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This study examined changes in alcohol drinking patterns (DP) and associated variables in a Mediterranean country.Changes in DP between baseline (2008–2010) and follow-up (2012–2013) were examined on a Spanish population-based cohort of 2254 adults (18–59 years) using multinomial logistic regression. Heavy consumption was defined as ≥40g/day of alcohol in men (≥24g/day in women) and binge drinking...