Academic Journal

Trends in Alcohol-Related Deaths in the United States Over 55 Years: 1968-2023.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Trends in Alcohol-Related Deaths in the United States Over 55 Years: 1968-2023.
Συγγραφείς: Zulfiqar M; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Uddin MS; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Abbas F; Department of Medicine, Fatima Memorial Hospital, Lahore, Pakistan., Sajjad A; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Uddin A; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Shah SAA; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Fonarow GC; Ahmanson-UCLA Cardiomyopathy Center, Ronald Reagan-UCLA Medical Center, Los Angeles, California, USA., Waqas SA; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Yokolo H; Department of Research, Medical Research Circle (MedReC), Goma, Democratic Republic of the Congo., Qureshi S; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Πηγή: Alcohol, clinical & experimental research [Alcohol Clin Exp Res (Hoboken)] 2026 Jul; Vol. 50 (7), pp. e70321.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley Periodicals Country of Publication: United States NLM ID: 9918609780906676 Publication Model: Print Cited Medium: Internet ISSN: 2993-7175 (Electronic) Linking ISSN: 29937175 NLM ISO Abbreviation: Alcohol Clin Exp Res (Hoboken) Subsets: MEDLINE
Imprint Name(s): Original Publication: Hoboken, NJ : Wiley Periodicals, [2023]-
Ιατρικοί όροι (MeSH): Alcohol Drinking*/mortality , Alcohol Drinking*/trends , Alcohol-Related Disorders*/mortality, United States/epidemiology ; Mortality/trends ; Humans ; Male ; Female ; Middle Aged ; Aged ; Adult
Περίληψη: Background: Alcohol consumption is a leading cause of preventable mortality worldwide. We examined long-term trends in alcohol-related deaths in the United States over 55 years (1968-2023) and analyzed demographic disparities.
Methods: Using CDC WONDER data, we identified alcohol-related deaths among adults aged ≥ 25 years. Age-adjusted mortality rates (AAMRs) per 100,000 population were calculated, and joinpoint regression analyzed temporal trends by sex, race, age, and geographic region.
Results: From 1968 to 2023, 1,321,804 alcohol-related deaths occurred. AAMRs increased from 13.1 to 19.3 (AAPC: 0.7, p < 0.001), with a sharp acceleration during 2018-2021 (APC: 14.1) followed by a decline during 2021-2023 (APC: -6.9). Males consistently had higher mortality than females, though the gender gap narrowed. A striking racial inversion occurred: mortality among Black individuals declined from 27.7 to 13.5 (AAPC: -1.4), while mortality among White individuals increased from 11.3 to 21.1 (AAPC: 1.1) with older adults (65+) showing the steepest long-term increase (AAPC: 1.4). Regionally, the Midwest experienced the greatest rise in mortality (AAPC: 1.4), while the Northeast remained stable.
Conclusions: Alcohol-related mortality has increased substantially over 55 years, with profound demographic shifts including a complete racial disparity inversion and narrowing gender gap. Recent declines (2021-2023) offer cautious optimism, but sustained, targeted interventions are needed for high-risk populations.
(© 2026 Research Society on Alcohol.)
References: Acuti Martellucci, C., M. Martellucci, M. Flacco, and L. Manzoli. 2021. “Trends in Alcohol Consumption During COVID‐19 Lockdowns: Systematic Review.” European Journal of Public Health 31, no. Supplement_3: ckab165.133. https://doi.org/10.1093/eurpub/ckab165.133.
Alaniz, M. L. 1998. “Alcohol Availability and Targeted Advertising in Racial/Ethnic Minority Communities.” Alcohol Health and Research World 22, no. 4: 286–289. https://pmc.ncbi.nlm.nih.gov/articles/PMC6761895/.
Babor, T. F. 2010. “Alcohol: No Ordinary Commodity–A Summary of the Second Edition.” Addiction 105, no. 5: 769–779. https://doi.org/10.1111/j.1360‐0443.2010.02945.x.
Barak, Y., G. Rothschild‐Eliasi, P. Glue, and R. Turner. 2025. “Are Baby Boomers Hazardous Drinkers as They Age? An Exploratory interRAI Study.” Australasian Psychiatry 33, no. 4: 711–717. https://pmc.ncbi.nlm.nih.gov/articles/PMC12314200/.
Beseran, E., J. M. Pericàs, L. Cash‐Gibson, M. Ventura‐Cots, K. M. P. Porter, and J. Benach. 2022. “Deaths of Despair: A Scoping Review on the Social Determinants of Drug Overdose, Alcohol‐Related Liver Disease and Suicide.” International Journal of Environmental Research and Public Health 19, no. 19: 12395. https://www.mdpi.com/1660‐4601/19/19/12395/htm.
Best, A. F., E. A. Haozous, A. B. de Gonzalez, et al. 2018. “Premature Mortality Projections in the USA Through 2030: A Modelling Study.” Lancet Public Health 3, no. 8: e374–e384. https://pubmed.ncbi.nlm.nih.gov/30037721/.
Bohm, M. K., Y. Liu, M. B. Esser, et al. 2025. “Binge Drinking Among Adults, by Select Characteristics and State—United States, 2018.” MMWR. Morbidity and Mortality Weekly Report 70, no. 41: 1441–1446. https://www.cdc.gov/mmwr/volumes/70/wr/mm7041a2.htm.
Bureau, UC. 2021. “National Intercensal Datasets: 2000–2010.” https://www.census.gov/data/datasets/time‐series/demo/popest/intercensal‐2000‐2010‐national.html.
Campbell, C. A., R. A. Hahn, R. Elder, et al. 2009. “The Effectiveness of Limiting Alcohol Outlet Density as a Means of Reducing Excessive Alcohol Consumption and Alcohol‐Related Harms.” American Journal of Preventive Medicine 37, no. 6: 556–569. https://www.ajpmonline.org/action/showFullText?pii=S0749379709006047.
Carlini, L. E., A. C. Fernandez, and J. L. Mellinger. 2026. “Sex and Gender in Alcohol Use Disorder and Alcohol‐Associated Liver Disease in the United States: A Narrative Review.” Hepatology (Baltimore, Md.) 83, no. 1: 178–194. https://journals.lww.com/hep/fulltext/2026/01000/sex&#95;and&#95;gender&#95;in&#95;alcohol&#95;use&#95;disorder&#95;and.21.aspx.
Case, A., and A. Deaton. 2015. “Rising Morbidity and Mortality in Midlife Among White Non‐Hispanic Americans in the 21st Century.” Proceedings of the National Academy of Sciences of the United States of America 112, no. 49: 15078–15083. https://doi.org/10.1073/pnas.1518393112.
Case, A., and A. Deaton. 2017. “Mortality and Morbidity in the 21st Century.” Brookings Papers on Economic Activity 2017: 397–476. https://pmc.ncbi.nlm.nih.gov/articles/PMC5640267/.
Elder, R. W., B. Lawrence, A. Ferguson, et al. 2010. “The Effectiveness of Tax Policy Interventions for Reducing Excessive Alcohol Consumption and Related Harms.” American Journal of Preventive Medicine 38, no. 2: 217–229. https://www.ajpmonline.org/action/showFullText?pii=S0749379709007715.
Gallup. 2025. “U.S. Drinking Rate at New Low as Alcohol Concerns Surge.” https://news.gallup.com/poll/693362/drinking‐rate‐new‐low‐alcohol‐concerns‐surge.aspx?utm_source=chatgpt.com.
Griswold, M. G., N. Fullman, C. Hawley, et al. 2018. “Alcohol Use and Burden for 195 Countries and Territories, 1990‐2016: A Systematic Analysis for the Global Burden of Disease Study 2016.” Lancet 392, no. 10152: 1015–1035. https://www.thelancet.com/action/showFullText?pii=S0140673618313102.
Hasin, D. S., F. S. Stinson, E. Ogburn, and B. F. Grant. 2007. “Prevalence, Correlates, Disability, and Comorbidity of DSM‐IV Alcohol Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions.” Archives of General Psychiatry 64, no. 7: 830–842. https://pubmed.ncbi.nlm.nih.gov/17606817/.
Heuberger, R. A. 2009. “Alcohol and the Older Adult: A Comprehensive Review.” Journal of Nutrition for the Elderly 28, no. 3: 203–235. https://doi.org/10.1080/01639360903140106.
Hilton, M. E. 1988. “Regional Diversity in United States Drinking Practices.” British Journal of Addiction 83, no. 5: 519–532. https://doi.org/10.1111/j.1360‐0443.1988.tb02571.x.
Holt, J. B., J. W. Miller, T. S. Naimi, and D. Z. Sui. 2006. “Religious Affiliation and Alcohol Consumption in the United States.” Geographical Review 96, no. 4: 523–542. https://doi.org/10.1111/j.1931‐0846.2006.tb00515.x.
Julien, J., T. Ayer, E. D. Bethea, E. B. Tapper, and J. Chhatwal. 2020. “Projected Prevalence and Mortality Associated With Alcohol‐Related Liver Disease in the USA, 2019–40: A Modelling Study.” Lancet Public Health 5, no. 6: e316–e323. https://pubmed.ncbi.nlm.nih.gov/32504584/.
Kerr, W. C., D. Patterson, T. K. Greenfield, et al. 2013. “U.S. Alcohol Affordability and Real Tax Rates, 1950–2011.” American Journal of Preventive Medicine 44, no. 5: 459–464. https://europepmc.org/articles/PMC3631317.
Klein, R. J., and C. A. Schoenborn. 2001. “Age Adjustment Using the 2000 Projected U.S. Population.” Healthy People 2010 Statistical Notes 20: 1–10. http://www.census.gov/prod/1/pop/p25‐1130/p251130.pdf.
Knapp, E. A., U. Bilal, L. T. Dean, M. Lazo, and D. D. Celentano. 2019. “Economic Insecurity and Deaths of Despair in US Counties.” American Journal of Epidemiology 188, no. 12: 2131–2139. https://doi.org/10.1093/aje/kwz103.
Maleki, N., I. Yunusa, and I. M. Karaye. 2023. “Alcohol‐Induced Mortality in the USA: Trends From 1999 to 2020.” International Journal of Mental Health and Addiction 22, no. 6: 3805–3817. https://pubmed.ncbi.nlm.nih.gov/37363762/.
Manthey, J., K. D. Shield, M. Rylett, O. S. M. Hasan, C. Probst, and J. Rehm. 2019. “Global Alcohol Exposure Between 1990 and 2017 and Forecasts Until 2030: A Modelling Study.” Lancet 393, no. 10190: 2493–2502. https://www.thelancet.com/action/showFullText?pii=S0140673618327442.
McPheeters, M., E. A. O'Connor, S. Riley, et al. 2023. “Pharmacotherapy for Adults With Alcohol Use Disorder in Outpatient Settings: Systematic Review.” https://www.ncbi.nlm.nih.gov/books/NBK597431/.
National Cancer Institute. 2026. “Joinpoint Regression Program.” https://surveillance.cancer.gov/joinpoint/.
Pollard, M. S., J. S. Tucker, and H. D. Green. 2020. “Changes in Adult Alcohol Use and Consequences During the COVID‐19 Pandemic in the US.” JAMA Network Open 3, no. 9: e2022942. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770975.
Purser, G. L. 2020. “The Combined Effect of Functional Independence, Loneliness, and Social Engagement on Older Adult Drinking Levels.” Journal of Social Work Practice in the Addictions 20, no. 4: 311–324. https://doi.org/10.1080/1533256X.2020.1821551.
Reisdorfer, E., M. Nesari, K. Krell, et al. 2023. “The Influence of Social Media on Alcohol Consumption of Mothers of Children and Adolescents: A Scoping Review of the Literature.” Nursing Reports 13, no. 2: 682–696. https://pmc.ncbi.nlm.nih.gov/articles/PMC10123727/.
Rodriguez, L. M., D. M. Litt, and S. H. Stewart. 2020. “Drinking to Cope With the Pandemic: The Unique Associations of COVID‐19‐Related Perceived Threat and Psychological Distress to Drinking Behaviors in American Men and Women.” Addictive Behaviors 110: 106532. https://www.sciencedirect.com/science/article/pii/S0306460320306626?via%3Dihub.
Saloner, B., and B. L. Cook. 2013. “Blacks and Hispanics Are Less Likely Than Whites to Complete Addiction Treatment, Largely due to Socioeconomic Factors.” Health Affairs 32, no. 1: 135–145. https://pmc.ncbi.nlm.nih.gov/articles/PMC3570982/.
Siddiqi, A., O. Sod‐Erdene, D. Hamilton, T. M. M. Cottom, and W. Darity. 2019. “Growing Sense of Social Status Threat and Concomitant Deaths of Despair Among Whites.” SSM ‐ Population Health 9: 100449. https://www.sciencedirect.com/science/article/pii/S235282731830291X?via%3Dihub.
Song, J., S. Kang, and C. D. Ryff. 2023. “Unpacking Psychological Vulnerabilities in Deaths of Despair.” International Journal of Environmental Research and Public Health 20, no. 15: 6480. https://www.mdpi.com/1660‐4601/20/15/6480/htm.
U.S. Bureau of Labor Statistics. 2026. “Consumer Price Index (CPI) Databases.” https://www.bls.gov/cpi/data.htm.
von Elm, E., D. G. Altman, M. Egger, S. J. Pocock, P. C. Gøtzsche, and J. P. Vandenbroucke. 2008. “The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies.” Journal of Clinical Epidemiology 61, no. 4: 344–349. https://pubmed.ncbi.nlm.nih.gov/18313558/.
Wagenaar, A. C., and T. L. Toomey. 2002. “Effects of Minimum Drinking Age Laws: Review and Analyses of the Literature From 1960 to 2000.” Journal of Studies on Alcohol 63, no. 14: 206–225. https://pubmed.ncbi.nlm.nih.gov/12022726/.
White, A. M. 2020. “Gender Differences in the Epidemiology of Alcohol Use and Related Harms in the United States.” Alcohol Research: Current Reviews 40, no. 2: 01. https://pmc.ncbi.nlm.nih.gov/articles/PMC7590834/.
White, A. M., I. J. P. Castle, P. A. Powell, R. W. Hingson, and G. F. Koob. 2022. “Alcohol‐Related Deaths During the COVID‐19 Pandemic.” JAMA 327, no. 17: 1704–1706. https://jamanetwork.com/journals/jama/fullarticle/2790491.
World Health Organization (WHO). 2026. “Alcohol.” https://www.who.int/news‐room/fact‐sheets/detail/alcohol?utm_.
Contributed Indexing: Keywords: CDC WONDER; age‐adjusted mortality rate; alcohol; gender disparities; health disparities; mortality trends; racial disparities
Entry Date(s): Date Created: 20260710 Date Completed: 20260710 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13353243
DOI: 10.1111/acer.70321
PMID: 42429647
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:2993-7175
DOI:10.1111/acer.70321