Harmful use of alcohol causes an estimated 5.3% of all deaths globally.[6]World Health Organization. Global status report on alcohol and health 2018. September 2018 [internet publication].
https://www.who.int/publications/i/item/9789241565639
The prevalence of binge drinking is increasing.[7]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
Nearly one in six Americans binge drinks weekly.[8]Kanny D, Naimi TS, Liu Y, et al. Annual total binge drinks consumed by US Adults, 2015. Am J Prev Med. 2018 Apr;54(4):486-96.
http://www.ncbi.nlm.nih.gov/pubmed/29555021?tool=bestpractice.com
Over 25% of the European population reports heavy episodic drinking (defined as ≥60 g of alcohol on ≥1 occasion at least once per month).[6]World Health Organization. Global status report on alcohol and health 2018. September 2018 [internet publication].
https://www.who.int/publications/i/item/9789241565639
In 2012-2013, the 12-month prevalence of alcohol-use disorder in the US was 13.9%, and the lifetime prevalence of alcohol-use disorder was 29.1%.[7]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
Male sex, white race, and comorbid mental health disorders are associated with increased risk of alcohol-use disorder.[7]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
Alcohol-related mortality has increased across age and racial/ethnic groups, with the largest increases among younger age groups.[9]Spillane S, Shiels MS, Best AF, et al. Trends in alcohol-induced deaths in the United States, 2000-2016. JAMA Netw Open. 2020 Feb 5;3(2):e1921451.
https://www.doi.org/10.1001/jamanetworkopen.2019.21451
http://www.ncbi.nlm.nih.gov/pubmed/32083687?tool=bestpractice.com
Data show that these trends continued and accelerated due to the COVID-19 pandemic, particularly among women: in one survey, drinking days increased slightly overall, and there was a 41% increase in unhealthy alcohol use among women.[10]Pollard MS, Tucker JS, Green HD Jr. Changes in adult alcohol use and consequences during the COVID-19 pandemic in the US. JAMA Netw Open. 2020 Sep 1;3(9):e2022942.
https://www.doi.org/10.1001/jamanetworkopen.2020.22942
http://www.ncbi.nlm.nih.gov/pubmed/32990735?tool=bestpractice.com
Though alcohol is the seventh leading cause of disability and death worldwide and effective treatments can help reduce harm, fewer than 1 in 5 Americans with an alcohol-use disorder receives any form of treatment.[7]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
[11]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 Sep 22;392(10152):1015-35.
https://www.doi.org/10.1016/S0140-6736(18)31310-2
http://www.ncbi.nlm.nih.gov/pubmed/30146330?tool=bestpractice.com