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Women face gaps in tailored alcohol treatment in states with higher disorder rates

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Women face gaps in tailored alcohol treatment in states with higher disorder rates

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The historical gap in binge drinking, alcohol use disorder (AUD) and alcohol-related deaths between men and women has narrowed substantially over the last several decades in the United States, with binge drinking rates among women ages 18–25 exceeding men's rates in the same age group for the first time in 2024.

With this rapid increase in risk for AUD and AUD-related complications, women could benefit substantially from alcohol treatment programs that are tailored to their unique needs. But there is a dearth of knowledge about the availability of women-specific alcohol treatment in the U.S. and how these services may differ by state.

A new study led by researchers at Boston University School of Public Health (BUSPH) now fills this gap, finding that the estimated prevalence of AUD among women—as well as the availability of women-specific alcohol treatment services—varies widely across U.S. states.

Published in Substance Use & Addiction Journal, the results show that estimated state-level AUD prevalence among women ranged from approximately 6% to 13%, with all New England states and several in the West and Midwest exceeding the national average of 8% among women.

More than 40% of addiction treatment facilities did not offer women-specific treatment, and services targeted toward women—especially child care—were disproportionately unavailable in many states that had higher-than-average estimated AUD prevalence among women.

The study is the first to explore state-level differences in AUD among women and the availability of women-specific services in treatment facilities.


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