Apparent Per Capita Alcohol Consumption: National, State, and Regional Trends, 1977–2024 | NIAAA

Surveillance Report #124

Megan E. Slater, Ph.D.
Hillel R. Alpert, Sc.D.

CSR, Incorporated1
Suite 400
20130 Lakeview Center Plaza
Ashburn, VA 20147

April 2026

U.S. Department of Health and Human Services
Public Health Service
National Institutes of Health

1 CSR, Incorporated, operates the Alcohol Epidemiologic Data System (AEDS) under Contract No. 75N94023C00015 for the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Dr. Bradley Kerridge (Division of Epidemiology and Prevention Research) serves as the NIAAA Contracting Officer’s Representative on the contract.

Highlights

This surveillance report on 1977–2024 apparent per capita alcohol consumption in the United States is the 40th in a series of consumption reports produced annually by the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Findings are based on alcoholic beverage sales data collected by the Alcohol Epidemiologic Data System (AEDS) from the States or from the National Alcohol Beverage Control Association and from various reports produced by beverage industry sources. Population data from the U.S. Census Bureau are used as denominators to calculate per capita rates.

The following are highlights from the current report that updates consumption trends through 2024:

  • Per capita consumption of ethanol from all alcoholic beverages combined in 2024 was 2.42 gallons, representing a 2.0 percent decrease from 2.47 gallons in 2023. This overall decrease is being driven by reductions in beer and wine consumption.
  • Between 2023 and 2024, changes in overall per capita ethanol consumption included increases in six States, decreases in 43 States and the District of Columbia, and no change in one State.
  • Analysis of overall per capita alcohol consumption by U.S. Census region between 2023 and 2024 indicated decreases of 1.6 percent in the Northeast, 1.2 percent in the Midwest, 2.6 percent in the South, and 1.8 percent in the West.
  • In 2024, State-level per capita annual alcohol consumption was more than 10 percent above the overall national level (> 2.66 gallons) in 17 States and the District of Columbia, 10 percent or less above the national level (> 2.42–2.66 gallons) in 4 States, up to 10 percent below the national level (2.18–2.42 gallons) in 12 States, and more than 10 percent below the national level (< 2.18 gallons) in 17 States.

Introduction

This surveillance report on apparent per capita alcohol consumption in the United States is the 40th in a series of reports that examine alcohol consumption trends on a national, State, and regional basis. Like previous reports on per capita alcohol consumption, it is intended to provide updated alcohol information for policymakers, health care providers, researchers, and others concerned about alcohol issues.

According to NIAAA (2022), a “standard drink” in the United States contains 0.6 fluid ounces of ethanol. Thus, the 2024 national annual per capita consumption level of 2.42 gallons of ethanol equates to a person aged 14 years or older consuming approximately an average of 516 standard drinks in a year.

The current report updates the 1977–2023 alcohol consumption trends (Slater and Alpert 2025) with new data for 2024. Data are shown in four tables. Table 1 presents national data on trends in beer, wine, and spirits consumption as well as on all alcoholic beverages combined. Table 2 presents data on alcohol consumption for individual States; for the four regions defined by the U.S. Census Bureau: Northeast, Midwest, South, and West; and for the United States in total for 2024. States also are ranked in deciles according to annual per capita ethanol consumption. Table 3 presents the alcoholic beverage sales and shipment data sources for the volume data presented in Table 2. Table 4 presents data on consumption trends for each type of beverage and all beverages combined for the States as well as for the four census regions.

Data

Alcohol Consumption Data

AEDS makes every effort to obtain alcoholic beverage sales data from all States and the District of Columbia. AEDS prefers sales data to production and shipments data from beverage industry sources because sales data more accurately reflect actual alcoholic beverage consumption levels. States provide sales data in the form of volume or tax revenue that AEDS converts to gallons by using State tax rates. For 2024, AEDS received beverage sales and/or tax receipts reports from 33 States. AEDS also received spirits and wine sales data for alcoholic beverage control States from the National Alcohol Beverage Control Association. When State data were unavailable or unusable, AEDS used shipment data from beverage industry sources (Beverage Information Group 2025a, b, c) as a supplementary data source (Table 3). National and regional consumption data were estimated based on the sum of corresponding State-level volumes in gallons. The mixed use of data from sales and shipments sources appears to have little effect on overall trends in per capita alcohol consumption (Campbell et al. 1994; Haughwout et al. 2015). Some of the consumption estimates reported in the current report may differ slightly from those published in the previous year due to updates and revisions based on data received after publication. The types of data sources AEDS used to obtain alcohol consumption data are listed for years 2001–2024 in this report’s data file.

Population Data

AEDS obtained State population estimates for people aged 14 years and older from the U.S. Census Bureau (U.S. Census Bureau 2025; U.S. Department of Health and Human Services 2021). These data are used as denominators to calculate the per capita consumption figures.

To make the trend data more precise, AEDS revises data published in previous reports when the Census Bureau revises its population estimates. This report updates the 2020–2023 population estimates using revised estimates of the July 1 resident population from the Vintage 2024 postcensal series (U.S. Census Bureau 2025).

Methods

Conversion of Ethanol Content

AEDS uses an estimate of average ethanol content in alcoholic beverages to convert gallons of sold or shipped beer, wine, and spirits into gallons of ethanol (pure alcohol) before calculating per capita consumption estimates. For data years 1977–2024, the alcohol by volume (ABV; i.e., proportion of ethanol for each beverage type) values are 0.045 for beer, 0.129 for wine, and 0.411 for spirits (Doernberg and Stinson 1985). Following the ethanol conversions, gallons of ethanol for beer, wine, and spirits are summed to gallons of ethanol for all beverages.

AEDS has considered changes in the alcoholic beverage market over time that may affect the fixed ABV estimates used in this report (Martinez et al. 2019). Changes in the average net ethanol content across beverage types have been relatively minimal (i.e., correlations between per capita consumption estimates derived from fixed and time-varying ABVs are >0.98 and >0.94 for national overall and beverage-specific estimates, respectively) and are not large enough to alter the trends in overall per capita consumption, which have been parallel since 1995. However, there was a notable drop in average ABV for spirits—from 0.372 in 2021 to 0.324 in 2024—which will continue to be monitored closely in future reports. AEDS provides time-varying ABVs and corresponding gallons of ethanol in this report’s data file for comparison purposes.

The Alcohol Research Group provides AEDS with time-varying ABVs annually and derives the estimates for each beverage type based on three data components: (1) market shares for subcategories within beverage type (e.g., table wine and wine coolers within wine); (2) market shares for leading brands in each subcategory; and (3) ethanol contents of these leading brands. These calculations follow the methodology developed by Kerr et al. (2006a, b) and reported by Martinez et al. (2019).

Population Denominator

In this report, AEDS uses the population of people aged 14 years and older to calculate per capita consumption rates. Although 14 years is below the minimum legal age for purchasing alcoholic beverages throughout the United States, most self-report surveys indicate that many people drink alcoholic beverages at age 14. For example, data from the 2019 National Survey on Drug Use and Health (NSDUH) indicated that 20.1 percent of 14-year-olds in the United States have had at least one drink in their lifetime (Farokhnia et al. 2024). Results from the Monitoring the Future survey in 2024 (Miech et al. 2025) indicate that 12.9 percent of eighth graders (students aged 13 to 14 years) reported past-year use of alcohol (i.e., beyond a few sips). Also, using data from the 2017–2019 NSDUH, Chen and Yoon (2021) found the median age of initiation of alcohol use among people aged 12 to 20 years to be 14.9 years. Nonetheless, per capita consumption estimates for population aged 21 years and older are also provided in this report’s data file.

Estimation of Per Capita Ethanol Consumption

Per capita ethanol consumption rates for each beverage type are estimated by multiplying national, State, or regional beverage volume by the corresponding ABV and dividing by the national, State, or regional population aged 14 years and older. Per capita ethanol consumption of all beverages is calculated directly from the estimated gallons of ethanol for all beverages divided by the population.

Percentage change calculations in this report are based on the numbers presented in the tables, which are rounded to two decimal places.

Per capita ethanol consumption rates based on the alternative time-varying ABVs can be derived from this report’s data file by dividing gallons of ethanol consumed by the corresponding population of interest (i.e., aged 14 years and older or aged 21 years and older). For example, per capita consumption of ethanol from all alcoholic beverages combined in 2024 was 2.23 gallons (among those aged 14 years and older) using the time-varying ABVs.

Limitations

Readers familiar with survey reports and other scientific literature are accustomed to the presentation of significance tests, or confidence intervals, on any data comparisons or trends. However, because data presented in this report are based on total actual sales and/or shipments, AEDS does not provide measures of statistical significance. Nonetheless, it is important to note that these data are still only estimates and may be subject to reporting errors and random fluctuation over time.

In addition to ABVs, many factors may result in inaccuracies of per capita alcohol consumption estimates. For instance, these estimates in some States may be inflated by such factors as cross-border sales to buyers from neighboring States (e.g., in New Hampshire) or tourist consumption of alcohol (e.g., in Nevada and Washington, D.C.). Other factors include variation in State reporting practices for sales of alcoholic beverages; time delay between State taxation records and actual consumption; exclusion of alcohol contained in medications and foods; unrecorded legal home production; and illicit production, importation, and sales (Rehm et al. 2014). These factors are discussed in detail in the AEDS data reference manual on per capita alcohol consumption (Nephew et al. 2004). Note that the word apparent in this report’s title is pertinent, because the estimates in this report are based on the reported volumes of alcoholic beverages released to the market for sale and not on actual measures of people’s alcohol consumption.

List of Tables

Table 1. Apparent per capita ethanol consumption, United States, 1850–2024

Table 2. Apparent alcohol consumption for States, census regions, and the United States, 2024

Table 3. Sources of alcoholic beverages sales and shipment data by State and beverage type, 2024

Table 4. Per capita ethanol consumption for States, census regions, and the United States, 1977–2024

Figures

Figure 1. Total per capita ethanol consumption, United States, 1935–2024

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Figure 2. Per capita ethanol consumption by beverage type, United States, 1977–2024

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Figure 3. Change in per capita ethanol consumption, United States, 1977–2024

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Figure 4. Total per capita consumption of gallons of ethanol by State, United States, 2024

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Figure 5. Percentage change in total per capita ethanol consumption by State, United States, 2023–2024

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Figure 6. Total per capita ethanol consumption by region, United States, 1977–2024

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Figure 7. Per capita ethanol consumption from beer by region, United States, 1977–2024

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Figure 8. Per capita ethanol consumption from wine by region, United States, 1977–2024

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Figure 9. Per capita ethanol consumption from spirits by region, United States, 1977–2024

figure 9

References

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