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.

Current policy initiatives that address the health of youth, a group where more than one set of developmental standards may apply, often are based on conflicting evidence. At the same time, the UN Convention on the Rights of the Child has provided an over-arching ethical framework with the goal of ensuring that all children and youth have equal human rights, regardless of their personal or family circumstances. How do these approaches coincide and are they working? In Adolescent Health a contemporary setting is used to illustrate the intersection of evidence and ethics in policy making. Individual chapters describe the social determinants of youth health (chronic conditions, ethnicity, family income, school and peer relationships) and youth health behaviours and outcomes (substance use, violence, sexual and physical activity). Within this broad landscape of youth health issues, the authors apply the human rights principles of the Convention to their research to illustrate the often competing frameworks of evidence and ethics. The underlying question is whether social policy, in the real world, depends on science or human rights. Current knowledge translation practices are examined to detect the pathway most likely to influence youth health policy.