title: Drinking Patterns in US Counties From 2002 to 2012.
abstract: OBJECTIVE
  We estimated the prevalence of any drinking and binge drinking from 2002 to 2012 and heavy drinking from 2005 to 2012 in every US county.
  
  
  METHODS
  We applied small area models to Behavioral Risk Factor Surveillance System data. These models incorporated spatial and temporal smoothing and explicitly accounted for methodological changes to the Behavioral Risk Factor Surveillance System during this period.
  
  
  RESULTS
  We found large differences between counties in all measures of alcohol use: in 2012, any drinking prevalence ranged from 11.0% to 78.7%, heavy drinking prevalence ranged from 2.4% to 22.4%, and binge drinking prevalence ranged from 5.9% to 36.0%. Moreover, there was wide variation in the proportion of all drinkers who engaged in heavy or binge drinking. Heavy and binge drinking prevalence increased in most counties between 2005 and 2012, but the magnitude of change varied considerably.
  
  
  CONCLUSIONS
  There are large differences within the United States in levels and recent trends in alcohol use. These estimates should be used as an aid in designing and implementing targeted interventions and to monitor progress toward reducing the burden of excessive alcohol use.
authors.affiliation: All authors are with the Institute for Health Metrics and Evaluation, University of Washington, Seattle.
authors.forename: Laura
authors.initials: L
authors.lastname: Dwyer-Lindgren
authors.forename: Abraham D
authors.initials: AD
authors.lastname: Flaxman
authors.forename: Marie
authors.initials: M
authors.lastname: Ng
authors.forename: Gillian M
authors.initials: GM
authors.lastname: Hansen
authors.forename: Christopher J L
authors.initials: CJ
authors.lastname: Murray
authors.forename: Ali H
authors.initials: AH
authors.lastname: Mokdad
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology*; D000435:Alcoholic Intoxication / Q000453:epidemiology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D015995:Prevalence; D014481:United States / Q000453:epidemiology