Objective. To assess the risk for alcohol abuse among individuals with a po
sitive family history of alcohol abuse (FH+). Material and methods. The stu
dy population was a sample (n=8 890) drawn from a 1988 national survey on a
ddictions in Mexico City's urban population. Data analysis consisted of fre
quency and association measures, using family history of alcohol abuse as t
he exposure factor. Results. Prevalence of heavy drinking was 13.7% for mal
es and 0.6% for females, Alcohol dependence syndrome was found in 9.9% of m
ales and 0.6% of females. Men with HF+ were twice more likely to develop de
pendence syndrome than HF- males. The odds ratio for women was 1.27. Conclu
sions. Differential patterns by gender were found for familial transmission
of alcohol abuse; parental alcohol intake is a main risk factor for develo
ping alcohol dependence syndrome. The English version of this paper is avai
lable at: http://www.insp.mx/salud/index.html.