Wisconsin once again dominates the annual list of "drunkest cities" in the United States, with Minnesota home to one entry.
Out of the top 20 cities with the highest binge or heavy drinking rates, 12 of them are found in Wisconsin, including the top 4 of Appleton, Oshkosh/Neenah, Green Bay and Madison.
The rankings have been updated by 24/7 Wall St. based on self-reported rates by adults in the Robert Wood Johnson Foundation and University of Wisconsin's County Health Rankings & Roadmaps report.
There is one Minnesota city that makes it into the top 20 for heavy drinking rates, with the metro area of Mankato and North Mankato coming in at 10th.
The Midwest dominates the list, with other entries including Fargo and Grand Forks, North Dakota (5th and 14th), Ames and Iowa City, Iowa (8th and 19th), and Lincoln, Nebraska (18th).
Of Mankato, the study found that 24.2 percent of adults "drink to excess," while alcohol is involved in 20.8 percent of driving deaths in the metro.
It also notes that Mankato is one of the few metro areas where more than half the population is male, and as a result this could contribute to the excessive drinking rate, as men are twice as likely to binge drink than women.
24/7 Wall St. notes that excessive drinking can lead to serious and fatal health conditions, including liver disease, neurological damage, and cardiovascular diseases.
Here's the top 20:
- Appleton, Wis.
- Oshkosh/Neenah, Wis.
- Green Bay, Wis.
- Madison, Wis.
- Fargo, N.D.
- La Crosse/Onalaska, Wis.
- Fond du Lac, Wis.
- Ames, Iowa
- Eau Claire, Wis.
- Mankato/North Mankato, Minn.
- Wausau, Wis.
- Sheboygan, Wis.
- Missoula, Mont.
- Grand Forks, N.D.
- Racine, Wis.
- Janesville/Beloit, Wis.
- Milwaukee/Waukesha/West Allis, Wis.
- Lincoln, Neb.
- Iowa City, Iowa
- Corvallis, Ore.
The Midwest has zero cities in the Top 20 Driest Cities list.