The changes in content of the alcohol guideline of the various editions of
the Dietary Guidelines for Americans from 1980 to 2000 are discussed. This
is followed by a capsule summary of the history and evolution of the discip
line of alcohol epidemiology compared with that of nutrition epidemiology.
Methods of assessment are discussed, and issues surrounding the validity an
d reliability of self-report of alcohol consumption are then outlined. Rele
vant objectives from Healthy People 2010 are discussed. Surveillance of the
alcohol guideline discloses that, at present, very few American drinkers f
ollow the recommendations of the alcohol guideline. Indications for future
research needs to address this issue conclude the discussion.