A critical aspect of the Region’s approach is addressing the commercial determinants of health, particularly the influence of the alcohol industry on public health policy. This emphasizes the importance of protecting policy-making processes from industry interference that aims to delay or weaken public health measures that would reduce alcohol consumption. To combat this, WHO advocates for transparency in policy development, the exclusion of the alcohol industry from policy discussions, and the implementation of regulations to limit the industry’s influence on public health. If you feel that you sometimes drink too much alcohol, or your drinking is causing problems, or if your family is concerned about your drinking, talk with your health care provider. Other ways to get help include talking with a mental health professional or seeking help from a support group such as Alcoholics Anonymous or a similar type of self-help group.

If you already drink at low levels and continue to drink, risks for these issues appear to be low. Effective treatment options for substance use disorders exist, but treatment coverage remains incredibly low. The proportion of people in contact with substance use treatment services ranged from less than 1% to no more than 35% in 2019, in countries providing this data. Many people with alcohol use disorder hesitate to get treatment because they don’t recognize that they have a problem. An intervention from loved ones can help some people recognize and accept that they need professional help. If you’re concerned about someone who drinks too much, ask a professional experienced in alcohol treatment for advice on how to approach that person.

• For men, heavy drinking means more than four drinks on any day or more than 14 drinks a week.
• Theories suggest that for certain people drinking has a different and stronger impact that can lead to alcohol use disorder.
• WHO works with Member States and partners to prevent and reduce the harmful use of alcohol as a public health priority.
• The risk of developing cancer increases substantially the more alcohol is consumed.

Alcohol and cancer

Consider talking with someone who has had a problem with drinking but has stopped. Alcohol use disorder can include periods of being drunk (alcohol intoxication) and symptoms of withdrawal. Total alcohol per capita consumption in the world population decreased slightly from 5.7 litres in 2010 to 5.5 litres in 2019.

After more analysis of the research, that doesn’t seem to be the case. In general, a healthy diet and physical activity have much greater health benefits than alcohol and have been more extensively studied. For example, any amount of drinking increases the risk of breast cancer and colorectal cancer. Many people drink alcohol as a personal preference, during social activities, or as a part of cultural and religious practices.

• Many people with alcohol use disorder hesitate to get treatment because they don’t recognize that they have a problem.
• Although it is well established that alcohol can cause cancer, this fact is still not widely known to the public in most countries.
• Alcohol use disorder includes a level of drinking that’s sometimes called alcoholism.

It also includes binge drinking — a pattern of drinking where a male has five or more drinks within two hours or a female has at least four drinks within two hours. Alcohol is a toxic and psychoactive substance with dependence producing properties. In many of today’s societies, alcoholic beverages are a routine part of the social landscape for many in the population. This is particularly true for those in social environments with high visibility and societal influence, nationally and internationally, where alcohol frequently accompanies socializing. In this context, it is easy to overlook or discount the health and social damage caused or contributed to by drinking.

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Related health topic

If your pattern of drinking results in repeated significant distress and problems functioning in your daily life, you likely have alcohol use disorder. However, even a mild disorder can escalate and lead to serious problems, so early treatment is important. Alcohol use disorder is a pattern of alcohol use that involves problems controlling your drinking, being preoccupied with alcohol or continuing to use alcohol even when it causes problems. This disorder also involves having to drink more to get the same effect or having withdrawal symptoms when you rapidly decrease or stop drinking.

It is the alcohol that causes harm, not the beverage

Alcohol as an intoxicant affects a wide range of structures and processes in the central nervous system and increases the risk for intentional and unintentional injuries and adverse social consequences. Alcohol has considerable toxic effects on the digestive and cardiovascular systems. Alcoholic beverages are classified as carcinogenic by the International Agency for Research on Cancer and increase the risk of several cancer alcohol drug overview types. Alcohol as an immunosuppressant increases the risk of communicable diseases, including tuberculosis and HIV.

“To build a healthier, more equitable society, we must urgently commit to bold actions that reduce the negative health and social consequences of alcohol consumption and make treatment for substance use disorders accessible and affordable.” The risk of developing cancer increases substantially the more alcohol is consumed. However, latest available data indicate that half of all alcohol-attributable cancers in the WHO European Region are caused by “light” and “moderate” alcohol consumption – less than 1.5 litres of wine or less than 3.5 litres of beer or less than 450 millilitres of spirits per week. This drinking pattern is responsible for the majority of alcohol-attributable breast cancers in women, with the highest burden observed in countries of the European Union (EU). In the EU, cancer is the leading cause of death – with a steadily increasing incidence rate – and the majority of all alcohol-attributable deaths are due to different types of cancers.

Global alcohol action plan 2022-2030

Both the volume of lifetime alcohol use and a combination of context, frequency of alcohol consumption and amount consumed per occasion increase the risk of the wide range of health and social harms. The risks increase largely in a dose-dependent manner with the volume of alcohol consumed and with frequency of drinking, and exponentially with the amount consumed on a single occasion. Surrogate and illegally produced alcohols can bring an extra health risk from toxic contaminants. The EU is the heaviest-drinking area globally, with 7 of the 10 countries with the highest per-capita alcohol consumption located within the EU.

Reducing youth exposure to alcogenic environments: What can be learnt from community-led approaches?

In 2019, the worldwide total consumption was equal to 5.5 litres of pure alcohol per person 15 years and older. Unrecorded consumption accounts for 21% of the worldwide total consumption. Globally, the WHO European Region has the highest alcohol consumption level and the highest proportion of drinkers in the population. Here, over 200 million people in the Region are at risk of developing alcohol-attributable cancer.

For women, more than three drinks on any day or more than seven drinks a week is heavy drinking. For men, heavy drinking means more than four drinks on any day or more than 14 drinks a week. In the United States, moderate drinking for healthy adults is different for men and women. It means on days when a person does drink, women do not have more than one drink and men do not have more than two drinks. In 2019, 38% of current drinkers had engaged in heavy episodic drinking, defined as consuming at least 60g of pure alcohol on one or more occasions in the preceding month – roughly equivalent to 4 or 5 glasses of wine, bottles of beer or servings of spirits. Too much alcohol affects your speech, muscle coordination and vital centers of your brain.

The evidence for moderate alcohol use in healthy adults is still being studied. But good evidence shows that drinking high amounts of alcohol are clearly linked to health problems. Rates of current drinking were highest among 15–19-year-olds in the European region (45.9%) followed by the Americas (43.9%). Because denial is common, you may feel like you don’t have a problem with drinking. You might not recognize how much you drink or how many problems in your life are related to alcohol use. Listen to relatives, friends or co-workers when they ask you to examine your drinking habits or to seek help.