Alcohol Abuse Health Center

People don't drink to become alcoholic. And many people drink alcohol throughout their lives without a problem. Why do some people abuse alcohol and become dependent on it, while others don't?

Certain things make an alcohol problem more likely. These are called risk factors.

Risk factors include:²

• Genes. People with alcohol problems often have a family history of alcohol abuse and dependence.
• Being male. A man is 3 times more likely to develop problems with alcohol than a woman is.
• Early use. The younger you were when you first started drinking alcohol, the higher your risk for developing alcohol problems later as an adult.
• Mental health. If you have mental health problems, such as depression, post-traumatic stress disorder (PTSD), bipolar disorder, schizophrenia, or anxiety disorders, you are more likely to use alcohol.
• Use of other substances. You are more likely to abuse alcohol if you abuse other things, such as tobacco, illegal drugs, or prescription medicines.
• Environment. If you live in an area where alcohol is easy to get, people drink a lot, or heavy drinking is accepted as part of life, you are more likely to drink.
• Friends. Your friends may influence you to drink by directly urging you to or by drinking when you're around them.
• Problems with others. You may be more likely to drink when you are having problems in your family or with friends.
• Not having purpose or satisfaction in your life. If you have no activities that give you a sense of purpose, you may be more likely to drink.

Just because you have risk factors for alcohol problems doesn't mean you'll have a drinking problem. A person with many risk factors won't always develop alcoholism. And a person with no risk factors can become dependent on alcohol.