Alcohol use in NI

Alcohol remains our No. 1 drug of choice in Northern Ireland.

Tobacco – another popular legal drug of choice – for more information on the benefits of stopping smoking and cessation support services in your local area visit: www.stopsmokingni.info

According to the NI Health Survey for 2017/18, 77% of those surveyed drink alcohol – compared with 18% who reported that they currently smoked *cigarettes. Fifty-nine percent of those said that they drank within the weekly limits, however 18% (almost 1 in 5 people) said that they regularly drank over the weekly limits of no more than 14 units per week (visit the ‘Alcohol and Units’ section to find out more about units).

Impact of alcohol misuse

Alcohol (such as wine, beer, spirits and liqueurs) is a legal sedative drug that can cause addiction or dependency for people who drink too much. Alcohol can change behaviour. Alcohol misuse harms your health and damages relationships and society through violence, crime, accidents and drink driving.

Estimates suggest that the effects of alcohol misuse cost up to £900 million every year in Northern Ireland, with almost £250 million of these costs borne by the Health and Social Care sector.  (DoH, 2010)

Drinking too much

When you drink too much on a single occasion, the immediate effects are nausea, vomiting and a hangover. The long-term effects on your health are more serious when you binge drink or regularly drink too much.

Drink problems

You might have a drink problem if your drinking is:

• damaging your health and relationships
• disrupting your work, education or lifestyle

Young and old people can have a drink problem depending on how often they drink and the way they drink. Having a drink problem doesn’t mean you’re addicted to alcohol, but you could become addicted if you don’t reduce the role alcohol has in your life.

Visit our ‘Resources’ section to view or download a wide range of alcohol-related booklets.

Alcoholism

An alcoholic cannot control or stop their harmful drinking. You can die from alcoholism. It is an illness where you have an addiction or dependence on alcohol. You experience withdrawal symptoms if you stop drinking.

There were 270 (Provisional figure) deaths in 2012 and the toll has risen by around 50% over the last decade. The largest number of deaths happened in those aged 45-54 and the most deprived were most likely to die.

Alcohol-related Deaths

While alcohol-specific deaths account for less than 2 per cent of all deaths in NI, there has been a general upward trend in the number of such deaths, rising from 178 in 2001 to 303 in 2017 (highest on record to date).

As in previous years the number of alcohol specific deaths is higher among males, accounting for 70 per cent (212) of the 2017 total. The largest number of alcohol specific deaths continued to occur in those aged between 45 and 54 years.

People living in the most deprived areas are four times more likely to die from an alcohol specific death than those in the least deprived areas. (NISRA)

Binge drinking

Binge drinking means drinking too much alcohol in a short period of time. If you binge drink, you could develop long-term or permanent health problems. Binge drinking can cause blackouts, memory loss, anxiety and/or an irregular heartbeat.

Hangover

A hangover follows a bout of heavy drinking. When you’re hungover, you’re dehydrated and experiencing alcohol poisoning. You can also have a headache, feel sick, feel tired and become irritable

    Brain damage

    Alcohol can damage your brain. Brain damage affects your behaviour, memory and ability to learn.  Alcohol is very harmful to young people because their brains are still developing.

    If you’re a regular heavy drinker, you risk permanent brain damage, mental health problems and/or alcoholism.

       

      Cancer

      Alcohol is the second biggest risk for cancer after smoking. If you regularly drink above the weekly alcohol limits, you’re at greater risk of developing mouth cancer, throat cancer (upper throat, oesophageal cancer (food pipe), laryngeal cancer (voice box), colon cancer, breast cancer, bowel cancer and/or liver cancer.

        Breast cancer

        Alcohol can increase a woman’s risk of breast cancer. The more you drink, the greater the risk. Drinking alcohol changes your body’s hormone levels, including the female sex hormone oestrogen. Oestrogen is essential for normal sexual development and functioning female reproductive organs. But it can stimulate the growth of breast cancer.

        Heart and circulation

        Alcohol can cause high blood pressure, which increases your risk of having a heart attack or stroke. Alcohol also weakens heart muscles, which can affect the lungs, liver, brain and other body systems, and also cause heart failure.
        Binge drinking and drinking heavily over longer periods can cause an irregular heartbeat. This condition is linked to sudden death.

        Lungs

        If you drink alcohol heavily, you’re prone to lung infections such as pneumonia. You could also suffer a collapsed lung. When a person vomits due to drinking alcohol, they could choke if vomit gets into their lungs.

        Liver

        Fat deposits develop in your liver if you drink too much alcohol. This can inflame the liver and cause alcoholic hepatitis, which can result in liver failure and death. Drinking too much alcohol can permanently scar and damage the liver, resulting in liver cirrhosis – this increases the risk of liver cancer.  

        A woman’s liver takes longer to break down alcohol and also longer to repair when damaged.

        Stomach

        Drinking too much can lead to stomach ulcers and/or internal bleeding. Alcohol can also cause gastritis, which means stomach inflammation. This can prevent you absorbing vitamins from food and increase the risk of cancer.

        Pancreas

        Heavy or long-term drinking can cause inflammation of the pancreas. It is a very painful condition where a drinker experiences vomiting, fever and weight loss – a heavy drinker can die from this condition.

        Intestines

        Heavy drinking can irritate the lining of your intestines and cause inflammation and ulcers and/or intestinal and colon cancer. Damage to your intestines also affects your body’s ability to absorb nutrients and vitamins.

        Kidneys

        Heavy drinking can increase your risk of developing high blood pressure. This causes chronic kidney disease.

        Fertility

        Long-term drinking can cause infertility in men and women. Men can also become impotent.

        Drinking alcohol when pregnant can damage your unborn baby’s development.

        Visit our ‘Alcohol and Pregnancy’ section to find out more or view/download the resource ‘If you take it I take it’ and/or the PHA’s ‘Alcohol and Pregnancy’ booklet.

        Bones

        Alcohol interferes with your body’s ability to absorb calcium. If you lack calcium, your bones become weak and thin..

        Weight gain

         

        You can put on weight if you drink alcohol regularly. Alcoholic drinks are high in calories due to starch and sugar content. The calories are empty because there is no nutritional value in alcohol.  

         

        You can compare the calories (kcal) in different quantities of drinks, for example:

         

        • a pint (568ml) of four per cent beer has 182 calories
        • a medium glass (175ml) of 13 per cent  wine has 159 calories
        • a pint of 4.5 per cent  cider has 216 calories
        • a measure (35ml) of 40 per cent  spirit has 85 calories

         

        Visit our ‘Virtual Bar’ or download our ‘Know your Units’ app to take stock of the amount of units and calories in your usual alcoholic beverages – and how those numbers mount up!

         

        Skin

        Alcohol dehydrates your body and skin. It also widens blood vessels, causing your skin to look red or blotchy.

        Sexual health

        Binge drinking makes you lose your inhibitions and affects your judgement. This may make you less likely to use a condom, increasing your risk of getting a sexually transmitted infection (STI) such as chlamydia, HIV or hepatitis. It can also lead to an unplanned pregnancy.

        Mental health

        Drinking too much can disrupt normal sleeping patterns and cause insomnia and lack of restful sleep – this can make you feel stressed and anxious.

        Alcohol is linked to a range of mental health problems including depression, anxiety, risk-taking behaviour, personality disorders, schizophrenia and suicide.

        For more information on how to look after your mental health and for details of support services in your local area visit www.mindingyourhead.info and/or download the booklet: ‘Alcohol and Mental Health.’

        Talk to someone, you are not alone.

        Lifeline counsellors are available 24 hours a day, seven days a week to listen and help, in confidence.

        Deaf and hard of hearing Textphone users can call Lifeline on 18001 0808 808 8000. Calls to Lifeline are free to people living in Northern Ireland who are calling from UK landlines and mobiles.

        RT @publichealthni: #Freshers are you heading out tonight? A #hangover might make you feel bad for a day or so, but regularly drinking too…
        h J R
        @NIDACTS

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