Medically Reviewed by Annamarie Coy, BA, ICPR, MATS
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Alcohol abuse affects everyone negatively, but it is especially detrimental for women.
Stress plays a significant role in starting and sustaining alcohol use, and women are more prone to stress than men.
Women also have a higher risk of developing multiple mental health conditions throughout their lifetimes. The most common is depression co-occurring with anxiety.
Stress is strongly connected to all phases of alcohol addiction, including:
Long-term alcohol use is strongly associated with serious health risks in both sexes. However, women with AUDs have a higher risk of developing alcohol-related liver injury than men. This includes cirrhosis and hepatitis. Women also have a greater risk of alcohol-related cancer, such as breast cancer.
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Research shows a woman's health risks are higher when she has an alcohol use disorder (AUD). This is due to how her body process alcohol.
Women who drink heavily should understand these risks and seek support or treatment when necessary.
Excessive alcohol use is linked to more than 27,000 female deaths deaths annually. About 13 percent of women binge drink, and about half of all adult women reported drinking alcohol in the last month.
Centers for Disease Control and Prevention (CDC)
Women are at greater risk from alcohol-related disorders because problems develop sooner when they drink heavily.
They usually weigh less than men, which means the average woman’s body can’t tolerate the same amount of alcohol as a man can.
Their bodies also have less water than men’s bodies, so even if they weigh the same as a man, their BAC increases faster than it does for men.
For example, if a woman binge drinks, she will likely become more intoxicated than a man who drank the same amount of alcohol. She will also get drunk quicker.
Women experience alcohol use disorder for different reasons. Everyone is different, and everyone has their reasons for drinking too much or developing an addiction.
No formula of factors cause alcoholism in women, but women are more likely to develop AUD than men because of how their bodies process alcohol. Over-indulging is riskier for women and is cause for concern for many people.
Some of the most common reasons women drink too much and/or develop AUD include:
Symptoms of alcoholism in women include:
Drinking too much alcohol also causes physical effects. Some of the health issues women experience when they have AUD include:
Alcohol use disorder (AUD) rates have increased in women by 84 percent over the last ten years. In men, AUD rates have risen by 34 percent.
- ScienceDirect
Binge drinking refers to the consumption of a significant amount of alcohol in a short period. For women, binge drinking is known as consuming four or more drinks in less than a two-hour timeframe.
This trend is becoming an epidemic in clubs, bars, and college campuses. It is a steadily increasing problem for women.
Some of the most significant risks of binge drinking for women include:
Once a female reaches puberty, until about the age of 50, she is twice as likely to have an anxiety disorder than a male. Anxiety disorders develop in women earlier than they do in men.
Women are also more prone to developing multiple mental health conditions throughout their lives than men. The most common is depression co-occurring with anxiety.
The reason women are more prone to anxiety than men may be related to differences in brain chemistry. For example, a woman's fight-or-flight response is more active than a man's. This response also stays activated for a longer period, which is partly related to higher estrogen and progesterone levels.
Some research shows that female brains process serotonin slower than male brains. Serotonin is a necessary hormone that balances moods, feelings, and overall well-being. The hormone may also impact the body's response to anxiety and stress.
In one study, women who experienced two or more stressful events in the last year were four times more likely to develop alcoholism. Men who had the same experiences were 2.5 times more likely to develop alcoholism.
- ScienceDirect
There are several health risks associated with alcohol abuse, including:
Liver damage is a concern for anyone who drinks excessively, but it’s more of a risk for women than men. Drinking heavily increases the risk of cirrhosis and alcoholic hepatitis.
Women already have a higher risk of heart disease, which increases even more with excessive use of alcohol. Long-term alcohol abuse is a primary cause of heart disease in women, even those who consume less alcohol than men.
Brain damage develops faster for women who abuse alcohol than for men. Excessive alcohol use disrupts normal brain development, so it’s especially risky for teenage and young adult females.
One study showed that teen girls who engaged in binge drinking showed less brain activity and performed worse on memory tests than their male peers. Binge drinking also negatively impacted their decision-making abilities.
Women tend to blackout more than men when drinking excessively and experienced more frequent memory gaps.
A woman who drinks excessively is increasing her risk of breast cancer. There is evidence that women who drink one drink per day increase their risk by nearly 10 percent, and that risk increases as they consume more alcohol.
Alcohol consumption negatively impacts women who are using certain medications. You should abstain from alcohol if you are using any of the following:
Consuming alcohol during pregnancy puts a developing baby at risk. Any exposure to alcohol during pregnancy increases the risk of cognitive, physical, and behavioral issues after birth.
Babies exposed to alcohol in utero are at risk of fetal alcohol spectrum disorders (FASD). Alcohol consumption during pregnancy also increases the risk of miscarriage and pre-term labor.
Women who are pregnant or trying to conceive should abstain from alcohol.
There are several treatment options/resources available for women with AUD, including:
Understanding the root of AUD and simultaneously treating other conditions or mental health issues is essential to the success of recovery. It’s also important to have the support of family and friends during treatment and recovery.
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