LAUSR

Key Points Question What is the estimated proportion of deaths among US adults aged 20 to 64 years attributable to excessive alcohol consumption, and are there differences by sex, age, and US state? Findings The estimates in this cross-sectional study of 694 660 mean deaths per year between 2015 and 2019 suggest that excessive alcohol consumption accounted for 12.9% of total deaths among adults aged 20 to 64 years and 20.3% of deaths among adults aged 20 to 49 years. Among adults aged 20 to 64 years, the proportion of alcohol-attributable deaths to total deaths varied by state. Meaning These findings suggest that an estimated 1 in 8 deaths among adults aged 20 to 64 years were attributable to excessive alcohol use and that greater implementation of evidence-based alcohol policies could reduce this proportion.