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Trends in alcohol-linked cancer mortality

  • By

  • Kathryn Wighton

  • September 28, 2026

  • 3 min

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Trends in alcohol-linked cancer mortality

Overview

Alcohol-attributable cancer mortality in the U.S. doubled from 1990 to 2023, with age-standardized rates rising from 3.8 to 4.1 per 100,000 individuals, according to a population-based observational analysis. The analysis highlights significant disparities in mortality rates among different demographics, particularly males and older adults.

Background

Understanding the trends in alcohol-linked cancer mortality is crucial as it informs public health strategies and prevention efforts. Alcohol consumption is a modifiable risk factor for several cancer types.

Data Highlights

YearEstimated Alcohol-Attributable Cancer MortalityAge-Standardized Mortality Rate
199011,3613.8 per 100,000
202323,1264.1 per 100,000

Key Findings

  • Alcohol-attributable cancer mortality increased from 11,361 in 1990 to 23,126 in 2023.
  • Age-standardized mortality rates rose 14% among males and decreased 16% among females.
  • The percentage of age-standardized mortality attributable to alcohol increased from 2.5% to 4.8% among males and from 1.8% to 2.0% among females.
  • Hepatic, esophageal, and colorectal cancers accounted for significant proportions of alcohol-attributable mortalities.
  • In 2023, 17,477 estimated alcohol-attributable cancer mortalities occurred among males aged 55 years or older.
  • Overall cancer mortality declined among younger males and females, while alcohol-attributable cancer mortality increased.

Clinical Implications

The findings emphasize the need for healthcare professionals to address alcohol consumption as a significant risk factor for cancer. Increased awareness and targeted prevention strategies may help mitigate the rising trend of alcohol-attributable cancer mortality.

Conclusion

The doubling of alcohol-attributable cancer mortality in the U.S. over the past three decades highlights a critical public health issue. Continued monitoring and intervention efforts are essential to address this growing concern.

Related Resources & Content

  1. Jani CT et al., The Lancet Regional Health–Americas, 2023 -- Trends in alcohol-linked cancer mortality
  2. The ASCO Post, 2026 -- Alcohol-Attributable Cancer Deaths More Than Double in the United States
  3. The ASCO Post, 2025 -- Alcohol-Associated Cancer Death Rates Are Climbing
  4. Journal of General Internal Medicine, 2026 -- Reevaluating the Alcohol–Cancer Link: Long-Term Cancer Mortality Outcomes in the REGARDS Study
  5. ASCO Publications — Trends in mortality involving esophageal cancer and alcohol-related behavioral disorders in the United States, 1999–2023.
  6. Alcohol and cancer
  7. Cancer Facts & Figures 2026
  8. Surgeon General’s Report Calls for Cancer Warning Labels on Alcoholic Beverages
  9. Alcohol-attributable cancer mortality in the United States, 1990–2023: a secondary analysis of Global Burden of Disease data - ScienceDirect
  10. Alcohol-Attributable Cancer Mortality Has Doubled in the US Since 1990 | CancerNetwork
  11. Association between alcohol consumption and breast cancer incidence and prognosis: A systematic review and meta-analysis - ScienceDirect
  12. Alcohol intake and risk of stomach cancer: a pooled analysis of 20 cohorts | JNCI Cancer Spectrum | Oxford Academic
  13. Alcohol Consumption Trajectories from Early Adulthood to Adulthood and Cancer Risk in Adulthood: A Systematic Review and Meta-analysis - PubMed
  14. Association between alcohol consumption and breast cancer incidence and prognosis: A systematic review and meta-analysis - PMC

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