This is Disability Insurance Awareness Month. Last month was Alcohol Awareness Month.
One area of common interest is binge drinking.
The managers of the Behavioral Risk Factor Surveillance System (BRFSS), an arm of the Centers for Disease Control and Prevention (CDC), classify men as binge drinkers if they report having five or more drinks on one occasion in the past 30 days. For women, the cut-off is four drinks on one occasion. Binge drinkers are not necessarily alcoholics, and they may not even necessarily be regular users of alcohol. But even occasional binge drinking can lead to crippling accidents. It may also contribute to a long list of crippling health problems as well as conditions that can necessitate long-term care (LTC) services.
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Finnish researchers, for example, found when they followed twins for 25 years, until the twins were 65 years old or older, that study participants who admitted to binge drinking during the first round of surveys were three times more likely to be suffering dementia at the end of the study period than other participants. Participants who said early on that they had passed out at least twice in the past year due to heavy drinking were 10 times more likely to end up suffering from dementia as the other study participants.
While many types of health problems afflict lower-income people more often than higher-income people, the opposite is true of binge drinking.
In 2014, 16 percent of U.S. adults reported engaging in binge drinking in the 30 days before being surveyed. The prevalence of binge drinking was just 9.7 percent for people with less than $15,000 in annual household income; 11.6 percent for people in the middle, $25,000-$34,999 category; and and 15.1 percent for people in the $50,000-and-over category.
We used the BRFSS data to come up with state-level prevalence data for people in the $50,000-and-over income category.
For a look at the 10 states and territories with what appear to be the worst binge drinking problems, and a table that shows the binge drinking prevalence for all states and territories, read on.
10. Illinois
Binge drinking prevalence: 22.8%
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9. Montana
Binge drinking prevalence: 22.8%

8. Michigan
Binge drinking prevalence: 22.9%
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7. Minnesota
Binge drinking prevalence: 23.0%
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6. Guam
Binge drinking prevalence: 23.2%
5. Iowa
Binge drinking prevalence: 25.1%
See also: Study: Seniors may be drinking too much
4. Nebraska
Binge drinking prevalence: 25.3%
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3. Wisconsin
Binge drinking prevalence: 25.7%
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2. North Dakota
Binge drinking prevalence: 26.2%
1. District of Columbia
Binge drinking prevalence: 31.1%
Binge drinking
Here's a table showing the prevalence, for all 50 U.S. states and comparable jurisdictions, for BRFSS survey participants with $50,000 or more in annual household income.
| State or territory | Prevalence in % |
| Alabama | 15.1 |
| Alaska | 22.2 |
| Arizona | 16.6 |
| Arkansas | 14.2 |
| California | 17.6 |
| Colorado | 19.7 |
| Connecticut | 19.6 |
| Delaware | 19.7 |
| District of Columbia | 31.1 |
| Florida | 18.9 |
| Georgia | 15.7 |
| Guam | 23.2 |
| Hawaii | 22.1 |
| Idaho | 17.9 |
| Illinois | 22.8 |
| Indiana | 19 |
| Iowa | 25.1 |
| Kansas | 18.6 |
| Kentucky | 15.5 |
| Louisiana | 20.6 |
| Maine | 19.5 |
| Maryland | 18.4 |
| Massachusetts | 21.9 |
| Michigan | 22.9 |
| Minnesota | 23 |
| Mississippi | 17.4 |
| Missouri | 18.8 |
| Montana | 22.8 |
| Nebraska | 25.3 |
| Nevada | 17.5 |
| New Hampshire | 19.4 |
| New Jersey | 19.5 |
| New Mexico | 14.3 |
| New York | 17.6 |
| North Carolina | 15.7 |
| North Dakota | 26.2 |
| Ohio | 22.2 |
| Oklahoma | 14.7 |
| Oregon | 17.2 |
| Pennsylvania | 20.7 |
| Puerto Rico | 19.6 |
| Rhode Island | 21.1 |
| South Carolina | 16.2 |
| South Dakota | 20.3 |
| Tennessee | 14.4 |
| Texas | 19.3 |
| Utah | 10.9 |
| Vermont | 19.6 |
| Virginia | 17.1 |
| Washington | 19.7 |
| West Virginia | 11.6 |
| Wisconsin | 25.7 |
| Wyoming | 18.9 |
| Source: BRFSS 2014 data | |
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