24/7 Wall St.: In recent years, Americans have increasingly moved away from beer consumption in favor of wines and spirits. U.S. beer consumption fell slightly from 28.3 gallons per drinking-aged adult in 2012 to 27.6 gallons last year.

Despite declining across the United States overall, beer consumption remains quite high in some states. According to a recent study from Beer Marketer’s Insights, a brewing industry trade publisher, North Dakota residents consumed 43.3 gallons of beer per drinking-age adult in 2013, the most of any state. This was more than double the 19.6 gallons per legal age adult consumed in Utah, which drank the least beer. Based on figures from Beer Marketer’s Insights, these are the states that drink the most beer.

Between 2002 and 2012, the share of Americans’ total alcohol intake coming from beer has declined. The average drinking age adult drank the equivalent of 1.39 gallons of pure ethanol alcohol from beer in 2002, with a total intake of 2.39 gallons from all drinks consumed. In 2012, Americans pure alcohol intake was 2.46 gallons per person. Americans’ alcohol intake from wine and spirits rose by 15.2% and 20.9%, respectively, between 2002 and 2012. Meanwhile, intake from beer dropped by 8.6%.

While some of the states that drink the most beer generally followed this national trend, other states did not. Between 2002 and 2012, alcohol intake from beer consumption declined by 17.4% in Nevada, one of the top beer drinking states. In that time, alcohol intake from wine rose by more than 30%. On the other hand, alcohol intake from beer rose by more than 10% in both Vermont and Maine, also among the top beer drinking states.

Consuming excessive amounts of alcohol is associated with a range of health problems. One in 10 deaths among working age adults in the United States is due to excessive drinking, according to figures recently released by the Centers for Disease Control and Prevention (CDC).

According to the study, “Excessive alcohol use is responsible for 2.5 million years of potential life lost annually, or an average of about 30 years of potential life lost for each death.” Leading the nation in beer consumption, however, did not necessarily increase years lost per legal-age adult. Only three of the top beer drinking states exceeded the national average for years of potential life lost per 100,000 residents between 2006 and 2010.

According to Mandy Stahre, a co-author on the CDC’s study and an epidemiologist with the Washington State Department of Health, health outcomes such as alcohol attributable death rates are influenced by a number of factors, not only drinking patterns. “The number and the enforcement of alcohol control policies … sociodemographics, religious affiliation, race and ethnicity” all can play a role in determining the health consequences of drinking.

In an email to 24/7 Wall St., Eric Shepard, vice president and executive editor at Beer Marketer’s Insights, highlighted a study from the U.K.-based Institute of Economic Affairs, a free market think tank. The study explores the relationship between problematic drinking and consumption levels.

Policy makers often believe that high per capita consumption leads to excessive drinking, which includes heavy and binge drinking. However, the study’s authors contend that “per capita alcohol consumption largely depends on the amount of heavy drinking in the population, not vice versa.” Stahre added the she, too, was aware of studies that showed “a good proportion of the alcohol that was consumed was being consumed in a manner [associated with] binge drinking.”

The states with the highest beer consumption rates also had high rates of heavy drinking — defined as more than two drinks per day for men and more than one drink per day for women. In Montana and Wisconsin, 8.5% of adults were heavy drinkers as of 2012, tied for the most in the United States and well above the national rate of 6.1%. Additionally, seven of the states that drink the most beer had among the 10 highest rates of binge drinking — defined by the CDC for women as consuming four or more drinks, and five or more drinks in the case of men, during a single sitting.

Interestingly, while excessive alcohol use is hardly a healthy behavior, many of the states with the highest beer consumption rates were also likely to practice a range of healthy behaviors such as exercising regularly and eating well. People in Maine, New Hampshire, South Dakota and Vermont, for example, were all among the most likely Americans to eat healthy all day last year. Residents of Nebraska, New Hampshire, North Dakota and Vermont were among the most likely to exercise regularly.

Stahre noted, however, that people are often better at keeping track of other behaviors than they are about drinking. “Because if you aren’t paying the bill or not paying attention to the number of drinks you have, you could really be underestimating what your consumption is.”

To identify the states with the highest beer consumption rates, 24/7 Wall St. reviewed Beer Marketer’s Insights’ recent report on alcohol consumption. Drinking habits were measured in gallons shipped to distributors annually per 100,000 drinking-age adults. Adult heavy and binge drinking statistics are from the CDC’s Behavioral Risk Factor Surveillance System and are for 2012. We also utilized figures from a recent CDC study, titled “Contribution of Excessive Alcohol Consumption to Deaths and Years of Potential Life Lost in the United States.” This study examined data from 2006 through 2010 for Americans of all ages. We also reviewed healthy behaviors and health outcomes from Gallup’s 2013 HealthWays Well-Being Index. Economic data came from the U.S. Census Bureau’s 2012 American Community Survey. Brewery totals are from the Beer Institute’s 2013 Brewer’s Almanac and are for 2012. Tax data are from the Federation of Tax Administrators and are current as of January 2014.

These are the states that drink the most beer.

PHOTO GALLERY States That Drink the Most Beer