Objective:

To examine the changes in alcohol and tobacco consumption prevalence before and during the Covid-19 pandemic in Mexico.

Materials and methods:

Data from the Ensanut 2018 and 2020 were used for adolescents and adults, obtaining prevalence of current and excessive alcohol consumption and current and former smokers.

Results:

Alcohol consumption in women increased from 33.5% in 2018 to 42.5% in 2020. In the same period, the prevalence of excessive alcohol consumption decreased from 11.1 to 5.5% in women and from 36.7 to 18.3% in men. The prevalence of female smokers decreased from 9.5 to 7.2%. In adolescents, we did not find differences in alcohol and tobacco consumption prevalence.

Conclusion:

Alcohol and tobacco use continues to be high in Mexican adolescents and adults. The implementation of SAFER and MPOWER measures is needed to address the alcohol and tobacco epidemics synergistically.