Ma waena o nā makahiki 20 a me 79, ma kahi o hoʻokahi o ka ʻumi wahine e hōʻike i ka inu ʻona i kēlā me kēia lā a ma kahi o 4 i ka 10 i kēlā me kēia pule. Aia nā ʻokoʻa pilikanaka me nā mea kūʻai kāne nui loa: ʻoiai ʻoi aku ka nui o ka poʻe hope i nā papa socio-professional hemahema a hiki iā lākou ke hoʻouka i ka waiʻona i ke kakahiaka ma ka pā, ua ʻoluʻolu nā wahine i nā kūlana kuleana. a inu wale, e hoopau i ko lakou pilikia. ʻO kekahi ʻokoʻa ʻē aʻe: inā ʻoi aku ka male ʻana o kahi mea pale no nā kāne, ʻaʻole ia no nā wahine. 

ʻO ka lāʻau lapaʻau, hoʻonui ʻia nā pilikia - hepatic cirrhosis, ke koko kiʻekiʻe, ka cardiomyopathy a me ke kahe ʻana o ka ʻōpū - ua hoʻonui ʻia i nā wahine, ʻaʻole e haʻi i nā pilikia o ka hāʻule ʻana a me ka fetal alcohol syndrome i ka wā hāpai. ʻO ka mea pōmaikaʻi, ʻoi aku ka manaʻo o nā wahine i hoʻohui i ka waiʻona e wean iā lākou iho (ʻo ia hoʻi, ʻaʻole e hoʻomāinoino hou ʻia a ʻaʻole e nalowale kā lākou mau keiki) a i ka wā e hoʻoponopono ʻia ai kā lākou mālama lapaʻau, me ka mālama ʻana i nā mea hoʻohui ʻē aʻe, nā maʻi. ʻO ka ʻai ʻana, ka hopohopo, ke kaumaha, a me nā mea ʻē aʻe, ua maikaʻi ko lākou kūlana lanakila.