The study says that obesity, tobacco use and harmful alcohol use are the leading causes of death in adults.

研究表明，肥胖，吸烟和酗酒是导致成年人死亡的主要因素。

The study was based on the economic costs of heavy drinking in the United States, but Mr Brewer says many nations have problems with what the World Health Organization calls " harmful use of alcohol."

这项研究基于美国酗酒的经济成本，但布鲁尔说许多国家存在世界卫生组织所谓的“有害使用酒精”的问题。

" But I think that it is very reasonable to assume that harmful alcohol use is going to result in some of the same consequences in other countries, even if the costs associated with those consequences are different."

“但是我认为这样去思考也是合理的，即有害饮酒在其他国家也会产生同样的后果，即使这些后果的成本是不同的。”