The patterns of alcohol and substance use, as well as attitudes toward getting intoxicated, have evolved over time, influenced by societal, cultural, and biological factors. It's important to note that discussing this topic requires avoiding generalizations, as individual experiences and behaviors can vary greatly. Here's an overview of the differences between men and women in terms of alcohol and substance use from the 1700s to the present:

1700s to 1800s: During this period, societal roles and expectations were heavily gendered. Women were often restricted to domestic roles, and public drinking and intoxication were seen as more acceptable for men. While both men and women consumed alcohol, men were more likely to do so in social settings such as taverns, where excessive drinking and intoxication were sometimes celebrated as displays of masculinity.

1900s to Mid-20th Century: Prohibition in the United States (1920-1933) attempted to curtail alcohol consumption, but it didn't entirely prevent it. During this time, gender roles remained relatively conservative, with men still more likely to drink in public and participate in heavy drinking. Social norms and expectations often discouraged women from public drinking or being visibly intoxicated.

Late 20th Century: In the latter half of the 20th century, women's roles began to shift, and there was a growing push for gender equality. This societal change also affected drinking patterns. As women gained more freedom and opportunities outside the home, their alcohol consumption increased. Attitudes toward women drinking in public began to shift, but heavy drinking was still largely associated with men.

Present Day: In modern times, gender roles have become more fluid, and the gap between men and women in terms of alcohol and substance use has narrowed. Women are more socially accepted when drinking in public, and their alcohol consumption has risen. However, men still tend to engage in riskier drinking behaviors, such as binge drinking, and are more likely to have issues with alcohol-related disorders.

Biological Factors: Biological differences also play a role in how men and women metabolize alcohol. Women generally have a higher proportion of body fat and a lower proportion of water than men, which can lead to higher blood alcohol concentrations after consuming the same amount of alcohol. This physiological difference contributes to women experiencing more pronounced intoxication and potential health risks.

Conclusion: Over time, societal changes, including shifts in gender roles, cultural norms, and attitudes, have led to changes in alcohol and substance use patterns between men and women. While men were historically more associated with public drinking and intoxication, these roles have become more balanced. However, it's important to recognize that individual behaviors vary widely, and factors such as culture, socioeconomic status, and personal choices influence how men and women engage with alcohol and substances.