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Alcohol's Effects on Health

Research-based information on drinking and its impact.

Alcohol Use Disorder (AUD) in the United States: Age Groups and Demographic Characteristics

Updated: September 2024

Prevalence of Past-Year Alcohol Use Disorder (AUD)

People Ages 12 and Older

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Alcohol use disorder (AUD) in the United States. 28.9 million people ages 12 and older had AUD in 2023. Source: 2023 NSDUH

According to the 2023 National Survey on Drug Use and Health (NSDUH), 28.9 million people ages 12 and older (10.2% in this age group) had AUD in the past year.1,2 This includes:

  • 16.8 million males ages 12 and older (12.1% in this age group)1,2  
  • 12.0 million females ages 12 and older (8.3% in this age group)1,2
  • 156,000 American Indian or Alaska Native people ages 12 and older (11.6% in this age group)1,2
  • 994,000 Asian people ages 12 and older (5.7% in this age group)1,2
  • 3.3 million Black or African American people ages 12 and older (9.6% in this age group)1,2
  • 88,000 Native Hawaiian or other Pacific Islander people ages 12 and older (7.9% in this age group)1,2
  • 18.7 million White people ages 12 and older (11.0% in this age group)1,2
  • 841,000 people of two or more races ages 12 and older (13.6% in this age group)1,2
  • 4.8 million Hispanic or Latino people ages 12 and older (10.8% in this age group)1,2

Youth Ages 12 to 17

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Alcohol use disorder (AUD) among adolescents. 757,000 adolescents ages 12 to 17 had AUD in 2023. Source: 2023 NSDUH.

According to the 2023 NSDUH, 757,000 youth ages 12 to 17 (2.9% in this age group) had AUD in the past year.1,2 This includes:

  • 270,000 boys ages 12 to 17 (2.0% in this age group)1,2  
  • 487,000 girls ages 12 to 17 (3.8% in this age group)1,2
  • 5,000 American Indian or Alaska Native youth ages 12 to 17 (2.3% in this age group)1,2
  • 15,000 Asian youth ages 12 to 17 (1.0% in this age group)1,2
  • 46,000 Black or African American youth ages 12 to 17 (1.3% in this age group)1,2
  • 438,000 White youth ages 12 to 17 (3.4% in this age group)1,2
  • 28,000 youth of two or more races ages 12 to 17 (3.0% in this age group)1,2
  • 223,000 Hispanic or Latino youth ages 12 to 17 (3.3% in this age group)1,2
  • Estimates for Native Hawaiian or other Pacific Islander youth ages 12 to 17 were not presented because they were based on a relatively small number of respondents or had a large margin of error.1,2

Adults Ages 18 and Older

According to the 2023 NSDUH, 28.1 million adults ages 18 and older (10.9% in this age group) had AUD in the past year.1,2 This includes:

  • 16.6 million men ages 18 and older (13.2% in this age group)1,2  
  • 11.5 million women ages 18 and older (8.7% in this age group)1,2
  • 150,000 American Indian or Alaska Native adults ages 18 and older (13.6% in this age group)1,2
  • 979,000 Asian adults ages 18 and older (6.1% in this age group)1,2
  • 3.3 million Black or African American adults ages 18 and older (10.5% in this age group)1,2
  • 87,000 Native Hawaiian or other Pacific Islander adults ages 18 and older (8.5% in this age group)1,2
  • 18.2 million White adults ages 18 and older (11.6% in this age group)1,2
  • 813,000 adults of two or more races ages 18 and older (15.4% in this age group)1,2
  • 4.6 million Hispanic or Latino adults ages 18 and older (10.1% in this age group)1,2
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), many (but not all) NSDUH estimates from 2023 are comparable with 2022 and updated 2021 estimates. However, 2021–2023 estimates are not comparable with 2020 or prior years' estimates. Please see the 2023 Frequently Asked Questions and section 2.3.4 of the 2023 Methodological Summary and Definitions report for more details. 

References

  1. SAMHSA, Center for Behavioral Health Statistics and Quality. 2022 National Survey on Drug Use and Health. Table 5.9A—Alcohol use disorder in past year: among people aged 12 or older; by age group and demographic characteristics, numbers in thousands, 2022 and 2023. [cited 2024 Aug 2]. Available from: https://www.samhsa.gov/data/report/2023-nsduh-detailed-tables
  2. SAMHSA, Center for Behavioral Health Statistics and Quality. 2022 National Survey on Drug Use and Health. Table 5.9B—Alcohol use disorder in past year: among people aged 12 or older; by age group and demographic characteristics, percentages, 2022 and 2023. [cited 2024 Aug 2]. Available from: https://www.samhsa.gov/data/report/2023-nsduh-detailed-tables
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