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From Goa to Bengal: The Uneven Geography of India’s Alcohol Use

Alcohol use in India remains deeply regional — from Goa’s near-universal participation to Kerala’s gradual retreat. As income, tourism, and social attitudes intersect, the map underscores how policy and culture jointly shape India’s drinking habits more than affordability alone.

Table of Contents

Data from the National Family Health Survey (NFHS 2019-21) reveals significant variation in alcohol consumption across Indian states.

Goa tops the list, with 59.1% of adults aged 15+ reporting alcohol use, followed closely by Arunachal Pradesh (56.6%) and Telangana (50%).

At the other end of the spectrum, traditionally high-consumption states like Kerala (26%) and West Bengal (25.7%)report far lower prevalence, partly due to stronger social norms and policy interventions.

What It Means

The data highlights India’s regional polarization in alcohol behaviour:

  • Cultural liberalism and tourism exposure explain Goa’s and Arunachal’s high prevalence.
  • Southern states like Tamil Nadu and Andhra Pradesh, though below the national highs, sustain steady consumption due to urban affordability and widespread retail access.
  • Kerala’s decline aligns with repeated state-level restrictions and health-led public messaging.
  • Northern states such as Punjab and Uttarakhand exhibit moderation trends, consistent with higher health awareness and urban migration patterns.

Overall, India’s alcohol map mirrors a social-economic divide - higher prevalence in states with relaxed controls and evolving consumption cultures, and restraint where health or moral codes dominate public discourse.

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