Surveillance Reports | NIAAA

Surveillance Report #125: Trends in Underage Drinking in the United States, 1991-2023

(Chen, Chiung M.; Alpert, Hillel. R.) July 2026

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Presents trends in underage drinking among youth ages 12–20 years. Data were obtained from three separate sources, the National Survey on Drug Use and Health, the Monitoring the Future survey, and the Youth Risk Behavior Survey. The report provides trend data on past-30-day alcohol use, initiation of drinking, drinking patterns (e.g., frequency, quantity, volume, binge and extreme binge drinking, drunkenness), alcohol-related attitudes, and alcohol-related risk behaviors. Recent state-level prevalence estimates are presented in U.S. maps for alcohol use, binge drinking, and perceived great risk associated with consuming five or more alcoholic drinks once or twice a week. 

Surveillance Report #124: Apparent Per Capita Alcohol Consumption: National, State, and Regional Trends, 1977–2024

(Slater, Megan E.; Alpert, Hillel R.) April 2026

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Examines trends in apparent alcohol consumption in the United States. Findings are based on alcoholic beverage sales data, collected from the States or the National Alcohol Beverage Control Association by the Alcohol Epidemiologic Data System (AEDS), and 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 report provides data on national consumption of beer, wine, and distilled spirits as well as for all alcoholic beverages combined; consumption trends for each State for the same beverage categories; and consumption trends for each type of beverage and all beverages combined for U.S. regions.

Data for 1970-2023 from this report can be found in one data file (1.02 MB)

Surveillance Report #123: Liver Cirrhosis Mortality in the United States: National, State, and Regional Trends, 2000–2023

(Chen, Chiung M.; Alpert, Hillel R.) September 2025

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Examines trends in liver cirrhosis mortality in the United States. Data are derived from the publicly available Multiple Cause of Death files published by the National Center for Health Statistics (NCHS). Based on underlying causes of death, the report presents the number of deaths from liver cirrhosis—with and without alcohol involvement—by sex, race, Hispanic origin, Hispanic subgroup, state, and census region. Population estimates from the U.S. Census Bureau and NCHS are used as denominators to calculate corresponding age-specific and age-adjusted death rates.

Alcohol Sales During the COVID-19 Pandemic

Here we present such data as are available on per capita alcohol sales during the COVID-19 pandemic.

Data from this report can be found in one data file, available upon request.

Surveillance Report #112: Trends in Alcohol-Related Morbidity Among Community Hospital Discharges, United States, 2000–2015

(Chen, Chiung M.; Yoon, Young-Hee) August 2018

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Provides data on numbers and rates of hospital discharges with principal (first-listed) mention as well as any (all-listed) mention of an alcohol-related diagnosis in the United States. The data were obtained from the National Inpatient Sample, which is the largest publicly available all-payer inpatient care database in the United States sponsored by the Agency for Healthcare Research and Quality.

Surveillance Report #109: Trends in Substance Use Among Reproductive-Age Females in the United States, 2002–2015

(Slater, Megan E.; Haughwout, Sarah P.) September 2017

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Presents trends in substance use among reproductive-age females, ages 15–44 years. Data for these trends are compiled from public-use data from a nationally representative survey, the National Survey on Drug Use and Health. The report presents trend data on alcohol consumption; cigarette, illicit drug, and marijuana use, and nonmedical use of prescription drugs among current drinkers; alcohol/illicit drug dependence and abuse among current drinkers; and need for treatment for alcohol and illicit drug use. Key measures are presented overall and by age group and by race/ethnicity. Because of small sample sizes of pregnant females, only a subset of substance use measures (any drinking and binge drinking) have reliable prevalence estimates and are presented by pregnancy status.

Methodological Addendum: Comparison of State Alcoholic Beverage Sales Data with Industry Shipment Data, 2001–2013 

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Surveillance Report #76: Trends in Alcohol–Related Fatal Traffic Crashes, United States, 1982–2004

(Yi, Hsiao-ye; Chen, Chiung M.; Williams, Gerald D.) August 2006

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Presents trends in alcohol-related fatal traffic crashes. Data were compiled from sources provided by the National Highway Traffic Safety Administration, the Federal Highway Administration, and the U.S. Bureau of the Census.  The report provides data on alcohol-related traffic crash fatality rates, and blood alcohol concentration (BAC) testing rates and results, with special sections on young drinking drivers.

Alcohol Epidemiologic Data Directory

U.S. Alcohol Epidemiologic Data Reference Manuals available upon request.