Yang Yang, Teng Li, Zhenping Zhao, Maigeng Zhou
2026.1.9China CDC Weekly
tlooto Summary
From 1990-2023, age-standardized high alcohol use-attributable NCDs death and disability-adjusted life years (DALYs) rates declined markedly, while absolute numbers rose slightly, and in 2023, neoplasms led DALYs, followed by substance use disorders.
Abstract
What is already known about this topic? Alcohol is a Group 1 carcinogen; in China, high alcohol use substantially contributes to the non-communicable diseases (NCDs) burden.
What is added by this report? From 1990-2023, age-standardized high alcohol use-attributable NCDs death and disability-adjusted life years (DALYs) rates declined markedly (-57.6%, -46.9%), while absolute numbers rose slightly (11.8%, 6.9%). In 2023, neoplasms led DALYs, followed by substance use disorders; diabetes and kidney diseases are smaller but rising (160.22%, 2010-2023). Sex disparity persists (male-to-female NCDs DALY ratio 10.64). Provincial and disease-specific burdens are linked.
What are the implications for public health practice? Prioritize substance use disorders and monitor rising diabetes and kidney diseases; continue reducing the neoplasms burden; tailor prevention by age, sex, region and cause.
Citation format
YANG, Yang, et al. National and provincial burden of non-communicable diseases attributable to high alcohol use - China, 1990-2023. China CDC Weekly, 2026, 8 2: 29–34.