
Excessive alcohol consumption is linked to a range of health issues, including an increased risk of several types of cancer, high blood pressure, heart disease, liver disease, and mental health conditions. While there is no definitive answer to the question of how many drinks per week constitute alcoholism, excessive drinking is defined as 8 or more drinks per week for women and 15 or more drinks per week for men. Binge drinking, which is a subset of excessive drinking, is defined as consuming 4 or more drinks (for women) or 5 or more drinks (for men) in a short period, typically about two hours. Heavy drinking, which includes binge drinking, is characterized by higher quantities of alcohol consumption and is a significant risk factor for Alcohol Use Disorder (AUD). While not everyone who engages in heavy or binge drinking has AUD, these behaviors can increase the likelihood of developing this disorder. AUD is characterized by an impaired ability to stop or control alcohol consumption and can range from mild to severe.
| Characteristics | Values |
|---|---|
| Binge drinking for women | 4 or more drinks in about 2 hours |
| Binge drinking for men | 5 or more drinks in about 2 hours |
| Heavy drinking for women | 8 or more drinks per week |
| Heavy drinking for men | 15 or more drinks per week |
| Moderate drinking for women | 1 drink or less in a day |
| Moderate drinking for men | 2 drinks or less in a day |
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What You'll Learn

Heavy drinking
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) categorizes heavy drinking as a form of alcohol misuse, which also includes binge drinking. Alcohol misuse refers to drinking in a manner, situation, amount, or frequency that could cause harm to oneself or others. This harm can be social, emotional, or physical, and it can affect not only the drinker but also those around them.
The risks and negative consequences of heavy drinking are significant. Heavy drinking increases the risk of many short- and long-term health issues, including accidental injuries, mental health conditions, high blood pressure, heart disease, liver disease, digestive problems, and a weakened immune system. Research has also found a link between alcohol consumption and certain types of cancer, with the risk of some cancers, such as breast cancer, increasing with any amount of alcohol consumption.
Additionally, heavy drinking can lead to alcohol use disorder (AUD), a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse consequences. AUD can be mild, moderate, or severe, and it includes conditions such as alcohol abuse, dependence, and addiction. Lasting changes in the brain caused by heavy drinking can perpetuate AUD and make individuals vulnerable to relapse.
It is important to note that drinking less alcohol is generally better for one's health. The Dietary Guidelines for Americans 2020-2025 recommend that adults who choose to drink should limit their intake to two drinks or less per day for men and one drink or less per day for women. By reducing alcohol consumption, individuals can lower their risk of harm and improve their overall health and quality of life.
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Binge drinking
According to the 2023 National Survey on Drug Use and Health (NSDUH), about 21.7% of people in the United States ages 12 and older reported binge drinking in the past month. While rates of binge drinking among young people are decreasing, it remains a concern, with 2.0% of 8th graders, 5.4% of 10th graders, and 10.2% of 12th graders reporting binge drinking. Among college students ages 18 to 22, 46.3% drank alcohol, and 27.9% engaged in binge drinking in the past month. Binge drinking among older adults, women, and pregnant people is also a concern due to unique risks and potential health consequences.
The negative health effects of binge drinking are well-established. Binge drinking increases the risk of acute harm, such as blackouts and overdoses, and can compromise the function of the immune system, leading to acute pancreatitis in individuals with underlying pancreatic damage. Drinking alcohol, even in moderate amounts, is linked to an increased risk of several types of cancer, including breast cancer in women. Additionally, binge drinking can lead to high blood pressure, heart disease, liver disease, digestive problems, and mental health conditions such as depression and anxiety.
To promote better health and prevent chronic diseases, it is recommended that adults of legal drinking age limit their intake to two drinks or less per day for men and one drink or less per day for women. It is important to note that drinking less alcohol is always better for your health than drinking more. If you or someone you know is struggling with alcohol misuse or binge drinking, there are resources available to help, such as the National Helpline for Mental Health, Drug, and Alcohol Issues.
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Alcohol use disorder (AUD)
Alcohol misuse, including binge drinking and heavy alcohol use, increases the risk of many alcohol-related problems, including alcohol use disorder (AUD). Binge drinking is defined as consuming four or more drinks (for women) or five or more drinks (for men) in about two hours, resulting in a blood alcohol concentration of 0.08% or higher. Heavy drinking is defined as consuming eight or more drinks per week for women and 15 or more drinks per week for men.
AUD is a medical condition characterized by a person's impaired ability to stop or control their alcohol use despite adverse social, occupational, or health consequences. It is a chronic brain disease that can be mild, moderate, or severe, and it encompasses conditions previously referred to as alcohol abuse, alcohol dependence, alcohol addiction, or alcoholism. AUD is influenced by a combination of genetic and environmental factors, with genetics accounting for approximately 60% of the risk. Mental health conditions, such as depression, PTSD, and ADHD, are also associated with an increased risk of developing AUD.
The risk factors and symptoms of AUD include consuming alcohol in greater quantities or for longer periods than intended, unsuccessful attempts to reduce alcohol consumption, spending a significant amount of time obtaining, using, or recovering from alcohol, continued alcohol use despite negative consequences, and a strong craving or urge to drink alcohol. People with AUD may also experience withdrawal symptoms when the effects of alcohol wear off, such as trouble sleeping, shakiness, restlessness, nausea, sweating, and an increased heart rate.
AUD is a treatable condition, and recovery is achievable through evidence-based treatments, including behavioural therapies, mutual support groups, and medications. Behavioural treatments, such as alcohol counselling and talk therapy, aim to change drinking behaviour and build coping skills. Mutual support groups provide peer support for reducing or stopping alcohol consumption and are available in most communities at low or no cost. Medications approved by the U.S. Food and Drug Administration to help reduce or stop drinking include naltrexone, acamprosate, and disulfiram.
It is important to note that the number of drinks per week that may constitute an alcoholic is not a fixed value and can vary depending on individual factors and definitions of alcoholism. However, excessive drinking, including binge drinking and heavy alcohol use, is a cause for concern and increases the risk of developing AUD.
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Alcohol misuse
Binge drinking is typically defined as consuming four or more drinks for women or five or more drinks for men in about two hours, resulting in a blood alcohol concentration of 0.08% or higher. Heavy drinking is defined as eight or more drinks per week for women and 15 or more drinks per week for men. These definitions are based on the fact that alcohol distributes itself evenly in body water, and women have proportionally less water in their bodies than men. As a result, women's blood alcohol concentration (BAC) tends to be higher after consuming the same amount of alcohol as men, putting them at greater risk for harm.
While not everyone who engages in heavy or binge drinking has alcohol use disorder (AUD), this behaviour can increase the risk of developing it. AUD is characterised by an impaired ability to stop or control alcohol use despite adverse consequences. It can range from mild to severe and is perpetuated by lasting changes in the brain caused by alcohol misuse. Individuals with AUD may experience cravings, negative emotional states when unable to drink, and distress or harm in their lives due to alcohol consumption.
Healthcare and mental health professionals can provide advice and treatment options for individuals concerned about their alcohol consumption. Additionally, support organisations are available to help individuals and their families address drinking-related issues and promote recovery from AUD. It is recommended that individuals who choose to drink alcohol do so in moderation, following the dietary guidelines of one drink or less per day for women and two drinks or less per day for men.
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Health effects of drinking
Excessive alcohol consumption is defined as binge drinking—four or more drinks for women, or five or more drinks for men in a single sitting—heavy drinking, underage drinking, and drinking during pregnancy. Drinking excessively can have immediate and long-term health consequences, including accidental injuries, mental and physical health issues, and death.
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) reports that alcohol interferes with the brain's communication pathways, affecting mood, behaviour, clear thinking, and coordination. Alcohol also damages the heart, causing problems like cardiomyopathy, a condition where the heart muscle stretches and droops.
Heavy drinking also impacts the liver, leading to inflammation and diseases such as liver cancer. Alcohol consumption is linked to an increased risk of several types of cancer, including breast cancer, esophageal cancer, liver cancer, colorectal cancer, and more. Even one drink per day can increase a woman's risk of breast cancer by 5% to 15% compared to non-drinkers.
Chronic drinking weakens the immune system, making individuals more susceptible to diseases like pneumonia and tuberculosis. Alcohol consumption is associated with high blood pressure, heart disease, digestive problems, mental health conditions such as depression and anxiety, learning difficulties, and memory issues, including dementia.
The negative health impacts of alcohol extend beyond the individual, as alcohol misuse can also harm those around them. It is important to note that the level of harm typically increases with the amount of alcohol consumed. Lowering alcohol intake or abstaining from drinking can improve health and reduce these risks.
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Frequently asked questions
Binge drinking is defined as consuming four or more drinks in about two hours for women.
Heavy drinking is defined as consuming 15 or more drinks per week for men.
According to the CDC, consuming eight or more drinks per week is considered excessive drinking for women.
Moderate drinking for men is defined as consuming two drinks or less in a day.

























