Comment; There is a move afoot to define alcoholism based on an amount of alcohol consumption. This is doomed to fail. It’s the behaviors associated with addiction that define addiction!
Alcohol is a major risk factor for mortality and burden of disease1 and causally affects more than 200 International Statistical Classification of Diseases and Related Health Problems (ICD) 3-digit disease categories.2Reducing the health harms of alcohol is therefore one of the most important medical goals in the world today. For most major causes of alcohol-attributable death, the risk associations between lifetime drinking and mortality are exponential.3 For all-cause mortality in high-income countries, depending on the distribution of causes of death in these countries, this means that the resulting risk association between the level of alcohol consumption and all-cause mortality is also exponential after 100 g of alcohol consumption per week.4 The consequence of this is that reducing the level of drinking will reduce harm, and given the exponential association between the level of alcohol use and most outcomes, it is most important to cut down the highest levels.5 Thus, a reduction from 10 drinks to 6 drinks is more important for mortality risk than the same absolute reduction from 4 drinks to 0 drinks.
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