5 States with the Most Underage Drinking in the US

In this article, we are going to discuss the 5 states with the most underage drinking in the US. If you want to check out our detailed analysis of the economic cost of excessive drinking in America and the initiatives by a major brewing company to prevent underage drinking, head to 20 States with the Most Underage Drinking in the US.

5. North Dakota

Prevalence of Underage Drinking: 20.65%

Despite still being among the States with the Highest Rate of Teenage Drinking, North Dakota has made significant progress over the last two decades. In the 20 years between 2001 and 2021, alcohol use by the Peace Garden State’s high schoolers dropped from around 59% to just under 24%.

North Dakota is also counted among the States with the Highest Rates of Drunk Driving Deaths, with a staggering 47% of all motor vehicle-related deaths involving alcohol.