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State of Alaska

Alcohol Use

Alcohol is a commonly used legal intoxicant. In the United States in 2012, 87.6 percent of people reported that they had drunk alcohol at some point in their lifetime.1 Alcohol use has both immediate and long term effects on a person's health, well-being, and mental state. The effects of alcohol can range from acute intoxication, to serious psychological disorders such as alcoholism, to physical ailments such as liver damage and cirrhosis, to death. It is important to understand the spectrum of health effects, diseases and disorders that are associated with alcohol use. Alcohol use may effect different people in different ways, depending on:
  • How much alcohol is consumed
  • How often alcohol is consumed
  • A person's age, medical history and family medical history

Two patterns of excessive alcohol use, excessive drinking and heavy drinking, are defined by the United States Centers for Disease Control and Prevention as follows2:
  • Binge drinking: 4 or more drinks during a single occasion for women or 5 or more drinks during a single occasion for men
  • Heavy drinking: 8 or more drinks per week for women or 15 or more drinks per week for men.


Alcohol is the most commonly used and abused drug in the United States, more than tobacco and illicit drugs.3 The effects of alcohol consumption have a very large impact on public health in the United States. Alcohol consumption was found to be the third leading lifestyle related cause of death in the United States. 4 According to a recent study, 1 in 10 deaths among working age adults (20-64 years) is attributable to alcohol.5 The widespread use of this substance makes alcohol an important public health concern.


There are many health problems associated with excessive drinking and long term alcohol use.6
  • Physiologically, alcohol use can cause illness and ailments to a person's body. Excessive alcohol use has been shown to be associated with increased risk of chronic diseases such as liver cirrhosis, pancreatitis, liver cancers, and hypertension.
  • Excessive alcohol use has also been associated with increased risk of motor vehicle traffic crashes, falls, drowning, burns, homicide, suicide, firearm injuries, and other types of injury.
  • There are also several psychological disorders related to alcohol consumption,7 the most common of which is alcoholism. Alcoholism, also called alcohol dependence, is a disease that causes craving, loss of control, physical dependence, and tolerance to alcohol.


Anyone who uses alcohol may be at risk for the adverse effects of alcohol use. Some people are more at risk for adverse effects of alcohol use than others. Additionally, factors such as age, gender, race/ ethnicity, physical condition, food consumption, family history and comorbid conditions may affect the way an individual reacts to alcohol.8 According to the U.S. Centers for Disease Control and Prevention (CDC):
  • Men were two times more likely to binge drink than women during the last 30 days.9
  • Men consistently have higher rates of alcohol related deaths and hospitalizations than women.
  • Women who drink while pregnant have an increased risk of adverse outcomes for their pregnancy, such as Fetal Alcohol Syndrome (FAS), Sudden Infant Death Syndrome (SIDS), and an increased risk of miscarriage.10
  • Youth (under age 21) who drink are at a greater risk for several adverse consequences such as school problems, social problems, legal problems, physical problems, unwanted or unplanned sexual activity, disruption of normal growth, assault, injury, memory problems, abuse of other drugs, changes in brain development and death.11 About 90% of the alcohol consumed by youth under the age of 21 in the United States is in the form of binge drinking.12

Additionally, the National Institutes of Health (NIH) recommends that some people not drink at all, including:13
  • Women who are pregnant or may become pregnant
  • Anyone under age 21
  • Persons dependent on Alcohol
  • Persons taking certain medications
  • Persons with certain medical conditions.

The NIH recommends that persons with questions about whether it is safe to drink should consult their doctors.


8. http://www.cdc.gov/alcohol/faqs.htm#reactDiff, downloaded 7/18/2014
9. http://www.cdc.gov/alcohol/fact-sheets/mens-health.htm, downloaded 7/18/2014
10. http://www.cdc.gov/alcohol/fact-sheets/womens-health.htm, downloaded 7/18/2014
11. http://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm, downloaded 7/18/2014
12. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, 2005
13. http://www.nlm.nih.gov/medlineplus/alcohol.html, downloaded 7/18/2014
The CDC makes several recommendations to prevent excessive alcohol use at a policy level, which include:
  • Regulation of Alcohol Outlet Density
  • Increasing Alcohol Taxes
  • Maintaining Limits on Days and Hours of Sale
  • Enhanced Enforcement of Laws Prohibiting Sales to Minors
  • Clinical best practices such as Screening and Brief Intervention (SBIRT) for Alcohol use and Abuse

The CDC recommends that individuals interested in preventing excessive alcohol use:
  • Choose not to drink or drink in moderation
  • Talk with healthcare providers about not drinking too much
  • Support effective community strategies to prevent excessive alcohol use.
Alcohol use is tracked at the national and state levels primarily through two surveys, morbidity and mortality data:
  • Adult prevalence data come from Behavioral Risk Factor Surveillance System (BRFSS), U.S. Centers for Disease Control and Prevention, Office of Surveillance, Epidemiology, and Laboratory Services.
  • Youth prevalence data come from Youth Risk Behavior Surveillance System (YRBSS), U.S. Centers for Disease Control and Prevention, Office of Surveillance, Epidemiology, and Laboratory Services.
  • Hospitalization, Emergency Department and other health care morbidity data.
  • National Center for Health Statistics (NCHS) and State Vital Records and Health Statistics registries are used to monitor alcohol-related events in births and deaths.
Some of these links will take you to the query where you can select SUBMIT to run the default query. To modify the query criteria, you can use the top left ("MODIFY Query") navigation button on the query results page.

BRFSS (Behavioral Risk Factor Surveillance System) - Examples

Alcohol

Alcohol-Related Safety

CUBS (Childhood Understanding Behaviors System) - Individual Examples

Alcohol

PRAMS (Pregnancy Risk Assessment Monitoring System) - Individual Examples

Alcohol

YRBS (Youth Risk Behavior Survey) - Local Examples

Alcohol

Marijuana

Other Drugs

Tobacco

YRBS (Youth Risk Behavior Survey) - Statewide Examples

Alcohol

Marijuana

Other Drugs

Tobacco


The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 20 November 2017 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Wed, 24 May 2017 10:25:14 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 20 November 2017 8:27:20 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Wed, 24 May 2017 10:25:14 AKDT