WITI) — Just six months after being rated the "drunkest city in Wisconsin," the city of Appleton has been upgraded. Appleton has been named the "drunkest city in America."
Considered by many to be the place to go to grab a drink, Appleton's entertainment district along College Avenue and its high number of bars was just one factor in the rating.
"Beer and cheese. Beer and cheese. Beer and cheese. It's like a rite of passage or something — is how people treat it," an Appleton resident said.
released by 24/7 Wall Street, analyzed self-reported data from the University of Wisconsin Population Health Institute.
Seven of the top 10 cities are in Wisconsin — with Oshkosh #2, and Green Bay #3. Milwaukee/Waukesha/West Allis is #17.
Here is the complete list:
20: Corvallis, Oregon
19: Iowa City, Iowa
18: Lincoln, Nebraska
17: Milwaukee/Waukesha/West Allis, Wisconsin
16: Janesville/Beloit, Wisconsin
15: Racine, Wisconsin
14: Grand Forks, North Dakota
13: Missoula, Montana
12: Sheboygan, Wisconsin
11: Wausau, Wisconsin
10: Mankato/North Mankato, Minnesota
9: Eau Claire, Wisconsin
8: Ames, Iowa
7: Fond du Lac, Wisconsin
6: La Crosse/Onalaska, Wisconsin
5: Fargo, North Dakota
4: Madison, Wisconsin
3: Green Bay, Wisconsin
2: Oshkosh/Neenah, Wisconsin
1: Appleton, Wisconsin
Appleton's public health director said he's not surprised Appleton is #1.
"We've known for a long time both in Wisconsin and in Appleton that we have a culture of alcohol. I think part of that culture is being honest about reporting too," Kurt Eggebrecht said.
Click below for 50 great bars for craft beer in America:
50 places for local beer in 50 states
Alabama: Avondale Brewing Company, Birmingham
Located in a former fire station, pharmacy, bank and brothel, the building now houses a taproom serving 16 beers.
Alaska: Haines Brewing Company, Haines
Located where the movie White Fang was set, this brewery's Black Fang (an 8 percent ABV Russian Imperial Stout) has a delicious bite of coffee and cocoa.
Arizona: Arizona Room, Grand Canyon
Grand Canyon Pilsner tastes better when swigged while staring out at the canyon itself.
Photo: Mladen Antonov, AFP/Getty
Arkansas: Stone's Throw Brewing, Little Rock
Its eight taps feature its own beers as well as other local ones. Food trucks also stop by regularly.
California: 21st Amendment Brewery, San Francisco
Located two blocks from AT&T Park (home of the Giants), this brewpub has eight rotating taps of handcrafted house brews.
Photo: Jeff Chiu, AP
Colorado: Vine Street Pub, Denver
The Java Porter made in house is delicious. But bring cash though, these hippies don't take credit.
Delaware : Dogfish Head Brewings & Eats, Rehoboth Beach
This iconic craft brewery's first location is also the site of its experimental brewery.
Photo: Dogfish Head Craft Brewery via AP
District of Columbia: Bier Baron Tavern
In the former home of D.C. landmark bar the Brickskeller, its 600 varieties of bottled beers include many local options, like DC Brau's The Citizen and The Public.
Florida: A1A Ale Works, St. Augustine
Both the downstairs pub and upstairs restaurant offer a great atmosphere for drinking one of its beers, like the Bridge of Lions Brown Ale. The upstairs balcony has a beautiful view of the city, bridge and waterway.
Photo: David Osborn, Alamy
Georgia: SweetWater Brewing Company, Atlanta
Not only is SweetWater one of the best and most unique beers in the South, its microbrewery is also one of the best places to enjoy a beer. Take the tour and for just $10, you get six tasting tickets to try out the different beers -- plus you get to keep your pint glass. There's also live outdoor music a few times a week. Try the SweetWater Blue ale, which is "light-bodied with a hint of blueberries."
Hawaii: Uncle George's Lounge, Volcano
Sip a Longboard Lager (or other Kona Brewing Co. beer) while you watch the orange glow of the Halemaumau Crater in Volcanoes National Park.
Idaho: Salmon River Brewery, McCall
One of the four flagships beers at this family-friendly brewery/restaurant near the resort town's lake, Udaho Gold, goes great with BBQ.
Photo via Facebook
Illinois: Signature Lounge, Chicago
This lounge on the 96th floor of the John Hancock building has a selection of local beer, including Goose Island and Two Brothers, and comes with an expansive local view too.
Indiana: Sun King Brewing, Indianapolis
For a little local flavor, head to this craft brewery around lunch time on a Friday to sample its beers (especially the Sunlight Cream Ale) and chat up locals filling their growlers.
Iowa: Peace Tree Brewing Company, Knoxville
The brewery's previous life as a Nash Rambler car dealership is commemorated in its Red Rambler Ale. It's deep red, malty and available all year long.
Kentucky: Against the Grain, Louisville
Located at Louisville Slugger Field, home of the AAA Bats, AtG's beers stand out for their flavor and names. Citra Wet Ass Down, Judas Yeast and Pepperation H are home runs on both counts.
Photo: Josh Noel/Chicago Tribune/MCT via Getty
Louisiana: Abita, Abita Springs
These guys were doing it in Louisiana before craft beer was a thing. Great beer and a nice tasting room and pub less than an hour's drive from New Orleans.
Maine: Allagash Brewing, Portland
These beers impress with their Belgian-style amazingness. Get a saison and take a tour of the Portland brewery, you won't be disappointed.
Maryland: Alewife, Baltimore
The draft list at this beer den changes daily, with 40 drafts and 100 bottles that include a range of local crafts. It's a short walk from Camden Yards, so on game days the historic joint turns into a packed sports bar.
Massachusetts: Harpoon Brewery, Boston
This Boston legend rebuilt its tap room to add a beer-hall feel and plenty of seating. Located on Boston's waterfront, you'll enjoy trying brews you can't get in stores.
Photo: Charles Krupa, AP
Michigan: Atwater Brewery, Detroit
Located in the Rivertown district and housed in a 1919 factory warehouse, Atwater brews its own German-style lagers and American ales.
Minnesota: Fulton, Minneapolis
Drink a Fulton on the brewery's patio in the cool North Loop hood. You can see Target Field and hear the roar of the crowd on game day.
Mississippi: Taylor Grocery, Taylor
Just beyond Oxford, Taylor Grocery is a classic BYOB spot in the Ole Miss area. You can listen to live blues or bluegrass and drink a beer (from a plastic cup -- no cans) on the front porch while you wait to get a seat at the restaurant.
Photo: Mike Ransdell/Kansas City Star/MCT via Getty
Missouri: Boulevard Brewing, Kansas City
The self-proclaimed "largest specialty brewer" in the Midwest now distributes in more than 30 states. Its brewery offers free 40-miute tours that finish in, you guessed it, a tasting room.
Photo: Orlin Wagner, AP
Montana: Big Sky Brewing, Missoula
Its Moose Drool Brown Ale is one of the state's best-known exports.
Nevada: Great Basin Brewery, Reno
Nicknamed Icky, its Ichthyosaur India Pale Ale is anything but. (It's actually named after the state's official fossil.)
New Hampshire: Smutty Nose, Portsmouth
These guys know how to please. Their pumpkin beer is one of the best around. Pay them a visit in Portsmouth and take a tour -- live free or die.
New Jersey: J.J. Bitting Brewing Company, Woodbridge
You'll find consistently good beer, with a lot of seasonal offerings, and its outdoor deck is a draw in the summer.
New Mexico: Eske's, Taos
Drink green chile beer in a pub that's also a century-old adobe home.
New York: Brooklyn Brewery, Brooklyn
Sure, you can now find its beer many places, but it may just taste even better when purchased with a token at its public house.
Photo: Mario Tama, Getty
North Carolina: Wicked Weed, Asheville
It's a "best of" in a city already known for awesome beer. This relatively new brewery has taken Asheville by storm as it combines things that didn't exist together there: great beer, high-end bar food and a huge space with various seating options. Try the Freak of Nature Double IPA.
Photo via Facebook
Ohio: Great Lakes Brewing Company, Cleveland
Chug a Burning River Pale Ale while looking at the Cuyahoga River (aka, the burning river).
Photo: Amy Sancetta, AP
Oklahoma: TapWerks Ale House, Oklahoma City
Its 212 beers on tap and more than 100 in bottles include many local brews that are more than just OK.
Pennsylvania: Percy Street BBQ, Philadelphia
Known for tasty brisket, mint juleps, root beer floats -- and canned craft beer. During the holiday season it has a Christmas tree made out of beer cans.
Rhode Island: Newport Storm, Newport
This is Rhode Island's brewery. Its Spring Irish Red is to die for.
South Carolina: Holy City Brewing, North Charleston
You might want to pack a few empty growlers in your suitcase to bring home some of its Pluff Mud Porter.
South Dakota: Monks House Of Ale Repute, Sioux Falls
Um, did you read the name of this place? it boasts the "largest beer selection in the area." Its 40 beers on tap and more than 150 in bottle, include South Dakota's popular Crow Peak.
Tennessee: Yazoo Brewing Company, Nashville
What began with "a homebrewing kit bought from the back pages of
Rolling Stone in 1993" is now a 40-barrel brewhouse and taproom.
Photo: Erik Schelzig, AP Photo
Texas: Barcadia, Dallas
A local favorite in the charming Lower Greenville neighborhood, its menu is shockingly tasty for a bar that houses Skee-Ball and Donkey Kong. Enjoy Dallas's warm nights with a local draft and a serious game of Jenga on the large open patio.
Utah: Beerhive Pub, Salt Lake City
The classic pub downtown has a huge selection of beers, both local and from around the world. Also, it has a ice bar.
Vermont: Blackback Pub & Flyshop, Waterbury
Located in the same town as Alchemist Brewery it has a great selection of local beers, including Heady Topper and brews from Hill Farmstead Brewery.
Virginia: Lost Rhino, Ashburn
The head brewer here has a fun backstory -- he is also a PhD biologist at the Howard Hughes Medical Institute. Bonus: it's right down the road from AOL's Dulles, VA office.
Washington: Redhook Brewery, Woodinville
About 30 minutes from Seattle, the Redhook tour and brewpub is worth the trip, but this is also in the middle of Washington's wine tasting rooms. Run by Redhook at noon, sign up for an afternoon tour, go wine tasting for a few hours, then come back for the tour followed by dinner at the brewery's restaurant, Forecasters Pub.
Photo via Facebook
West Virginia: Mecklenburg Inn, Shepherdstown
Sit at the bar or out back in the garden. Either way, you'll be enjoying your time in the oldest town in WV, while taking in the area's rich history.
Wisconsin: Karben4 Brewery, Madison
We may be thawing out, but this brewery's Deep Winter: Coffee Stout is still a must-drink.
Wyoming: Thai Me Up, Jackson
Drink one of its 20 craft beers on tap while watching a kung fu movie on TV (is it a surprise that this brewery is the creation of a former ski bum?).
A map highlighting excessive drinking by county shows that Outagamie County is #1 — at 27%, but Brown County, Calumet County and Winnebago County are close behind.
The state average is 23%, and it's as low as 12% in some communities outside Wisconsin.
"I think availability of alcohol, price of alcohol, is a factor as well. In Wisconsin, it's very inexpensive to purchase and drink alcohol compared to other states. So the availability and price I think do factor in," Eggebrecht said.
24/7 Wall Street also ranked the driest cities in America.
CLICK HERE for that list.