The study, published Thursday in the peer-reviewed medical journal The Lancet, found that alcohol, such as beer and wine, is a leading risk factor for death and disease, associated with 2.8 million deaths each year and the seventh leading risk factor for premature death and disability globally in 2016.

Researchers used 694 studies to estimate worldwide drinking patterns and used 592 studies plus 28 million people to learn about alcohol’s health risks between 1990 to 2016 in 195 countries.

They found drinking alcohol was associated with nearly one in 10 deaths of people ages 15 to 49 years old. Causes included tuberculosis, road injuries and self-harm. For people over 50, cancers were cited as a leading cause of alcohol-related death (about 27 percent of deaths in women and 19 percent of deaths in men).