Results of adult telephone interview data from aggregated state surveys show significant chronic alcohol use (two or more drinks per day) by 8.7 percent of the U.S. population. Rates are higher in men than in women (13.8 percent versus 4.0 percent, and higher in whites than in blacks (9.1 percent versus 4.5 percent). Women 25-44 years of age have significantly lower rates (2.9 percent) than women 18-24 (5.7 percent) or women 45-64 (4.6 percent). Also, rates are higher in heavy smokers (over one pack per day) than nonsmokers (22.4 percent versus 5.9 percent), among nonusers of seatbelts than users of seatbelts (10.5 percent versus 6.2 percent), and in those who reported driving after having had "too much" to drink than in those who did not (32.3 percent versus 7.5 percent). Overweight women (2.7 percent) and those who eat in response to stress (3.1 percent) have lower rates of chronic heavy alcohol use than those without these risk factors. Alcohol-related morbidity contributes substantially to the loss of productive life. We conclude that examining alcohol consumption in the light of other lifestyle behaviors would help in the design of effective prevention programs based on multiple risk factor interventions.