National and Provincial Burden of Non-Communicable Diseases Attributable to High Alcohol Use — China, 1990–2023

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.