Public Health Voice

Rethinking Alcohol: Building a Healthier and Better Future

people are taking alcohol

 

Every 10 seconds, someone in the world dies due to alcohol-related harm, this translates to roughly 3.3 million deaths annually (1). Alcohol has long been a part of many cultures as a social norm and a familiar reward after a long day. Alcohol consumption remains widespread worldwide even up to the date, with about half of adult men and one-third of adult women reporting they drank in the past year (2). In many societies, drinking is a common part of celebrations, socializing, and relaxation. Recent evidence increasingly suggests: No level of alcohol consumption is completely safe for health. While older guidelines often suggested that moderate drinking (e.g., a glass of red wine per day) might have cardiovascular benefits, newer studies challenge this belief. Even moderate drinking can increase the risk of certain health problems (3).

Health Problems Associated with Alcohol Use

Alcohol affects nearly all organs of the body, and its misuse causes many serious diseases. Some of the short-term effects of binge drinking include injuries due to accidents (e.g., motor vehicle crashes, falls, and drowning), violence, and alcohol intoxication. Alcohol overuse (with other drugs) is fatal, and drinking during pregnancy can cause serious birth defects (fetal alcohol spectrum disorders).

In the long term, alcohol use has a marked increase in the risk of chronic disease. It is a known carcinogen: even moderate drinking enhances the risk of mouth, throat, liver, breast (women), colon, and other cancers (3, 4). WHO approximates that 4.4% of cancers worldwide (about 401,000 in 2019) were attributable to alcohol (4). Heavy use of alcohol also causes liver disease (e.g., cirrhosis), hypertension, heart disease, stroke, and gastrointestinal conditions.

Aside from physical disease, alcohol misuse affects mental and social well-being. Alcohol misuse leads to depression, anxiety, and dependence, and it results in alcohol use disorder (AUD) – a clinical illness affecting about 7% of adults worldwide (5). Alcohol consumption weakens the immune system, increasing susceptibility to infection. It also harms people other than the consumer: in 2019 about 156,000 of 298,000 worldwide traffic deaths had victims who were not drinkers themselves (6). Over time, excessive drinking can also create domestic unrest, job loss, and financial distress.

How Modern Living Fuels the Rise of Harmful Alcohol Use?

 

Social Media and Online Drinking Culture

Modern life brings factors that can worsen alcohol misuse. Digital and social media expose people (especially youth) to constant alcohol-related marketing and images. Studies show young social media users frequently encounter pro-alcohol messages, normalizing drinking behaviors (7).

Increased Stress and Mental Health Struggles

There’s also the effect of stress and hectic lifestyles. Most individuals encounter a great amount of stress caused by work, extended working hours, and monetary issues. Liquor comes in the guise of an easy mechanism to relax once work is finished, paving the way for repeated consumption. That alcohol can now be home delivered and purchased and consumed 24/7 heightens the threat: if something stresses us, a drink’s just a couple of taps away. Lifestyle changes and promotion also count. Alcohol is less expensive and more widespread now than before, and there is aggressive promoting by companies, even over the internet with limited controls. For some social groups, drinking is the ticket to fun or being popular, so it becomes harder to say no. These 21st-century factors – connectedness, tension, and competitive promotion – provide a context for alcohol abuse.

Loneliness and Social Isolation


Despite living in an era of constant digital connectivity, many individuals today report feeling increasingly lonely and socially disconnected. The breakdown of traditional family structures, urban migration, and the rise of remote lifestyles have all contributed to emotional isolation. For some, alcohol becomes a readily available escape from these feelings—used as a temporary companion or a way to cope with solitude. This is particularly evident among the elderly, urban dwellers, and even adolescents, who may lack strong social support systems.

Easy Accessibility and Aggressive Marketing

The 21st century has made alcohol more accessible than ever before. With the rise of e-commerce and delivery apps, individuals can order alcoholic beverages to their doorstep with minimal effort. At the same time, aggressive marketing strategies by the alcohol industry—especially through digital platforms—have normalized and glamorized drinking. Ads often target young people and women, portraying alcohol as a symbol of relaxation, confidence, and celebration. These marketing tactics blur the line between casual use and harmful drinking, contributing to increased consumption across age groups.

Public Health Challenges

From a public health perspective, harmful alcohol use poses overwhelming challenges. The WHO reports that alcohol contributes to 4.7% of all deaths globally (1), straining families and healthcare systems. In the United States, for example, 178,000 people die each year from excessive alcohol use, and each death shortens life by an average of 24 years (9). Economic costs related to alcohol (health care, lost productivity, accidents) are enormous (10).

Prevention and treatment gaps worsen the problem. Many countries do tax alcohol and set policies, but industry lobbying can weaken the rules (11). Screening and treatment are underused: the WHO finds that in most countries only a tiny fraction of people with alcohol problems receive care (12). Cultural attitudes can also be a barrier. In places where drinking is seen as normal or glamorous, people may not seek help until serious harm occurs.

This burden extends far beyond health. Alcohol misuse is linked to crime, accidents, and social disorder. As WHO Director-General Dr. Tedros Ghebreyesus warns, drug and alcohol consumption “places a heavy burden on families and communities, increasing exposure to accidents, injuries, and violence” (8). These problems must be addressed through concerted action in public policy, healthcare, and education. Practical Solutions for Individuals and Communities

From Awareness to Action: Tips for Safer Alcohol Use

 

The good news is that there are many effective ways. Individuals can take realistic steps to protect their health. The CDC recommends setting clear drinking goals and limits (e.g., choosing specific days for drinking or a strict number of drinks per session) (13). Tracking drinks and knowing what a “standard drink is” can help to keep limits in place. Avoidance of triggers – e.g., avoiding heavy-drinking events or not keeping alcohol in the house – is also beneficial. Organizing abstinence from alcohol (e.g., two days a week) gives the body time to recover (14). Even encouragement from friends, relatives, or health workers will improve chances of success (15). Small changes, e.g., replacing alcohol with a walk or other nonalcoholic beverage, can improve mood, sleep, and long-term health.

The Power of Policy and Community in Reducing Alcohol Harm

Communities and policy-makers also play crucial roles. Evidence shows that proven public health policies work: raising taxes on alcohol, restricting sales hours, and limiting the number of outlets can curb excessive drinking (10). Enforcing strong laws on drunk driving and underage drinking (including sobriety checkpoints) keeps people safe. Education is important: awareness campaigns and school programs teach youth about alcohol’s risks and empower safer choices. Local groups and employers can support alcohol-free social events (for example, by hosting substance-free gatherings and rewarding non-drinking choices).

By combining personal choices with community action, society can weaken alcohol’s grip. Many countries have already adopted national strategies (such as WHO’s SAFER initiative) that coordinate these measures. Early results are promising: the global death rate from alcohol (per 100,000 population) fell by about 20% between 2010 and 2019 (16), even as populations grew. This shows that smart policies and awareness can produce real change.

Rethinking alcohol is about balance, not deprivation

 

The evidence and experience are hopeful. When individuals, families and communities work together to change habits and policies, the results can be life-saving. Healthcare professionals see this in practice: patients who reduce or quit drinking often report better sleep, weight loss, more stable moods, and fewer medical problems. Communities with strong alcohol policies experience fewer crashes, less violence, and healthier citizens.

Looking ahead, we have the tools and knowledge to build a healthier future. By replacing old habits with safer alternatives – whether that means sparkling water at a celebration or a supportive conversation over tea – we can still enjoy life’s pleasures without risking health.

As a dedicated public health professional, I believe. Working together, if we act now with proven approaches, we can turn the tide on alcohol addiction and build a healthier, brighter future for everyone.

 References:

1.  World Health Organization (WHO). Global status report on alcohol and health 2018.

2.   World Health Organization (WHO). Alcohol consumption statistics.

3.   Centers for Disease Control and Prevention (CDC). Alcohol and Public Health.

4.   World Health Organization (WHO). Alcohol and cancer: Latest evidence.

5.   National Institute on Alcohol Abuse and Alcoholism (NIAAA). Alcohol Use Disorder (AUD) facts and statistics.

6.   Global Status Report on Road Safety 2018. World Health Organization (WHO).

7.   National Center for Biotechnology Information (NCBI). Impact of social media exposure on alcohol consumption behaviors.

8.   World Health Organization (WHO). Statement by WHO Director-General Dr. Tedros Adhanom Ghebreyesus on substance abuse.

9.   Centers for Disease Control and Prevention (CDC). Deaths from excessive alcohol use in the U.S.

10.    World Health Organization (WHO). SAFER: A world free from alcohol-related harm.

11.    The Lancet Public Health. Influence of alcohol industry lobbying on public policy.

12.    World Health Organization (WHO). Gaps in alcohol treatment services globally.

13.    Centers for Disease Control and Prevention (CDC). Tips for cutting down on drinking.

14.    National Institute on Alcohol Abuse and Alcoholism (NIAAA). Strategies for safer drinking.

15.    Centers for Disease Control and Prevention (CDC). Support systems and quitting alcohol.

16.    World Health Organization (WHO). Global progress report on alcohol reduction efforts.

 

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