Alcohol is an important determinant of the overall burden of disease in Eas
tern Europe. It is a particularly important problem in Hungary, where death
rates from cirrhosis have increased rapidly to levels much higher than in
neighbouring countries. This study sought to describe the prevalence of pro
blem drinking among the hospitalized population in Hungary by means of a su
rvey of self-reported alcohol consumption and of the prevalence of current
or lifetime problem drinking among hospitalized patients in the four teachi
ng hospitals in Hungary A survey was conducted of all patients (n = 3140) a
dmitted to medical, surgical, trauma, psychiatric and neurological wards ov
er a 2-week period in 1997 who stayed in hospital for at least 24 h, using
a survey instrument based on the Alcohol Use Disorders Identification Test
(AUDIT) and Luebeck Alcoholism Screening Test (LAST) instruments designed t
o screen for current and lifetime problem drinking respectively. In all, 23
.5% of men and over 53.5% of women reported never drinking alcohol. Of thos
e who did drink, about one in eight men and less than 1% of women reported
drinking 5 or more drinks on a day when they drank. Whether defined by LAST
or AUDIT, the prevalence of problem drinking was similar to 19% among men
and 2% among women, although this rose to 32-35% among men aged 35-44 years
. The rate did not vary significantly with employment or education, but was
higher among those who were divorced. These high rates of problem drinking
indicate the need for coherent policies on alcohol in Hungary.