Fewer Americans are reporting that they drink alcohol amid a growing belief that even moderate alcohol consumption is a health risk, according to a Gallup poll released Wednesday.

A record high percentage of U.S. adults, 53%, now say moderate drinking is bad for their health, up from 28% in 2015. The uptick in doubt about alcohol’s benefits is largely driven by young adults — the age group that is most likely to believe drinking “one or two drinks a day” can cause health hazards — but older adults are also now increasingly likely to think moderate drinking carries risks.

As concerns about health impacts rise, fewer Americans are reporting that they drink. The survey finds that 54% of U.S. adults say they drink alcoholic beverages such as liquor, wine or beer. That’s lower than at any other point in the past three decades.

The findings of the poll, which was conducted in July, indicate that after years of many believing that moderate drinking was harmless — or even beneficial — worries about alcohol consumption are taking hold. According to Gallup’s data, even those who consume alcohol are drinking less.

The federal government is updating new dietary guidelines, including those around alcohol. Before the COVID-19 pandemic, government data showed U.S. alcohol consumption was trending up. But other government surveys have shown a decline in certain types of drinking, particularly among teenagers and young adults.

This comes alongside a new drumbeat of information about alcohol’s risks. While moderate drinking was once thought to have benefits for heart health, health professionals in recent years have pointed to overwhelming evidence that alcohol consumption leads to negative health outcomes and is a leading cause of cancer.