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Data analyzed by

State Health Compare

Alcohol-involved deaths per 100,000 people

Measure Overview

Alcohol related deaths, also sometimes called alcohol-involved deaths, continue to pose a major public health problem in the United States, with the National Institute on Alcohol Abuse and Alcoholism stating that alcohol is a “leading cause of morbidity and mortality” with an estimated 178,000 annual deaths from alcohol-related causes. Though the State Health Compare definition of "alcohol-involved deaths" is, by design, more limited in scope (e.g., only deaths that are 100% attributable to alcohol, see details in “Definitions” section below), the number of alcohol-involved deaths has still risen significantly over the past two decades. Ongoing surveillance of alcohol-involved death rates can help us to understand national and state-level trends, identify populations that are disproportionately impacted by high-risk alcohol consumption and abuse, as well as alcohol-related diseases and deaths—and inform strategic interventions.

Alcohol-Involved Deaths by State: Breakdowns and Data Source


State Health Compare provides annual, state-level rates of alcohol-related deaths per 100,000 people based on data from the Centers for Disease Control and Prevention’s (CDC) WONDER database.

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While alcohol-attributable death rates for years prior to 2006 remained generally stable, rates began steadily rising from 2006 onward, growing by nearly 30% from 7.4 alcohol-attributable deaths per 100,000 people to 10.4 per 100,000 people just prior to the COVID-19 pandemic in 2019. During the pandemic, this rate grew again by 30% from 10.4 deaths per 100,000 people to 13.5 death per 100,000 in 2022 in just three years – a worrying acceleration.



Adult Excessive Alcohol Consumption Rate Trends in the United States

To understand the current trends of excessive alcohol consumption at the national and state-levels in the United States, we used SHADAC’s State Health Compare tool to analyze data on the measure, “Percent of Adults Reporting Excessive Alcohol Consumption in the Past 30 Days”. Read this blog to learn more about these general trends, along with drinking trends amongst various subpopulations.