Tennessee Alcohol Abuse Statistics

How Tennessee compares with the United States, South, and bordering states on alcohol consumption and abuse. Our statistics cover Alcohol use Disorder (AUD), liver-disease deaths, and drunk driving impact. Note that source timeframes vary; federal survey figures are two-year averages.

Key Takeaways - Tennessee

Data current as of our most recent data pull on 2026-10-19.

  1. Tennessee recorded the largest increase in the share of traffic deaths involving an alcohol-impaired driver among the states it borders, up 2 percentage points over the past decade.

    Source: NHTSA State Alcohol-Impaired-Driving Estimates: 2024 Data (DOT HS 813 813) · Rank 1 of 9

  2. Tennessee has 31% higher drunk-driving death rate than the nation as a whole, at 4.6 vs 3.5.

    Source: NHTSA State Alcohol-Impaired-Driving Estimates: 2024 Data (DOT HS 813 813)

  3. Tennessee has 26% higher liver disease death rate than the nation as a whole, at 16.0 vs 12.7.

    Source: NCHS Vital Statistics Rapid Release, quarterly provisional estimates (chronic liver disease and cirrhosis)

Tennessee scorecard

Index versus the national figure: 1.00 is the US level, 1.20 is 20% above it. Rank 1 is the highest value among 51 states and DC.

2.27
Per-capita consumption
Index 0.94 · #27 of 51
US: 2.42
19.1%
Binge drinking
Index 0.91 · #41 of 51
US: 20.9%
9.3%
Alcohol use disorder
Index 0.94 · #44 of 51
US: 9.9%
16.0
Liver disease death rate
Index 1.26 · #15 of 51
US: 12.7
28%
Alcohol-impaired share of road deaths
Index 0.93 · #34 of 51
US: 30%
6.0%
Teen drinking
Index 0.88 · #42 of 51
US: 6.8%

How much alcohol Tennessee buys

In the most recent year of federal sales data, alcohol sales in Tennessee amounted to 2.27 gallons of pure ethanol per resident aged 14 and older, against a national figure of 2.42 gallons (index 0.94, rank 27 of 51). That is roughly 484 standard drinks per person for the year. Over the past five years per-person purchases have changed by +3.7%.

BeverageTennesseeUnited States
Beer0.920.95
Wine0.320.39
Spirits1.031.07
All beverages2.272.42

Gallons of ethanol per person aged 14+, most recent year. Source: NIAAA Surveillance Report #124 (apparent consumption from sales and shipments; includes sales to visitors).

Per-person alcohol consumption, Tennessee vs US

Gallons of ethanol per person aged 14+, last 12 years of federal data

Source: NIAAA Surveillance Report #124, Table 4.

Who drinks in Tennessee

Age groupDrank in past monthBinge drank in past monthAlcohol use disorder (past year)
Ages 12-17 Gen Z 6.0% (US 6.8%) 3.6% (US 3.7%) 2.6% (US 3.0%)
Ages 18-25 Gen Z 51.1% (US 48.5%) 27.1% (US 27.7%) 14.6% (US 14.7%)
Ages 26+ Millennials and older 43.9% (US 51.5%) 19.7% (US 21.8%) 9.3% (US 10.0%)
Underage 12-20 Gen Z 12.2% (US 14.0%) 7.8% (US 8.1%) 5.7% (US 5.4%)
All ages 12+ 41.3% (US 47.1%) 19.1% (US 20.9%) 9.3% (US 9.9%)

Source: SAMHSA National Survey on Drug Use and Health, state estimates, two-year annual averages, most recent available. Binge drinking is 5+ drinks (men) or 4+ (women) on one occasion. State estimates pool two survey years, so the US figures here differ slightly from the single-year national report quoted on the homepage.

Teens and young adults

6.0% of Tennessee teens aged 12 to 17 (Gen Z) drank alcohol in the past month, compared with 6.8% nationally (rank 42 of 51). Among everyone under the legal drinking age (12 to 20), 12.2% drank in the past month and 7.8% binge drank (US: 14.0% and 8.1%). Young adults aged 18 to 25 (Gen Z) remain the heaviest-drinking group: 27.1% binge drank in the past month (US 27.7%) and 14.6% met criteria for alcohol use disorder (US 14.7%).

National context: teen drinking is at record lows nationally. The most recent Monitoring the Future survey reports 41% of 12th graders drank in the past year, and Gallup finds 50% of adults aged 18 to 34 drink at all, down from 72% two decades ago. Those surveys are national only.

Alcohol-related deaths

The provisional age-adjusted death rate from chronic liver disease and cirrhosis in Tennessee was 16.0 per 100,000 in the most recent 12 months of provisional data, against 12.7 nationally (index 1.26, rank 15 of 51). A year earlier it was 16.1. Cirrhosis deaths are the most alcohol-sensitive cause of death that NCHS publishes quarterly; they include some non-alcoholic liver disease and exclude alcohol poisonings and crashes.

Source: CDC National Center for Health Statistics, Vital Statistics Rapid Release, quarterly provisional estimates. Provisional counts for the most recent quarters are incomplete and revised each release.

Drunk driving

In the most recent year of federal crash data, 332 people died in Tennessee crashes involving a driver with a blood alcohol concentration of .08 or higher, 28% of the state's 1,197 traffic deaths (US: 30%). 18% of all traffic deaths involved a driver at .15 or higher. Per resident, that is 4.61 alcohol-impaired crash deaths per 100,000 (US 3.51).

A decade earlierMost recent year
All traffic deaths9621,197
Deaths with an alcohol-impaired driver (BAC .08+)253332
Share of traffic deaths26%28%

Source: NHTSA, State Alcohol-Impaired-Driving Estimates: 2024 Data (DOT HS 813 813). NHTSA imputes blood alcohol levels where tests are missing; alcohol-impaired figures are alcohol-specific and exclude drug impairment.

DUI arrests

Police in Tennessee made 17,864 arrests for driving under the influence in the 12 months ending September 2026, 254 per 100,000 residents (US 272), rank 31 of 51. Liquor-law violations accounted for 3,005 arrests.

Source: FBI Crime Data Explorer, arrests reported by participating agencies covering 98% of the state's population; the rate per 100,000 uses the covered population. Counts are preliminary and revised monthly. The FBI's DUI category covers impairment by alcohol or drugs; drunkenness and liquor-law arrests are alcohol-specific. Some states report zero for offense categories they do not track.

Tennessee compared with the states it borders

StateAlcohol per person (gal)Binge drinking (12+)Alcohol use disorderLiver disease deaths /100kDrunk-driving shareTeen drinking
Tennessee 2.2719.1%9.3% 16.028%6.0%
Alabama 1.8720.9%9.9% 15.729%6.5%
Arkansas 1.8218.2%9.7% 16.026%6.1%
Georgia 1.9220.7%9.4% 11.723%6.3%
Kentucky 2.1218.1%9.9% 17.124%5.7%
Missouri 2.7723.0%10.8% 13.927%6.4%
Mississippi 2.0719.9%9.3% 15.123%5.4%
North Carolina 2.2119.4%9.7% 12.628%5.9%
Virginia 2.0719.5%9.5% 11.427%7.1%
United States 2.4220.9%9.9% 12.730%6.8%

Methodology and sources

Figures are taken as published from the federal sources below and are not adjusted. "Index" divides the state figure by the national figure. Ranks cover the 50 states and the District of Columbia. Quotable sentences compare Tennessee within the United States, South, East South Central, large states by population, license states, and the states it borders; a rank is claimed on survey measures only when the state's confidence interval does not overlap that of the first state outside the claim. Per-capita consumption counts alcohol sold in the state, including to visitors, and NIAAA notes this inflates figures for states such as New Hampshire, Nevada, Delaware, and DC.

Download: Tennessee data (CSV) · all states (CSV)