Alcohol consumption is a key public health indicator often used to assess lifestyle risk factors across populations. Measured in liters of pure alcohol consumed per person per year (aged 15 and above), this metric helps governments and health organizations track patterns and design targeted interventions.
According to the World Population Review’s 2025 data, the top 10 countries with the highest alcohol consumption show a strong concentration in Europe, with a few notable entries from Africa. The report also highlights significant gender disparities—men consistently consume far more alcohol than women, in some countries up to four times as much. Here's a closer look at the current global leaders in alcohol intake per capita.
Russia leads the world in alcohol consumption per capita. Known for its deep-rooted vodka culture, Russia's annual intake sits at a staggering 16.8 liters of pure alcohol per adult. Despite past efforts to reduce drinking through taxes and restrictions, alcohol remains an integral part of Russian social life.
Greece ranks second, driven by a long-standing culture of wine and ouzo consumption. With alcohol being a staple of family meals, religious celebrations, and social gatherings, the average Greek adult consumes 14.4 liters of alcohol each year.
A surprise entry from Africa, Lesotho reports an average of 12.9 liters per person annually. Widespread consumption of home-brewed alcohol, often stronger and cheaper than commercial options, contributes significantly to these numbers.
Another African nation, Madagascar, takes fourth place with 12.1 liters per capita. The popularity of local spirits and limited alcohol regulation in rural regions contribute to its high ranking.
Djibouti records 12 liters of alcohol per adult annually. Despite being a Muslim-majority country where alcohol is restricted for locals, expat communities and tourists likely influence this elevated consumption rate.
Georgia consistently features on global lists with over 10 liters of alcohol per person. As the birthplace of wine, Georgia’s drinking culture is steeped in tradition, from casual dinners to elaborate toasts known as “supra.”
Switzerland's drinking habits are defined by high wine and beer consumption, particularly in social and culinary settings. The average Swiss adult consumes over 10 liters of pure alcohol per year.
Uganda’s position reflects heavy use of home-distilled alcohol, such as waragi (banana gin). Local brews are often inexpensive, potent, and widely consumed across both urban and rural populations.
Spain's relaxed and celebratory drinking culture, especially around wine and sangria, contributes to its 9.16-liter per capita average. Alcohol often accompanies meals and festivals, making it a routine part of life.
Though China appears lower in per-person consumption (4.58 liters), its massive population means total alcohol consumption is among the highest globally. Beer and spirits like baijiu are widely consumed across different regions and social classes.
Europe continues to dominate global alcohol consumption rankings. Cultural acceptance, easy access, and affordable pricing all play a role. Countries like Russia, Greece, and Georgia have strong historical ties to alcohol that still shape modern behavior.
Lesotho, Madagascar, Djibouti, and Uganda highlight that alcohol use in Africa is both significant and underreported. Much of the intake comes from unregulated, homemade spirits, which are often stronger than their commercial counterparts.
The World Health Organization (WHO) has consistently warned about the risks of high alcohol consumption, ranging from liver disease to increased accident rates. Countries like Russia have implemented restrictions that led to modest declines, but the road to healthier averages remains long.
The global alcohol map is evolving. While Europe remains the undisputed leader in per-capita consumption, certain African nations are catching up rapidly. Russia, Greece, and Lesotho top the charts, each for very different reasons—be it tradition, celebration, or accessibility.
Understanding where and why people drink the most helps frame important public health policies, spark cultural dialogue, and deepen awareness around the social dynamics of alcohol. As we move forward, balancing tradition with responsibility will be key to shaping future drinking habits.
