Prevention & lipidsCross-sectional study
Trends in the Co-Occurrence of Alcohol Use and Cardiovascular Disease Among U.S. Adults, 1999 to 2023
- Joinpoint regression analysis of 11 cycles of the National Health and Nutrition Examination Survey
- stratified by age, sex, race/ethnicity, poverty-income ratio and educational attainment
Authors' conclusion
From 1999 to 2023, the co-occurrence of heavy alcohol use and CVD increased substantially, especially among certain demographic groups.
Study context
- Population
- U.S. adults, National Health and Nutrition Examination Survey 1999–202311 cycles of NHANES, 5,180 had cardiovascular disease (CVD)
- Participants
- 43,465 adults
- Exposure
- Trends in co-occurrence of alcohol use and overall and type-specific CVD
Main finding
As reported in the abstract
Prevalence of heavy drinking among those with CVD · 1999 to 2000 to 2021 to 2023
1999 to 2000
17.1%
2021 to 2023
33.4%
Observational data: associations, not effects.
Further findings
Prevalence of co-occurrence of heavy drinking and CVD in overall population
- Increased from
- 1.4%
- to
- 3.0%
- Annual percentage change (APC)
- 3.4%; 95% CI: 2.0%-5.1%
Co-occurrence of heavy drinking with type-specific CVD
- heart failure APC
- 3.8%
- angina APC
- 1.7%
- stroke APC
- 5.2%
Co-occurrence of nondrinking and low-to-moderate drinking with CVD
- nondrinking with CVD declined
- −1.4%
- low-to-moderate drinking with CVD remained stable
Subgroup trends in co-occurrence of heavy drinking and CVD
- Increases appeared more pronounced in adults aged 40 to 59 years (post-2007), women, non-Hispanic Whites, and those with lower poverty-income ratio or educational attainment
Original publication
Trends in the Co-Occurrence of Alcohol Use and Cardiovascular Disease Among U.S. Adults, 1999 to 2023. JACC Adv. Published 21 May 2026. doi:10.1016/j.jacadv.2026.102819
Summarised from the published abstract; every number is checked against it