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Alcohol use and consequent liver disease have been increasing in certain ethnic groups especially Hispanics and Native Americans, likely due to variations in genetics, cultural background, socio\u2010economic status, and access to health care. Furthermore, the magnitude and burden of ALD have been increasing especially in the last few years among females and young adults who are at the prime of their productivity. It is critical to recognize the problem and care for these patients integrating cultural aspects in liver clinics. At the federal level, a societal approach is needed with the implementation of public health policies aiming to reduce alcohol consumption in the community. By addressing these challenges and promoting awareness, we can strive to reduce the burden of ALD, especially in high\u2010risk demographic groups to improve their long\u2010term health outcomes. Finally, we need studies and quality research examining these changing landscapes of demographics in ALD as a basis for developing therapeutic targets and interventions to reduce harmful drinking behaviours in these high\u2010risk demographic groups.<\/jats:p>","DOI":"10.1111\/liv.15933","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T12:54:25Z","timestamp":1712321665000},"page":"1537-1547","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Changing landscape of alcohol\u2010associated liver disease in younger individuals, women, and ethnic minorities"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8561-396X","authenticated-orcid":false,"given":"Juan P","family":"Arab","sequence":"first","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Schulich School of Medicine Western University &amp; London Health Sciences 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