Harmful use of alcohol accounted for 4.7% of global deaths in 2019, with 7% of the world population aged 15 years or older estimated to live with alcohol use disorder.[7]World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Jun 2024 [internet publication].
https://www.who.int/publications/i/item/9789240096745
In the 2024 National Survey on Drug Use and Health (NSDUH), 20.1% of people in the US aged over 11 years reported binge drinking in the past month, while 5.0% reported heavy alcohol use.[8]National Institute on Alcohol Abuse and Alcoholism. Alcohol facts and statistics. Aug 2025 [internet publication].
https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics
The 2024 NSDUH revealed 27.9 million US people (9.7% of those aged over 11 years) to have alcohol use disorder in the past year, fewer than 1 in 10 of whom had received treatment for the condition.[8]National Institute on Alcohol Abuse and Alcoholism. Alcohol facts and statistics. Aug 2025 [internet publication].
https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-topics/alcohol-facts-and-statistics
A total 178,307 deaths in the US were attributed to excessive alcohol use during 2020-2021, a 29% increase compared with 4 years prior.[9]Esser MB, Sherk A, Liu Y, et al. Deaths from excessive alcohol use - United States, 2016-2021. MMWR Morb Mortal Wkly Rep. 2024 Feb 29;73(8):154-61.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10907037
http://www.ncbi.nlm.nih.gov/pubmed/38421934?tool=bestpractice.com
Alcohol-attributable mortality is highest in European and African countries, and among adults aged 20-39 years.[7]World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Jun 2024 [internet publication].
https://www.who.int/publications/i/item/9789240096745
In 2023, the UK reported 600,000 people to be ‘dependent’ on alcohol, with an 89% rise in alcohol-related mortality over the two decades prior, and particularly since the covid-19 pandemic.[10]Committee of Public Accounts. Alcohol treatment services: fifty-fourth report of session 2022-23. May 2023 [internet publication].
https://committees.parliament.uk/work/7257/alcohol-treatment-services/publications
This contrasts with a decline in the number accessing alcohol treatment in the UK (only 18% of adults with ‘dependency’), despite treatment having a reported 60% success rate.[10]Committee of Public Accounts. Alcohol treatment services: fifty-fourth report of session 2022-23. May 2023 [internet publication].
https://committees.parliament.uk/work/7257/alcohol-treatment-services/publications
England also reported the highest prevalence of lifetime drinking in 11-year-olds of 44 countries assessed across Europe, Canada, and Central Asia.[11]World Health Organization. A focus on adolescent substance use in Europe, central Asia and Canada. Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 3. Apr 2024 [internet publication].
https://www.who.int/europe/publications/i/item/9789289060936
Globally, males have the greatest disease burden (deaths and disability).[7]World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Jun 2024 [internet publication].
https://www.who.int/publications/i/item/9789240096745
Despite alcohol use being more prevalent in higher-income countries and populations, alcohol-attributable mortality is higher among populations of lower socioeconomic status.[7]World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Jun 2024 [internet publication].
https://www.who.int/publications/i/item/9789240096745
[10]Committee of Public Accounts. Alcohol treatment services: fifty-fourth report of session 2022-23. May 2023 [internet publication].
https://committees.parliament.uk/work/7257/alcohol-treatment-services/publications
[12]Nuffield Trust. Alcohol-related harm and drinking behaviour. Oct 2024 [internet publication].
https://www.nuffieldtrust.org.uk/resource/alcohol-related-harm-and-drinking-behaviour-1
People of white ethnicity or with comorbid mental health disorders are also more likely to use alcohol or have alcohol use disorder.[7]World Health Organization. Global status report on alcohol and health and treatment of substance use disorders. Jun 2024 [internet publication].
https://www.who.int/publications/i/item/9789240096745
[13]Grant BF, Goldstein RB, Saha TD, et al. Epidemiology of DSM-5 alcohol use disorder: results from the national epidemiologic survey on alcohol and related conditions III. JAMA Psychiatry. 2015 Aug;72(8):757-66.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240584
http://www.ncbi.nlm.nih.gov/pubmed/26039070?tool=bestpractice.com
[14]University of Michigan; Institute for Social Research. Monitoring the Future Panel Study annual report: National data on substance use among adults ages 19 to 60, 1976-2022. 2023 [internet publication].
https://monitoringthefuture.org/wp-content/uploads/2023/07/mtfpanel2023.pdf
[15]Office for Health Improvement & Disparities. Adult substance misuse treatment statistics 2021 to 2022: report. Oct 2023 [internet publication].
https://www.gov.uk/government/statistics/substance-misuse-treatment-for-adults-statistics-2021-to-2022/adult-substance-misuse-treatment-statistics-2021-to-2022-report