Not sure about grabbing that beer? You’re not alone. Americans are reaching for alcohol at record lows, according to a new Gallup survey.

The survey, out Aug. 20, found the number of Americans who say they drink alcohol sits at 54% for the second consecutive year − and health concerns appear to be a major factor.

“Fifty-one percent of U.S. adults now believe drinking one or two alcoholic beverages a day is bad for one’s health,” the survey results noted. “The figure is essentially unchanged from last year’s record-high 53%.”

In 2001, only 27% considered moderate drinking bad for one’s health, according to Gallup.