Alcohol consumption seems to be decreasing in the traditional wine cou
ntries of southern Europe. This paper describes the evolution of alcoh
ol consumption over the last 30 years in France, Greece, Italy, Portug
al and Spain. For this purpose, data on alcohol production and per cap
ita alcohol consumption in southern Europe are examined and their reli
ability discussed To analyse alcohol-related mortality, liver cirrhosi
s death rates are also reviewed Since 1980 overall alcohol production
has increased by 10%, while wine production has decreased by 13%. The
consumption of pure alcohol equivalent per capita has continually decr
eased, from a peal? of 14 litres per year in 1974 to 10.4 litres in 19
92. The reduction is dramatic for wine (42.3%), and slight for spirits
(4.7%), while beer consumption has grown by 36.6%. These data seem to
confirm a European trend towards the homogenization of drinking patte
rns. Marketing factors, public health policies, the evolution of price
s and taxation, European Union agricultural policies, a growing awaren
ess of public opinion about the toxicity of alcohol and competition fr
om non-alcoholic drinks are all factors that may partially explain the
se observed changes.