Alcohol and cancer
Even a small amount of alcohol can increase your risk of cancer. You can reduce your chance of getting cancer if you cut out or cut back on alcohol.
Alcohol can cause of 7 types of cancer.
Even a small amount of alcohol can increase your risk of cancer. It’s not just people who have a ‘drinking problem’ who are affected.
The more you drink, the higher your risk of these 7 cancers:
- mouth
- throat (pharynx)
- voice box (larynx)
- foodpipe (oesophagus)
- breast
- liver
- bowel
Some research suggests there may also be a link between heavy drinking and pancreatic cancer.
You can reduce your risk of cancer by not drinking, or by drinking less.
Alcohol and cancer FAQs
Research shows that alcohol causes different types of cancer in different ways.
- Our bodies break down alcohol into acetaldehyde, which is a toxic chemical. Acetaldehyde can damage DNA (the genetic material that makes up genes) and stop our cells from repairing the damage.
- The breakdown of alcohol in our bodies can also make harmful molecules called reactive oxygen species. These molecules can damage DNA and proteins.
- Alcohol weakens the body’s ability to break down and absorb a variety of nutrients that may protect you against cancer. These include vitamin A, folate, vitamin C, vitamin D and vitamin E.
- Alcohol increases levels of the hormone oestrogen. Higher levels of oestrogen increase the risk of breast cancer.
- Alcohol is high in calories and can cause weight gain. Being overweight or obese is known to increase the risk of many types of cancer.
No, there is no safe amount to drink alcohol. The risk of cancer is lower the less alcohol you drink.
You can limit your risk by drinking no more than 1 standard drink a day if you are a woman and 2 standard drinks per day if you are a man.
A standard drink is:
- ½ pint of beer, cider or stout.
- 1 measure of spirits
- A small glass of wine.
It is also important to give your body a break: have at least 2 alcohol-free days every week.
No. It is the alcohol itself that does the damage. All types of alcohol increase the risk of cancer, including red wine.
Women have lower body weights, less body water and more body fat than men, so it takes less alcohol for women to feel the effects and alcohol stays in a woman’s body for longer.
Yes. If you drink and smoke, your risk of cancer is much higher.
Alcohol makes it easier for other harmful chemicals, such as those found in tobacco smoke, to enter the cells lining the mouth, throat, larynx (voicebox) and oesophagus (foodpipe). This is why the combination of smoking and drinking is much more likely to cause cancers in the mouth, throat, larynx and oesophagus than either smoking or drinking alone.
Making better choices about alcohol
If you choose to drink alcohol:
- Order the smallest serving size, which is a standard drink: a half pint, a single measure of spirits or a small glass of wine.
- Measure your drinks at home. It’s easy to pour a double or a treble measure of spirits without realising, and a big wine glass can hold 2 or 3 standard drinks.
- Choose low-alcohol drinks. For example, have a shandy rather than a beer, or a white wine spritzer rather than a full glass of wine.
- Sip your drink slowly to pace yourself and make it last longer.
- Switch to shandies, non-alcoholic beers or other non-alcoholic drinks as the night goes on.
- Alternate between alcoholic and non-alcoholic drinks.
- Try to quit smoking. If you drink and smoke, your risk of cancer is even higher.
How much do you really drink?
Keep track of how much you drink for a week to see if you're within the maximum recommended limit. Do what works for you: keep a note on your phone, in a notebook or on a kitchen calendar. There are plenty of alcohol tracker apps available too.
Click the button below to use the HSE drinks calculator to find out if you should cut down on your drinking.
How do I know if drinking is damaging my health?
If you regularly drink heavily, think you might be dependent on alcohol or are concerned about your drinking, talk to your GP. Your GP can tell you more about the help available and help to find something that suits you.
The facts about alcohol and cancer
Alcohol is a major risk factor for certain head and neck cancers, particularly mouth cancer, throat cancer and cancer of the larynx (voicebox).
People who have 4 or more standard drinks a day have 5 times the risk of these cancers than people who have never drank.
If you drink and smoke together, your risk of getting these cancers is far higher than either drinking or smoking alone. Alcohol and tobacco together are estimated to account for about 75% of oral cancer cases in Europe.
Alcohol is a major risk factor for a particular type of oesophageal (food pipe) cancer called oesophageal squamous cell carcinoma.
If you drink and smoke together, your risk of oesophageal cancer is far higher than either drinking or smoking alone.
More than 100 studies have found that drinking alcohol increases the risk of breast cancer in women.
A recent review of evidence showed that even one standard drink a day could increase the risk of breast cancer in women by 5 per cent. The risk increases the more you drink.
Alcohol is one of the main risk factors for liver cancer. Heavy drinking can lead to cirrhosis, which is liver scarring from continuous, long-term liver damage. Cirrhosis increases the risk of liver cancer.
Alcohol also further increases the risk of liver cancer in people with hepatitis B or hepatitis C infections (who are already at higher risk).
Even fairly small amounts of alcohol greatly increase your risk of bowel cancer. A recent large study found that for every 1 standard drink a person drinks each day, their risk of bowel cancer goes up by about 10 per cent.
Further supports
The HSE Drugs and Alcohol Helpline provides support, information and guidance and referral to anyone with a question or concern related to drug and alcohol use. Freephone 1800 459 459
Email helpline@hse.ie
Further information on how alcohol effects your health and wellbeing: https://www2.hse.ie/living-well/alcohol/
