According to a new study by the Journal of the American Geriatrics Society, 10.6% of American adults aged 65 and older are binge drinking.

The study, which used data from recent national survey data on alcohol use, found that male seniors who regularly smoke tobacco or cannabis are still getting their drink on in high numbers.

Binge drinking of course has many negative effects on your health. “Binge” drinking is defined by the National Institute on Alcohol Abuse and Alcoholism as 5 drinks or more on the same occasion for men, and 4 drinks or more on one occasion for women. The proportion of seniors who binge drink regularly has been increasing quickly in recent years. The main concern when it comes to binge drinking is the development of chronic health conditions, especially in older individuals. The study also found that 41.4% of those who binge drink had high blood pressure, 23.1% had cardiovascular disease, and 17.7% had diabetes. These results are consistent with other studies on the topic. The researchers behind the study suggest that the results reinforce the need for screening in older adults for binge drinking and harm reduction.

The study also linked binge drinking in late adulthood with several factors including being male, being a user of cannabis or tobacco, being African American, and having less than a high school education. Those who binge drink are also more likely to have visited the emergency room in the last year.