Health
When a Couple’s Drinking Habits Diverge

Casey and Mike Davidson always enjoyed drinking together.
The couple, both 49, met after college while working as consultants at the same firm. Romance blossomed over work happy hours, then time spent lingering over a bottle of wine on long dates.
In their mid-20s, the pair moved to Seattle and made a group of friends who were always up for a drink. Afternoons were for hiking, kayaking and sipping beers on Lake Union; evenings were for rollicking, boozy dinner parties.
But by their 30s, their drinking habits diverged. Ms. Davidson drank a bottle of wine by herself most nights, and felt increasingly uneasy about it, while Mr. Davidson settled into life as a self-described “single-beer-a-night drinker.”
“I was really defensive about my drinking,” Ms. Davidson said, adding, “I didn’t want him watching me every time I poured a third glass of wine.”
Like the Davidsons, many couples have had to grapple with the role alcohol plays in their partnership — even if neither party drinks to the point where it causes clear, consistent problems at home, or takes an obvious toll on their health. Their relationship may still receive a shock when one partner decides to cut back or quit altogether.
“It can drive a wedge between people in terms of how they socialize, how they relax and unwind, their bedroom activities,” said Ruby Warrington, the author of “Sober Curious.” “It can be really uncomfortable.”
We asked couples, and experts on substance use, how to navigate changing tolerances for drinking within a relationship.
Finding New Pathways for Connection
Ms. Davidson, who now lives in Redmond, Wash., never hit the kind of dramatic rock bottom people tend to associate with heavy drinking, but at 40 she quit for good, and now works as a sobriety coach.
She slept better and felt less anxious and foggy, but she also worried that her newfound sobriety might hurt her marriage. “It was scary for me to stop drinking, because I wondered how we would connect,” she said.
Research on alcohol and marital happiness suggests that couples who abstain and couples who drink heavily together tend to report comparable levels of relationship satisfaction.
But problems can arise when one partner drinks regularly and the other doesn’t, said Kenneth Leonard, director of the University at Buffalo’s Clinical and Research Institute on Addictions, who has studied the topic for decades. That lopsided dynamic can lead to relationship dissatisfaction and increased chances of divorce.
The reasons for that are likely to be complex, he said, though at a simple level, couples often drink to unwind and connect, and losing that may come with some cost initially. People often do not realize how ingrained alcohol is in their relationships, experts said, even if neither party has a substance use problem.
Julie Kraft, a licensed marriage and family therapist and co-author of “The Mindfulness Workbook for Addiction,” said a major upside of the “sober curious movement” and abstinence challenges like Dry January is that they offer opportunities for self-reflection.
“Am I using alcohol for stress relief?” she said. “Am I using it to feel more connected to my partner? Am I using it to avoid my partner?” One of the first things she discusses with couples looking to make changes is to brainstorm ways they might fill those spaces or needs.
The Davidsons found connection points that didn’t involve alcohol, like going to see live music on Saturday nights at a local cafe, browsing bookstores together and going to the movies.
Arthur Tindsley, 41, from Oxfordshire, England, also feared that sobriety would change his marriage. He grew up steeped in British pub culture, but in recent years, he and his wife have both looked critically at their drinking habits, going through long periods of abstinence.
Sitting down in a nice restaurant together and sharing a bottle of wine used to be one of his most cherished activities. “All of those entrenched, habitual ways that we are partners together have had to change, or are in a process of changing,” he said.
Their go-to date night now? “It’s going to sound really boring,” he said, “but we go on a walk.”
Connecting With Your ‘Why’
When working with couples in which one or both partners wants to moderate or stop drinking, Laura Heck, a licensed marriage and family therapist based in Bend, Ore., emphasizes the importance of each individual understanding their own reasons for making the change.
“Each person has to connect with their own ‘why’” Ms. Heck said, adding, “I never want one person to lean into another person’s goal and just tack it on.” She offered her own relationship as an example: Her husband stopped drinking years ago because of a heart condition. Lately, Ms. Heck has been abstaining as well, but not because of him. She simply wants to better understand the ways in which drinking has become a habit for her — and to improve her marathon times.
Experts also emphasize that partners cannot force each other to change.
“One thing we remind everyone is that their journey is their own,” said Andrea Pain, executive director of Moderation Management, a nonprofit that runs peer support groups for those who want to cut back on their drinking. “You can’t expect anyone to change what they’re doing because you’ve set this new intention for yourself.”
The Davidsons acknowledge that they are lucky. Their marriage was fundamentally sound before Ms. Davidson quit drinking, she said, and Mr. Davidson never felt threatened by her decision, nor did he attempt to derail her efforts, something which she has seen happen among her coaching clients.
The pair have found their rhythm: Mr. Davidson continues to drink in moderation, Ms. Davidson remains sober. “The way I think about it is: If I decided to become a vegetarian, that doesn’t mean Mike has to be a vegetarian too,” she said. “But he certainly wouldn’t take me to a steakhouse.”

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Health
Heart disease risk higher for women who have these unhealthy lifestyle habits

It’s long been known that certain lifestyle and health factors increase the risk of heart disease — but a new study highlights that they could affect women more than men.
Eight specific habits — diet, sleep, physical activity, smoking, body mass index, blood glucose, lipids and blood pressure — appear to have twice the impact on heart health risk for women compared to men, found researchers at Sunnybrook Health Sciences Centre in Toronto.
The findings will be presented at the American College of Cardiology’s Annual Scientific Session in Chicago on March 29-31, 2025.
CANNABIS USE ENDANGERS HEART HEALTH FOR CERTAIN GROUP
The study included data from over 175,000 Canadian adults without existing heart conditions who enrolled in the Ontario Health Study between 2009 and 2017, according to a press release.
The researchers analyzed the participants’ scores for the eight risk factors and then tracked the incidence of seven heart disease outcomes over an 11-year period.
Specific habits appear to have twice the impact on heart health risk for women compared to men, researchers in Toronto discovered. (iStock)
Those outcomes included heart attack, stroke, unstable angina (chest pain that results from restricted blood flow to the heart), peripheral arterial disease (narrowed blood vessels in the arms or legs), heart failure and coronary revascularization (procedures to open blocked arteries) and cardiovascular death, the release stated.
HEART DISEASE COULD BE PREVENTED WITH THIS ONE SIMPLE TEST
Overall, more women were found to have ideal health (9.1% compared to 4.8% of men).
They were also less likely to have poor health (21.9% compared to 30.5% of men).
Women who had poor health, however, were shown to have nearly five times the risk of heart disease than women with ideal health, the study found.
“We found that women tend to have better health than men, but the impact on outcomes is different.”
In comparison, men with poor health had 2.5 times the risk of heart disease compared to men with ideal health.
Among women with intermediate health, there was a 2.3 times higher risk than for those with ideal health, compared to 1.6 times the risk for men with intermediate health.

Women who had poor health were shown to have nearly five times the risk of heart disease than women with ideal health, the study found. (iStock)
“For the same level of health, our study shows that the increase in risk [related to each factor] is higher in women than in men — it’s not one-size-fits-all,” said lead author Maneesh Sud, M.D., Ph.D., assistant professor in the department of medicine, interventional cardiologist and clinician scientist at Sunnybrook Health Sciences Centre in Toronto, in the release.
“We found that women tend to have better health than men, but the impact on outcomes is different. The combination of these factors has a bigger impact in women than it does in men.”
THIS DISEASE KILLS MORE PEOPLE THAN ALL CANCERS AND ACCIDENTS COMBINED
This is a new finding that hasn’t been seen in other studies, the researcher added.
Based on the study findings, the researchers concluded that “sex-specific screening or risk assessment approaches” could more accurately predict people’s heart disease risk.

“I think the reason women are being found to be more susceptible to heart disease is because of particular milestone stresses in their lives that men don’t share, which include dramatic hormonal shifts that can bear directly on cardiac function,” one doctor shared. (iStock)
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Health and Fox News’ senior medical analyst, was not involved in the study, but shared his insights on the possible reasons for the findings.
“I think the reason women are being found to be more susceptible to heart disease is because of particular milestone stresses in their lives that men don’t share, which include dramatic hormonal shifts that can bear directly on cardiac function,” he told Fox News Digital.
Those milestones may include pregnancy, childbirth and menopause, the doctor noted.
“Keep in mind that estrogen is in some respects cardio-protective, and it drops dramatically with menopause,” Siegel said. “And at the same time, cholesterol (a cardiac risk factor) increases, as may weight.”

“Overall, women tended to have better health than men, with better diets, blood sugar, cholesterol and blood pressure,” the researchers stated. (iStock)
“Overall, women tended to have better health than men, with better diets, blood sugar, cholesterol and blood pressure, but those in intermediate health had a higher risk of heart problems,” he went on.
Due to the study’s limited population, “only certain conclusions can be drawn,” Siegel added.
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Dr. Bradley Serwer, a Maryland-based cardiologist and chief medical officer at VitalSolution, an Ingenovis Health company that offers cardiovascular and anesthesiology services to hospitals nationwide, said there has been a need for studies specifically designed to focus on women’s cardiovascular risk.
“We know that premenopausal women have a lower age-adjusted cardiovascular risk, but this catches up after menopause.”
“For many years, we have falsely assumed that traditional cardiovascular risk factors affected populations similarly,” Serwer, who was not involved in the study, told Fox News Digital.
“We know that premenopausal women have a lower age-adjusted cardiovascular risk, but this catches up after menopause.”
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More research is needed to understand the underlying reasons for this phenomenon, the cardiologist noted.
“Is it solely attributable to the protective effects of estrogen, or are there other unrecognized contributors? I commend the authors of this study for their contributions, as they further challenge our conventional approaches to primary prevention in women.”
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