggested a root cause for the high rates of alcohol consumption seen in the Midwest could be the number of colleges and universities in the region. Cold weather could also contribute to high rates of alcohol consumption, along with regional social norms.

On the flipside, researchers found Utah, Oklahoma, Alabama, Mississippi and West Virginia had the lowest rates of binge drinking recorded.

Utah also had the lowest number of cigarette smokers. More than 60 percent of the state’s population is Mormon, a religion that prohibits consumption of both alcohol and tobacco and likely accounts for the low rates reported.

Both Oklahoma and Alabama had the same low proportion of binge drinkers at 13.6 percent. Researchers hypothesize this could be due to the states’ situation in the deeply religious Bible Belt and prevalence of conservative social values.Four of the top five states with the lowest binge-drinking rates are part of the Bible Belt.

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  • These states have the highest rates of binge drinking (1)
  • These states have the highest rates of binge drinking (2)
These states have the highest rates of binge drinking (2024)

FAQs

These states have the highest rates of binge drinking? ›

As of 2022, the U.S. states with the highest prevalence of binge drinking among adults were North Dakota, Montana, and Iowa. In North Dakota, around 23 percent of adults stated they binge drank in the last 30 days in 2022.

What state has the most binge drinkers? ›

Excessive Drinking by State

Instead, it was Gallatin County in Montana that topped out the list — 27% of adults in the southern county self-reported binge or heavy drinking in 2021. However, all 72 of Wisconsin's counties had an excessive drinking rate at or above 20%.

What state has the highest alcohol rate? ›

Naturally, California consumes the most alcohol in raw volume with a whopping 88.6 million gallons drunk in 2021 — nearly 30 million more than runner-up Texas's 58.9 million gallons. Floridians take the bronze, with 55.2 million gallons consumed in 2021.

Where do people binge drink the most? ›

Men in Romania, Denmark, and Luxembourg were the heaviest binge drinkers, while women in Denmark and the United Kingdom were tied as the heaviest binge drinkers. On average, 26 per cent of men reported binge drinking at least once a month in OECD countries compared to 12 per cent of women.

In what state is the highest rate of heavy drinking found? ›

Unsurprisingly, the most densely populated states in the U.S. consume the most alcohol by volume. California leads the pack with 85.7 million gallons consumed in 2020. Texas, Florida, New York, and Illinois round out the remainder of the top five. Conversely, Wyoming, Alaska, and South Dakota consume the least.

What are the top 10 drinking states? ›

Highest Alcohol Consumption by State

The 10 states with the highest alcohol consumption levels in the US are New Hampshire, Vermont, Montana, North Dakota, Nevada, Maine, Delaware, Wisconsin, Hawaii and Pennsylvania.

How many binge drinkers are there? ›

How Common Is Binge Drinking? According to the 2022 National Survey on Drug Use and Health (NSDUH), about 61 million, or 21.7%, of people in the United States ages 12 and older reported binge drinking during the past month.

What city in the US consumes the most alcohol? ›

It turns out that Milwaukee exceptionally lives up to its reputation as “Beer City,” ranking as the drunkest city in the U.S. with an average of three breweries, 36.7 general bars, and 2.7 wine bars per 100,000 residents.

What is the number 1 alcohol in America? ›

Vodka is the most consumed liquor in the United States - and has been since 1970. Around 78.1 million cases of the spirit were sold in the U.S. in 2021.

Who drinks the most alcohol? ›

Men in Romania are, by and large, the heaviest drinkers on the planet. The average Romanian male drinks 27.3 liters, or 8.2 standard drinks, per year. It's not just the men in Romania that boast such high numbers. As a country, Romanians drink an average of 16.99 liters per year, nearly 3 liters more than Georgians.

How many people binge drink in the US? ›

According to the 2022 NSDUH, 61.2 million people ages 12 and older (21.7% in this age group) reported binge drinking in the past month (see glossary for definition of binge drinking).

Where does binge drinking come from? ›

Depending on your age, different factors may come into play, but some motivations are common among all age groups. Stress. People often use binge drinking as a way to self-medicate symptoms of anxiety, depression, and stress.

What age are most alcoholics? ›

Chronic severe alcoholics average 38 years of age. They begin drinking around age 16 and develop alcohol dependence later, around 29 years of age. This group has the highest rates of drinking, consuming alcohol on an average of almost 248 days a year and binge drinking on 69% of them with a maximum of 15 drinks.

Why do people drink so much in Wisconsin? ›

One common theory about why Wisconsin's drinking culture is so extreme is linked to the state's German heritage. About 43 percent of the state's population claims German roots, which explains Wisconsin's drinking culture — so the theory goes — since medieval Germans are the ones who invented hopped beer.

What is the alcoholism rate in the United States? ›

Alcoholism Stats

More than 6 percent of adults in the U.S. have an alcohol use disorder, about 1 in 12 men and 1 in 25 women. An additional 623,000 people between the ages of 12 and 17 have alcohol use disorders. About 88,000 people die of alcohol-related causes every year in the United States.

Which country has the heaviest drinkers? ›

The biggest shares of adults taking part in heavy drinking episodes at least once a month were found in Denmark (38 per cent), Romania (35 per cent), Luxembourg (34 per cent), Germany (30 per cent) and Belgium (28 per cent).

What race is most likely to binge drink? ›

Using data from Waves 1 and 2 of the National Longitudinal Study of Adolescent to Adult Health, logistic regressions reveal significant racial differences, with whites having higher odds of binge drinking than other groups.

What is the average binge drinking? ›

NIAAA defines binge drinking as a pattern of drinking alcohol that brings blood alcohol concentration (BAC) to 0.08 percent - or 0.08 grams of alcohol per deciliter - or higher. For a typical adult, this pattern corresponds to consuming 5 or more drinks (male), or 4 or more drinks (female), in about 2 hours.

Is binge drinking a problem in the US? ›

According to data from the 2021 National Survey on Drug Use and Health (NSDUH), of those 12 and older 47.5% (i.e., more than 133 million people) drank alcohol in the past month and 21.5% of this age group (i.e., 60 million people) were binge drinkers.

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