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Alcohol use in India remains deeply regional — from Goa's near-universal participation (59.1%) to West Bengal's more moderate levels (25.7%). The top 3 states (Goa, Arunachal, Telangana) all exceed 50% prevalence, while even the lowest in this top-14 list shows over a quarter of adults consuming alcohol.
Regional patterns reflect a mix of cultural liberalism, tourism exposure, tribal traditions, and policy interventions. Northeast states like Arunachal and Sikkim show high prevalence tied to indigenous drinking cultures. Southern states like Kerala have seen policy-driven moderation through prohibition periods and regulated distribution.
Alcohol use varies dramatically across states — Goa leads at 59.1%, driven by tourism and cultural openness, while Kerala at 26% reflects the lingering impact of prohibition experiments. The Northeast cluster (Arunachal 56.6%, Sikkim 36.3%, Assam 26.5%) highlights the role of tribal traditions and local brewing cultures.
Goa's 59.1% prevalence — highest in India — reflects decades of tourism-driven openness to alcohol. Liberal licensing, beach shack culture, and a cosmopolitan identity have normalized drinking across demographics.
Arunachal (56.6%) and Sikkim (36.3%) show how indigenous brewing traditions — rice beer, millet-based drinks — remain deeply embedded. These aren't commercial alcohol markets but cultural continuity.
Kerala at 26% reflects the legacy of prohibition periods and state-controlled beverage corporations. Policy interventions can meaningfully shift consumption patterns — though not eliminate them.
Alcohol use in India remains deeply regional — from Goa's near-universal participation to Kerala's gradual retreat. The pattern isn't just economic; it's shaped by tourism, tribal traditions, and decades of state policy. Understanding these regional variations is crucial for both public health strategy and the alcobev industry's market planning.
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