A two-stage cross-sectional survey was performed in a representative r
ural sample of the autonomous community of Cantabria, to investigate t
he social, medical and psychopathological factors associated with alco
hol consumption. Alcohol consumption was investigated by means of a sp
ecific questionnaire. Mental and physical health was evaluated in the
first-stage sample using: (1) the General Health Questionnaire, (2) th
e Cornell Medical Index. In the second stage all members of the sample
were interviewed at home using the 140-item version of the Present St
ate Examination (PSE-9). We found that 25.4% of males and 0.6% of fema
les were consuming more than 63 alcohol units per week. Alcohol consum
ption was significantly associated with different social variables. Al
though it was possible to detect an increase in weekend drinking, espe
cially in the heavy alcohol users, daily alcohol consumption, mainly a
round meals, was the predominant drinking pattern. We also found a sig
nificant inverse association between excessive alcohol consumption and
the presence of physical or mental illness. Excessive alcohol use ten
ded to be associated in males with depression and in females, with anx
iety.