Alcohol and Breast Cancer Risk

While the association between alcohol consumption and breast cancer is not as strong with other risk factors, there is a definite link. In fact, the more alcohol you drink, the greater your risk of developing the disease—and having a more aggressive type of breast cancer.

There are not many effective methods of reducing your breast cancer risk, and cutting back on alcohol is one of the important ways to decrease your chances of developing the disease, especially if you are at high risk for breast cancer.

The Link Between Alcohol and Breast Cancer

Alcohol is not the leading risk factor for breast cancer. In addition, drinking is more closely tied to a number of other illnesses than it is to breast cancer. That doesn't mean that it can't play a notable role.

If a woman consumes 10 grams of alcohol per day (12 ounces of beer or 5 ounces of wine), her risk of breast cancer increases by 7%. And for every additional 10 grams daily, that risk continues to rise by another 7%.

Binge drinking (five or more standard alcohol drinks within a two-hour period for males; four or more for females) and/or heavy drinking (four or more drinks/day or 14 or more drinks/week for men; three or more drinks/day or more than seven drinks/week for women), especially at a young age, increase the chance of developing breast cancer later in life. Heavy drinking also affects the risk of breast cancer in postmenopausal women.

But moderate drinkers are not off the hook: 18% of alcohol-related breast cancers are associated with light alcohol consumption (10 grams of alcohol per day).

Alcohol affects females differently than it affects males, often resulting in more serious health consequences for women. However, while alcohol is associated with about 8% of newly diagnosed breast cancers and about 7% of breast cancer deaths overall, in men specifically, it is associated with 16% of breast cancers.

standard drink sizes
Verywell / Gary Ferster

Tumor Type and Grade

Alcohol consumption is associated with more aggressive, fast-growing tumors (i.e, high-grade tumors).

Cases are also more likely to be of the hormone receptor-positive type, which can be treated with certain hormone inhibitors.

How Alcohol Raises Breast Cancer Risk

Alcohol increases the risk of several medical illnesses (such as liver disease, neuropathy, and dementia), as well as many types of cancer (such as pancreatic cancer, liver cancer, and stomach cancer).

According to the U.S Department of Health and Human Services, alcoholic beverages are considered to be carcinogens (cancer-causing agents). In addition to causing cancer, alcohol facilitates cancer growth when cancer has already started. 

Alcohol promotes the initiation and growth of cancer through several mechanisms, including:

  • Liver disease: Alcohol often leads to liver failure. The liver is involved with many physiological functions, including maintaining healthy immunity. Because the immune system helps fight cancer, liver impairment can give cancer a greater chance of enlarging and spreading.
  • Oxidative stress: Alcohol metabolism increases oxidative stress, a byproduct of normal metabolism that induces damage to DNA, which can initiate cancer.
  • Breakdown of tissue: Alcohol consumption results in toxic byproducts that break down tissues throughout the body. If a person has cancer, the breakdown of epithelial tissue (tissue that lines the body) facilitates metastasis (spread) of cancer.

In addition to these general carcinogenic effects, alcohol raises the risk of breast cancer specifically by increasing estrogen levels, especially estradiol and estrone. Higher estrogen levels elevate the risk of breast cancer, and chronic or irregular exposure to elevated estrogen can have a lasting effect on breast cancer risk, increasing the chances of developing the disease years down the road.

A Word From Verywell

Keep in mind that there are other important modifiable risk factors for breast cancer, including smoking cessation, avoiding artificial additives in your food, and maintaining a healthy weight. All types of cancer, including breast cancer, develop in response to a combination of factors—alcohol is just one.

Was this page helpful?

Article Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial policy to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Liu Y, Nguyen N, Colditz GA. Links between alcohol consumption and breast cancer: a look at the evidenceWomens Health (Lond). 2015;11(1):65–77. doi:10.2217/whe.14.62

  2. White AJ, DeRoo LA, Weinberg CR, Sandler DP. Lifetime Alcohol Intake, Binge Drinking Behaviors, and Breast Cancer RiskAm J Epidemiol. 2017;186(5):541–549. doi:10.1093/aje/kwx118

  3. McDonald JA, Goyal A, Terry MB. Alcohol Intake and Breast Cancer Risk: Weighing the Overall EvidenceCurr Breast Cancer Rep. 2013;5(3):10.1007/s12609-013-0114-z. doi:10.1007/s12609-013-0114-z

  4. Roswall N, Weiderpass E. Alcohol as a risk factor for cancer: existing evidence in a global perspectiveJ Prev Med Public Health. 2015;48(1):1–9. doi:10.3961/jpmph.14.052

  5. Nasrazadani A, Thomas RA, Oesterreich S, Lee AV. Precision Medicine in Hormone Receptor-Positive Breast CancerFront Oncol. 2018;8:144. Published 2018 May 4. doi:10.3389/fonc.2018.00144

  6. National Toxicology Program: 14th Report on Carcinogens. National Institute of Environmental Health Sciences. Published November 3, 2016.

  7. Meadows GG, Zhang H. Effects of Alcohol on Tumor Growth, Metastasis, Immune Response, and Host SurvivalAlcohol Res. 2015;37(2):311–322. PMID: 26695753

  8. Setshedi M, Wands JR, Monte SM. Acetaldehyde adducts in alcoholic liver diseaseOxid Med Cell Longev. 2010;3(3):178–185. doi:10.4161/oxim.3.3.12288

  9. Hinck L, Näthke I. Changes in cell and tissue organization in cancer of the breast and colonCurr Opin Cell Biol. 2014;26:87–95. doi:10.1016/j.ceb.2013.11.003

  10. Ginsburg ES. Estrogen, alcohol and breast cancer risk. J Steroid Biochem Mol Biol. 1999;69(1-6):299-306. doi:10.1016/s0960-0760(99)00047-3

  11. Guerrero VG, Baez AF, Cofré González CG, Miño González CG. Monitoring modifiable risk factors for breast cancer: an obligation for health professionalsRev Panam Salud Publica. 2017;41:e80. Published 2017 Jun 8. doi:10.26633/RPSP.2017.80

Additional Reading