Drinking one 750ml bottle of wine a week increases the risk of developing cancer over a lifetime by the equivalent of 10 cigarettes a week for women and five for men, a study* says.
Researchers from the University of Southampton and Bangor University, used data on cancer risk from Cancer Research UK and data on the number of cancers in the population that could be linked to tobacco and alcohol.
Writing in BMC Public Health they calculated that if 1,000 non-smoking men and 1,000 non-smoking women each drank one bottle of wine a week, around 10 extra men and 14 extra women could develop cancer during their lives.
In women, alcohol intake was linked to increased risk of breast cancer and in men, it was linked to cancers of the gastrointestinal tract and liver.
The researchers say the study says even moderate drinking can put people at risk of cancer, particularly breast cancer, which is the most common cancer in women in the UK.
However, the study has been questioned given that it only looked at cancer - not at any other disease, such as cardiovascular or lung diseases common in smokers.
It also used data from 2004 and did not take into account other factors which could cause cancers, such as age, family genes, diet and other aspects of lifestyle.
And the numbers of cigarettes "equivalent" to alcohol are small, when most smokers smoke many more a day.
Dr Minouk Schoemaker, scientist at The Institute of Cancer Research, London, who conducts research into the causes of breast cancer, told the BBC the study offered an "interesting insight" but she said the picture was not simple.
"The overall picture of cancer risk is enormously complex and nuanced, so it's important to keep in mind that this new study is subject to a number of assumptions," she said.
"For example, it is difficult to disentangle the effects of alcohol and cigarette smoking entirely, and the study did not take into account the duration of smoking or time since stopping."
Professor John Britton, director of the UK Centre for Tobacco and Alcohol Studies at the University of Nottingham, said: "I'm not sure many people decide whether to smoke or drink... based on how comparable the risks of the two are.
"This study demonstrates that in relation to cancer risk, smoking is substantially more hazardous than alcohol consumption. Smoking is also far more hazardous than alcohol in relation to a range of other diseases.
"If smokers are worried about their health, the best thing they can do is quit smoking.
"People who consume alcohol should try to stick within the recommended guidelines of 14 units per week," Professor Britton added.
But Dr Bob Patton, lecturer in clinical psychology at the University of Surrey, said the study could transform public opinion.
"It is likely that the findings from this simple study will have a profound effect on the way that drinkers, and in particular female drinkers, regard the risks associated with alcohol consumption," he said.
"Viewing alcohol drinking in the same light as cigarette smoking may well result in a decrease in consumption and its related harms."
*Hydes TJ, Burton R, Inskip H, et al. A comparison of gender-linked population cancer risks between alcohol and tobacco: how many cigarettes are there in a bottle of wine? BMC Public Health 2019, 19:316. DOI:10.1186/s12889-019-6576-9