Understanding Alcohol’s Adverse Impact on Health
Alcohol and American Society: A Complex Relationship
Alcohol-related problems among adults and adolescents—which result from drinking too much, too fast, or too often—are among the most significant public health issues in the United States and internationally. For example:
Each year in the United States, more than 140,000 people (approximately 97,000 men and 43,000 women) die from alcohol-related causes, making it the fourth-leading preventable cause of death in our country.1 The first is tobacco, the second is poor diet and physical inactivity, and the third is illegal drugs.2
Alcohol misuse costs the United States about $249 billion per year.3
In the United States, approximately 29.5 million people had alcohol use disorder (AUD) in 2021.4
More than 10% of U.S. children live with a parent who has AUD, according to a 2017 study.5
Globally, alcohol misuse is the seventh-leading risk factor for premature death and disability.6
National Institute on Alcohol Abuse and Alcoholism’s Valuable Contribution
The National Institute on Alcohol Abuse and Alcoholism (NIAAA), a component of the National Institutes of Health, is the lead federal agency for research on alcohol. NIAAA’s mission is to generate and disseminate fundamental knowledge about the adverse effects of alcohol on health and well-being, and apply that knowledge to improve diagnosis, prevention, and treatment of alcohol-related problems, including AUD, across the lifespan. NIAAA is the largest funder of alcohol research in the world, with an integrated and multidisciplinary program that includes genetics, basic and clinical research, neuroscience, epidemiology, prevention, and treatment.
NIAAA’s broad research portfolio focuses on health topics that touch the lives of almost every family and community across America, such as:
Why some people develop AUD
How alcohol misuse affects individuals and society
How underage drinking impacts brain development in adolescents
How we can improve prevention, treatment, and recovery programs
Importantly, the institute’s demanding scientific approach generates results that are unbiased, methodologically sound, and trustworthy—making NIAAA the definitive source for science-based information about alcohol and health for individuals, communities, policymakers, and health care providers.
In the alcohol prevention and treatment field, there are more lifesaving tools available today than ever before, thanks largely to the determined and uncompromising efforts of the talented researchers supported by NIAAA.
Looking forward, NIAAA will continue to work toward a greater understanding of alcohol’s effects on health and society—an understanding that will help more people live long and healthy lives.
For more information, please visit: https://www.niaaa.nih.gov
1 CDC. Alcohol and Public Health: Alcohol-Related Disease Impact. [Table], Annual average for United States 2015–2019 alcohol-attributable deaths due to excessive alcohol use, all ages. [cited 2022 Apr 26]. Available from: https://nccd.cdc.gov/DPH_ARDI/Default/Report.aspx?T=AAM&P=612EF325-9B55-442B-AE0C-789B06E3A8D5&R=C877B524-834A-47D5-964D-158FE519C894&M=DB4DAAC0-C9B3-4F92-91A5-A5781DA85B68&F=&D=.
2 Pilar MR, Eyler AA, Moreland-Russell S, Brownson RC. Actual causes of death in relation to media, policy, and funding attention: examining public health priorities. Front Public Health. 2020;8:279. PubMed PMID: 32733836
3 Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD. 2010 national and state costs of excessive alcohol consumption. Am J Prev Med. 2015;49(5):e73–e79, 2015. PubMed PMID: 26477807
4 SAMHSA, Center for Behavioral Health Statistics and Quality. 2021 National Survey on Drug Use and Health. Table 5.6A—Alcohol use disorder in past year: among people aged 12 or older; by age group and demographic characteristics, numbers in thousands, 2021. Available from: https://www.samhsa.gov/data/sites/default/files/reports/rpt39441/NSDUHDetailedTabs2021/NSDUHDetailedTabs2021/NSDUHDetTabsSect5pe2021.htm#tab5.6a
5 Lipari RN, Van Horn SL. The CBHSQ report: children living with parents who have a substance use disorder. Rockville (MD): SAMHSA, Center for Behavioral Health Statistics and Quality; 2017 Aug 24 [cited 2017 Nov 20]. Available from: https://www.samhsa.gov/data/sites/default/files/report_3223/ShortReport-3223.html
6 GBD 2016 Alcohol Collaborators. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2018;392(10152):1015–35. PubMed PMID: 30146330