Alcohol Use Reaches Historic Lows
Alcohol consumption has dipped to its lowest point in Gallup’s 90-year polling trend. Only 54% of adults now say they drink, down from 58% in 2024 and 62% in 2023. The decline is sharper among women and younger adults, with Gen Z reporting a drop from 59% to 50% since 2023. For the first time, a majority of Americans — 53% — believe moderate drinking is harmful.
Emerging Research on Health Risks
A growing body of research shows that even low levels of alcohol consumption can increase health risks. Earlier studies suggesting potential benefits from moderate drinking have been reexamined and found to overlook genetic variables, behavioral patterns and the advantages of sobriety.
Former Surgeon General Vivek Murphy released an advisory linking alcohol to increased cancer risk. Alcohol is now associated with breast, colon, liver and oral cancers. It also contributes to cardiovascular disease, high blood pressure, depression and anxiety.
Generational Shifts in Behavior
Gen Z is driving a cultural pivot toward “cleaner” living, prioritizing physical and mental wellness. Many in this demographic have witnessed alcoholism among relatives and are choosing not to replicate the pattern. Community-based education programs, including screenings of the “Screenagers” documentary series, are increasing awareness of substance use among youth.
Broader Social Impacts
About 178,000 people die each year from excessive drinking, according to the CDC. Although binge-drinking poses immediate danger, long-term exposure — including less than one drink per day — can elevate cancer risk. Alcohol is also increasingly recognized as a disruptor of sleep and stress recovery.
The Rise of Sober-Curious Culture
“Dry January,” mindful drinking and zero-proof beverages are gaining traction. Retailers and restaurants are adapting with nonalcoholic drink menus, mocktails and alcohol-free beers. For individuals missing the taste, mixers with club soda and fresh fruit offer flavorful alternatives.
Lifestyle Medicine Perspective
“As a family medicine doctor, I think the more you can limit alcohol, it will help with your overall long-term health,” said Kay Durst, MD, FAAFP. With better research, improved community education and shifting social norms, more Americans are choosing healthier habits.
Support Resources
If you or someone you know is struggling with alcohol addiction, support is available through Alcoholics Anonymous (aa.org) and Ben’s Friends (bensfriends.org).
Additional Sources:
- https://news.gallup.com/poll/693362/drinking-rate-new-low-alcohol-concerns-surge.aspx
- https://hhs.gov/sites/default/files/oash-alcohol-cancer-risk.pdf
- https://who.int/news-room/fact-sheets/detail/alcohol
- https://cdc.gov/alcohol/about-alcohol-use/moderate-alcohol-use.html
- https://time.com/7203140/gen-z-drinking-less-alcohol
- https://lifestylemedicine.org/the-link-between-alcohol-cancer-risk-and-healthy-lifestyle
- https://charlestonbusiness.com/screenagers-film-series-tackles-mental-health-in-south-carolina-schools
- https://bevsource.com/news/beverage-industry-insights/rise-of-the-mocktail-crafting-sophisticated-non-alcoholic-beverage-options
- https://niaaa.nih.gov/news-events/spectrum/volume-16-issue-3-fall-2024/sober-curious-young-americans-may-be-changing-conversation-around-alcohol
By Colin McCandless
