Research and analysis

Estimates of alcohol dependent adults in England: summary

Updated 14 March 2024

Applies to England

National estimates

These estimates of alcohol dependence in England were produced by the University of Sheffield. They contain updated estimates of the number of adults that were dependent on alcohol in 2019 to 2020 in each local authority and region in England.

Previously published estimates back to 2015 to 2016 are also included.

There were an estimated 608,416 adults (18 and over) with alcohol dependence in England in 2019 to 2020. This is 2% more (12,560) than in 2015 to 2016 and 1% (6,025) more than in 2018 to 2019.

The following tables show the estimated number and rate per 1,000 population of alcohol dependent adults in England between 2015 to 2016 and 2019 to 2020. They also show 95% confidence intervals with upper and lower limits. This means that there is a 95% probability that the true value lies between these upper and lower limits.

Table 1: estimated number of alcohol dependent adults in England (between 2015 to 2016 and 2019 to 2020)

Year Point estimate Lower bound 95% confidence interval Upper bound 95% confidence interval
2015 to 16 595,856 494,921 760,656
2016 to 17 589,101 481,965 744,996
2017 to 18 586,780 485,444 742,305
2018 to 19 602,391 494,302 760,989
2019 to 20 608,416 501,037 766,536

Table 2: estimates of alcohol dependence in England rate per 1,000 population (between 2015 to 2016 and 2019 to 2020)

Year Rate per 1,000 Lower bound 95% confidence interval Upper bound 95% confidence interval
2015 to 16 13.8 11.5 17.7
2016 to 17 13.6 11.1 17.1
2017 to 18 13.4 11.1 17.0
2018 to 19 13.7 11.2 17.3
2019 to 20 13.8 11.3 17.3

There were approximately 14 alcohol dependent adults for every 1,000 adults in England between March 2019 and April 2020. Figure 1 shows that this rate has been stable since 2015 to 2016.

Figure 1: trend in estimated alcohol dependence in England between 2015 to 2016 and 2019 to 2020

Regional estimates

These estimates varied regionally and at local authority level in England. This is likely because of several factors, including differences in:

  • the socio-economic make-up of populations around England
  • regional hospital admission rates

For example, some areas have more younger men who are more likely to have alcohol dependence.

The highest rates of alcohol dependence were in the northern parts of England, with the North West (17.47 per 1,000) and North East (17.73 per 1,000) having the highest rates of alcohol dependent adults in England.

Figure 2: alcohol dependence in England by region (rate per 1,000 population)

Region Rate per 1,000 population
East of England 11.2
South East 11.6
South West 12.8
East Midlands 12.9
London 13.4
England 13.7
West Midlands 14.3
Yorkshire and the Humber 15.0
North West 17.5
North East 17.7