American health issue are mostly class based.
Black and brown people are poorer on average, hence they face more issues regarding health issues in general.
Alcohol abuse is a well known addiction among people of lower classes, while higher classes prefer other more expensive substances.
Also with more money available come higher quality alcoholic beverages.
which is a form of prohibitionism in itself, but didn't stop people from binge drinking.
Here in Italy, where wine is very cheap, you don't see people drinking like the Americans do, especially not adult people.
Kids, maybe, sometimes, we have a problem with young people binge drinking, mostly because they gathered those habits from American culture which massively influence their daily content consumption.
Back in the day the American culture my generation has been exposed to was very different about who drank on screen and why.