Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.

Many people have experienced or witnessed situations in which people drinking alcohol get aggressive, obnoxious, and violent. Scientific research has shown evidence of a relationship between alcohol and violence, and even evidence that alcohol plays a role in causing violent and aggressive responses. The book explores a number of aspects of this relationship. If you have been drinking are you more likely to be a victim of crime? If victimized, does drinking alcohol make you more likely to be injured? How does availability of alcohol in the community influence rates of violence among Mexican American youth? Does advertising that links sex and alcohol result in higher rates of sexual assault in Latino neighborhoods? How do elementary school children react to experimentation with drugs, alcohol, and aggression? Do countries outside the United States have alcohol and violence problems, and do these impact men and women differently? We presents original research that shows the depths and conditions under which alcohol and violence are linked, further strengthening the evidence that alcohol use and availability is an important factor in violence in our cities, neighborhoods, school, and homes. The good news is that we regulate alcohol use and availability effectively, with a body of established laws and procedures. We can, therefore, find ways using this existing system to develop new ways to prevent the alcohol related violence studied here. The second half of the book begins this task by laying out the principles of environmental prevention, a strategy that has been very successful in a number of health and safety related domains. The next four chapters show just how environmental prevention strategies have worked, and worked very effectively, to lower rates of violence by reducing alcohol availability and alcohol consumption. The research reported here shows communities different approaches and mechanisms to achieve reductions in violence, and they provide a road map for communities everywhere to follow suit and reduce alcohol related violence. Reducing violence can be accomplished, everyone can do it if they work together, and the result is a safer and better society.

Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.

The problem: Young people and their decisions about whether to consume alcohol are significantly affected by the environment in which they live, learn and play. Environments that normalize alcohol consumption –termed alcogenic environments– include, for example, unregulated advertising and marketing of alcoholic beverages, higher alcohol outlet density, products designed to facilitate accessibility and cheap prices of alcoholic beverages. The evidence: A significant body of research evidence has emerged related to the measurement, functional significance and consequences of living in alcogenic environments. This includes findings on the complex and bidirectional interactions creating and perpetuating alcogenic environments among the local context and alcohol acceptability, availability and affordability. The know-how: Comprehensive and enforced alcohol control policies are effective at delaying the age of onset and lowering alcohol prevalence and frequency in young people. Experiences from Colombia, Japan, Nigeria, Norway, Sweden, the United States, Thailand and Uganda shed light on the multiple channels in which alcogenic environments normalize and increase exposure of young people to alcohol and how civil society organizations initiatives have counteracted this. The way forward: Evidence consistently confirms the effectiveness of designing and implementing alcohol control policies that regulate upstream the drivers of alcogenic environment, including alcohol availability, acceptability and affordability.

Alcohol misuse presents a major risk for health and well-being throughout the life-span, but youth have a special vulnerability. Alcohol is the most widely used drug by adolescents. For some, this may be one or two isolated occasions of youthful experimentation; for others, the use becomes excessive, placing them in danger of immediate adverse consequences such as accidental injury and alcohol poisoning, or encouraging other high-risk behavior patterns including unprotected sex. Moreover, a pattern of heavy drinking established in adolescence and young adulthood may continue into an adult pattern of alcohol abuse. Concerned communities and institutions across the nation are tackling the problem of alcohol use and abuse by young people. Research-based knowledge is urgently needed to inform these efforts and to ensure that limited prevention resources are used as effectively as possible. The origins of youthful alcohol use and abuse are found within the complex interplay of individual characteristics, family and peer influences, the larger societal context for alcohol use, environmental conditions, and maturational processes that accompany adolescence. This volume, which began as a special issue of the Journal of Research on Adolescence, contains all of the material from the journal issue plus additional chapters. It helps researchers to meet the tremendous challenge of disentangling the key determinants of risk, and developing effective interventions. Primary sources of influence on youthful alcohol use are described, ranging from individual expectancies about alcohol effects and cognitive decision processes to parenting practices, peer influences, social environments, and economic factors; and a corresponding range of prevention interventions is discussed. This book will serve as a primer to those with an interest in developing and improving effective programs and activities to reduce alcohol-related problems among young people. For those engaged in prevention research, the text will provide useful reviews and current findings that should aid in directing future research activities.