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May 2022
CHAPTER V
SUMMARY, CONCLUSIONS, AND RECOMMENDATIONS
Summary of Findings
However, these outcomes and behaviors may not be entirely attributable to alcohol. For example,
some youths who have alcohol-related crashes or engage in alcohol-related violence or other
risk-taking behavior may have been otherwise strongly predisposed to engage in problem
behaviors of all sorts due to genetics, family circumstances, or other factors. Similarly, the higher
rates of alcohol dependence, disease, and dysfunction among adults who began heavy drinking
as youths may not be attributable to the early drinking per se. Some of these long-term outcomes
are also consistent with the possibility that some individuals have a particular vulnerability to
developing bad drinking habits and that one of the characteristics of these individuals is that they
start drinking early. For example, children of alcoholics are more likely than children of non-
We think that prudent parents and a prudent society should assume, based on the current
evidence, that underage drinking increases the risk of future drinking problems and contributes
independently to the many deficits experienced by early drinkers over the course of their lives.
However, additional research to further refine understanding of the interaction of the multiple
Chronic health problems resulting from heavy alcohol use are generally not observed in
adolescents because such effects take longer to accumulate. However, heavy drinking during
adolescence, especially if this behavior is continued in adulthood, places a person at risk of such
health problems as pancreatitis, hepatitis, liver cirrhosis, hypertension, and anemia. Chronic liver
In addition to being more vulnerable to experiencing (or committing) sexual assault, young
people who are drinking are also more likely to engage in risky sexual behavior. Young people
are less likely to use a condom if they have been drinking, which puts them at risk for unplanned
pregnancies and contracting sexually transmitted diseases and HIV (the virus that causes AIDS).
More disturbing still is that young people seem to be aware that using alcohol influences their
decisions about sexual behavior: 29 percent of 15- to 17-year-olds and 37 percent of 18- to 24-
year-olds said that alcohol or drugs influenced their decision to do something sexual. In other
words, young people choose to drink even though they realize that alcohol affects their decision
making and may cause them to engage in sexual behaviors they would not do while sober. Early
onset of alcohol use has also been associated with unplanned and unprotected sex.
However, an absence of evidence in this field does not mean that there is evidence of no impact
of alcohol on such individuals. Despite the methodological weakness of research in this field,
there is a large body of evidence which reports consistent trends between alcohol use and a range
of adverse effects. This convergence allows us to draw credible conclusions about the impact of
Alcohol is not an ordinary commodity. While it carries connotations of pleasure and sociability
in the minds of many, harmful consequences of its use are diverse and widespread. From a global
perspective, in order to reduce the harm caused by alcohol, policies need to take into account
Average volumes consumed and patterns of drinking are two dimensions of alcohol consumption
that need to be considered in efforts to reduce the burden of alcohol-related problems. Avoiding
the combination of drinking and driving is an example of measures that can reduce the health
especially in developing countries and its contribution to the overall burden of disease is
expected to increase in the future. The main acute effects of ethanol are on the nervous system,
causing characteristic changes in behavior and judgement. There are particular issues with regard
to driving, with different countries setting various ‘safe’ limits for blood-ethanol concentration.
Very high blood-ethanol concentrations can be fatal. Hangovers are unpleasant and are poorly
understood. Various mechanisms have been proposed including direct effects of ethanol on
organs, ethanol withdrawal, accumulation of acetaldehyde and the effects of other chemicals
present in alcoholic drinks. Many treatments are in common usage but there is little evidence of
any particular intervention being beneficial. Alcoholic liver disease results from excessive
drinking and includes fatty liver (which is the early reversible stage) and the more serious
alcohol-induced hepatitis and cirrhosis. Excessive drinking can also lead to nervous-system
damage resulting in dementia, and shrinking of central nervous system tissue. Fetal alcohol
syndrome can result from maternal alcohol consumption during pregnancy. It involves disruption
of fetal development causing CNS abnormalities, growth retardation and characteristic facial
Particularly worrying trends are the increases in the average amount of alcohol consumed per
person in countries such as Philippines and the more harmful and risky drinking patterns among
of alcohol consumption and its consequences, and to raise awareness amongst the public
formulate effective public health policies that minimize the harm caused by alcohol.
Recommendation
There’s no safe level of alcohol use for young people under 18 years. Although trying alcohol is
common among teenagers, there are many risks. Alcohol can impair brain development and
increase the risk of other alcohol-related problems, including addiction, in early adulthood and
beyond. You and other significant adults are a major influence on your child’s use of alcohol,
and you can be a role model for safe alcohol habits. For example, if you choose not to drink
alcohol, that’s great. If you do drink alcohol, you can send your child powerful messages by
drinking occasionally, in moderation and only with other people around. Even the way you talk
about alcohol and other drugs sends a message. For example, you might think about what your
child hears when an adult says something like, ‘I need a drink – I had a shocking day at work’.
Talking about alcohol use is an important way to prevent or limit your child’s use of alcohol.
Preparing to talk with your child
You can make difficult conversations like this easier by learning more about the effects and risks
of alcohol and thinking about what to say beforehand. You could also think about how to answer
questions about alcohol, including questions about your own alcohol use. This way, you’re
When you have a close relationship with your child, it’s easier for you to raise issues like alcohol
Starting a conversation
You could start a conversation by talking about something you and your child have seen – for
example, alcohol in a movie, TV show or advertisement, or alcohol at a party. Or you could ask
During your conversations with your child about alcohol, you could:
communicate facts, including the effects that alcohol has on the body or how it affects
If your child has questions, try to answer them briefly, honestly and calmly. Be clear about your
own beliefs. And if you don’t know the answers to your child’s questions, it’s OK to say so. You
can tell your child you’ll think about it and get back to them.
If your child is going to be around alcohol with other young people, it’s safest for your child not
to drink alcohol.
But in these situations, it’s common for teenagers to want or feel pressured to try alcohol. This
might be because they want to fit in with friends, feel part of their peer group or look cool. You
can help your child plan how to respond to this pressure. For example, your child could say
‘Thanks but I’ve got a game tomorrow’ or ‘No thanks, I don’t drink’.
Some teenagers might try alcohol and enjoy the way it makes them feel. It might give them a
thrill or make them feel ‘grown up’. If you think your child might be in this situation, here are
some messages about alcohol use that can help to keep your child safe:
Avoid unsupervised and unsafe environments – for example, with strangers, or at large
Don’t binge-drink.
Drink slowly, don’t drink on an empty stomach, and alternate alcoholic drinks with
water.
Keep count of drinks and limit how many alcoholic drinks you have.
Don’t get involved in drinking games.
At first it can make people feel energized and more social. But as people drink more, they might
become drowsy, lose balance and coordination, slur speech and think more slowly. They can feel
As the amount of alcohol in the blood goes up, people can’t think clearly or coordinate their
bodies properly. This means they’re at risk of accidents and injuries or being involved in
violence.
At high levels, alcohol can make people unconscious or stop them breathing normally. Young
people have been known to die from alcohol poisoning or from choking on their own vomit.
Decision-making
One of the most important tasks of adolescence is learning how to make independent,
responsible decisions. Some of these decisions will be good and some not so good – making
But alcohol affects people’s ability to think quickly, make good judgments and avoid dangerous
have unprotected sex, or not be able to deal with unwanted sexual advances and be
sexually assaulted
black out and forget what they’re doing or where they are
be injured while swimming, playing sport, climbing or even trying to cross a road
lose control, behave inappropriately and harm important relationships or damage their
reputation.
The teen years are a time of adventure, challenges, and taking risks. Alcohol is often one of the
risks young people take. But most people don’t know how alcohol affects a teen’s body and
behavior. They don’t realize that alcohol can affect young people in different ways from adults.
And they don’t realize that underage drinkers can also harm people other than themselves.
BIBLIOGRAPHY
Cliffs, NJ: Prentice-Hall; 1986. ; Miller, Naimi, Brewer, & Jones, 2007. Positive and Negative
Alcohol Consequences in Adolescents across Various Levels of Drinking Experience.
Caetano R, Clark CL. Trends in alcohol consumption patterns among whites, blacks, and
Hispanics: 1984-1995. Journal of Studies on Alcohol. 1998;59(6):659–668. [PubMed: 9811087]
Calfee JE, Scheraga C. The influence of alcohol advertising on alcohol consumption: A
literature review and econometric analysis of four European nations. International Journal of
Advertising. 1994;13:287–310.
Casswell S, Gilmore L. An evaluated community action project on alcohol. Journal of Studies on
Alcohol. 1989;50(4):339–346. [PubMed: 2755135]
Casswell S, Zhang JF. Impact of liking for advertising and brand allegiance on drinking and
alcohol-related aggression: A longitudinal study. Addiction. 1998;93:1209–1217. [PubMed:
9813902]
Cavanaugh RM, Henneberger PK. Talking to teens about family problems: An opportunity for
prevention. Clinical Pediatrics. 1996 February;35(2):67–71. [PubMed: 8775478]
Center for the Advancement of Public Health. Promising Practices: Campus Alcohol Strategies.
Fairfax, VA: Author, George Mason University; 2001. Sourcebook 2001.
Center on Alcohol Marketing and Youth. Television: Alcohol's vast adland. Washington, DC:
Author, Georgetown University; 2002b.
Center on Alcohol Marketing and Youth. Drops in the bucket: Alcohol industry “responsibility”
advertising on television in 2001. Washington, DC: Author, Georgetown University; 2003.
Century Council. Promising practices sourcebook 2001: Campus alcohol strategies.
Washington, DC: Author; 2001.
Chaloupka FJ. The effects of price on alcohol use, abuse, and their consequences. National
Research Council and Institute of Medicine, Reducing underage drinking: A collective
responsibility, background papers; Committee on Developing a Strategy to Reduce and Prevent
Underage Drinking, Division of Behavioral and Social Sciences and Education; Washington,
DC: The National Academies Press; 2004. [CD-ROM] [PubMed: 20669473]
Chaloupka FJ, Wechsler H. Binge drinking in college: The impact of price. Contemporary
Economic Policy. 1996;14:112–124.
Chaloupka FJ, Saffer H, Grossman M. Alcohol control policies and motor vehicle fatalities.
Journal of Legal Studies. 1993;22:161–186.
Christensen PG, Henriksen L, Roberts DF. Substance use in popular primetime television.
Washington, DC: Office of National Drug Control Policy; 2000.
Christiansen BA, Smith GT. Alcoholism and memory: Broadening the scope of alcohol-
expectancy research. Psychology Bulletin. 1991;110:137–146. [PubMed: 1891515]
Christiansen BA, Goldman MS, Inn A. Development of alcohol-related expectancies in
adolescents: Separating pharmacological from social-learning influences. Journal of Consulting
and Clinical Psychology. 1982;50(3):336–344. [PubMed: 7096736]
Christiansen BA, Roehling P, Smith G, Goldman M. Using alcohol expectancies to predict
adolescent drinking behavior after one year. Journal of Consulting and Clinical Psychology.
1989;57(1):93–99. [PubMed: 2925979]
Chudley EW, Pappas DM, Carlson JM, DiClemente CC. Longitudinal effects of a tailored
alcohol preventive. Jacksonville: Center for Drug Prevention and Health Promotion, University
of North Florida; 2000.
Cialdini RB, Reno RR, Kallgren CA. A focus theory of normative conduct: Recycling the concept
of norms to reduce littering in public places. Journal of Personality and Social Psychology.
1990;58:1015–1026.
Clapp JD. Deconstructing contexts of binge drinking among college students. The American
Journal of Drug and Alcohol Abuse. 2000;26(1):139. [PubMed: 10718169]
Clark DB, Kirisci L, Moss H. Early adolescent gateway drug use in sons of fathers with
substance use disorders. Addictive Behavior. 1998;49(2):115–121. [PubMed: 9698986]
Clark DB, Neighbors BD, Lesnick LA, Lynch KG, Donovan JE. Family functioning and
adolescent alcohol use disorders. Journal of Family Psychology. 1998;12(1):81–92.
Cloninger CR. Personality traits and alcoholic predisposition. Paper presented at the
conference of the National Institute on Drug Abuse; Los Angeles: University of California;
1991.
Coate D, Grossman M. Effects of alcoholic beverage prices and legal drinking ages on youth
alcohol use. Journal of Law and Economics. 1988;31(1):145–171.
Cohen DA, Mason K, Scribner RA. The population consumption model, alcohol control
practices, and alcohol-related traffic fatalities. Preventive Medicine. 2001;34:187–197.
[PubMed: 11817914]
Cohen DA, Richardson J, LaBree L. Parenting behaviors and the onset of smoking and alcohol
use: A longitudinal study. Pediatrics. 1994;94(3):368–375. [PubMed: 8065865]
Cohen F, Rogers D. Effects of alcohol policy change. Journal of Alcohol Drug Education.
1997;42(2):69–82.
Connell JP, Halpern-Felsher BL, Clifford E, Crichlow W, Usinger P. Hanging in there:
Behavioral, psychological, and contextual factors affecting whether African-American
adolescents stay in high school. Journal of Adolescent Research. 1995;10:41–63.
Connor JP, Young RM, Williams RJ, Ricciardelli LA. Drinking restraint versus alcohol
expectancies: Which is the better indicator of alcohol problems? Journal of Studies on Alcohol.
2000;61(2):352–359. [PubMed: 10757148]
Cook PJ. The effect of liquor taxes on drinking, cirrhosis, and auto fatalities. In: Moore M,
Gerstein D, editors. Alcohol and public policy: Beyond the shadow of prohibition. Washington,
DC: National Academy Press; 1981. pp. 255–285. [PubMed: 25032319]
Cook PJ. The expert meeting on the negative social consequences of alcohol abuse. Oslo:
Norwegian Ministry of Health and Social Affairs; 1991. The social costs of drinking.
Cook PJ, Ludwig J. Gun violence: The real costs. New York: Oxford University Press; 2000.
Cook PJ, Moore MJ. Economic perspectives on alcohol-related violence. In: Martin SE, editor.
Alcohol-related violence: Interdisciplinary perspectives and research directions. Rockville, MD:
National Institute on Alcohol Abuse and Alcoholism; 1993a. pp. 193–212. NIH Publication No.
93-3496.
Cook PJ, Moore MJ. Drinking and schooling. Journal of Health Economics. 1993b;12:411–429.
[PubMed: 10131754]
Cook PJ, Moore MJ. Alcohol. In: Culyer AJ, Newhouse JP, editors. Handbook of health
economics. New York: Elsevier; 2000. pp. 1629–1673.
Cook PJ, Tauchen G. The effect of liquor taxes on heavy drinking. Bell Journal of Economics.
1982;13(2):379–390.
Cook PJ, Tauchen G. The effect of minimum drinking age legislation on youthful auto fatalities,
1970-77. Journal of Legal Studies. 1984;13:169–190.
Cook R, Schlenger W. Prevention of substance abuse in the workplace: Review of research on
the delivery of services. Journal of Primary Prevention. 2002;31(1):115–142.
Cowan CD. Coverage, sample design, and weighting in three federal surveys. Journal of Drug
Issues. 2001;31(3):12–239.
Crews FT, Braun CJ, Hoplight B, Switzer RC III, Knapp DJ. Binge ethanol consumption causes
differential brain damage in young adolescent rats compared with adult rats. Alcoholism,
Clinical and Experimental Research. 2000;24(11):1712–1723. [PubMed: 11104119]
Csikszentmihalyi M, Larson R. Being adolescent. New York: Basic Books; 1984.
Darkes J, Goldman MS. Expectancy challenge and drinking reduction: Process and structure in
the alcohol expectancy network. Experimental and Clinical Psychopharmacology.
1998;6(1):64–76. [PubMed: 9526147]
Dean J. Approaches to alcohol abuse prevention. In: Dean J, Bryan W, editors. Alcohol
programming for higher education. Carbondale, IL: ACPA Media Southern Illinois University
Press; 1982. pp. 82–84.
De Bellis MD, Clark DB, Beers SR, Soloff PH, Boring AM, Hall J, Kersh A, Keshavan MS.
Hippocampal volume in adolescent-onset alcohol use disorders. American Journal of
Psychiatry. 2000;157(17):737–744. [PubMed: 10784466]
DeJong W, Hingson R. Strategies to reduce driving under the influence of alcohol. Annual
Reviews Public Health. 1998;19:359–378. [PubMed: 9611624]
DeJong W, Langford LM. A typology for campus-based alcohol prevention: Moving toward
environmental management strategies. Journal of Studies on Alcohol. 2002;14:140–147.
[PubMed: 12022720]
DeJong W, Langford LM, Pryor JH. College students' support for tougher alcohol policies: A
silent majority. Alcohol, Tobacco, and Other Drugs Spring. 2001;16(2):9–12.
Dishion TJ, Kavanagh K, Schneiger A, Nelson S, Kaufman NK. Preventing early adolescent
substance use: A family-centered strategy for the public middle school. Prevention Science.
2002;3(3):191–201. [PubMed: 12387554]
Donaldson SI, Graham JW, Hansen WB. Testing the generalizability of intervening mechanism
theories: Understanding the effects of adolescent drug use prevention interventions. Journal of
Behavioral Medicine. 1994;17(2):195–216. [PubMed: 8035452]
Donaldson SI, Graham JW, Piccinin AM, Hansen WB. Resistance-skills training and onset of
alcohol use: Evidence for beneficial and potentially harmful effects in public schools and in
private Catholic schools. Health Psychology. 1995;14(4):291–300. [PubMed: 7556032]
Donohew RL, Hoyle RH, Clayton RR, Skinner WF, Colon SE, Rice RE. Sensation seeking and
drug use by adolescents and their friends: Models for marijuana and alcohol. Journal of Studies
on Alcohol. 1999;60(5):622–631. [PubMed: 10487731]
Dresser J, Gliksman L. Comparing statewide alcohol server training systems. Pharmacology,
Biochemistry, and Behavior. 1998;61:150.
Dunn ME, Goldman MS. Empirical modeling of an alcohol expectancy memory network in
elementary school children as a function of grade. Experimental and Clinical
Psychopharmacology. 1996;4(2):209–217.
Durkin KF, Wolfe TW, Phillips DW III. College students' use of fraudulent identification to
obtain alcohol: An exploratory analysis. Journal of Alcohol and Drug Education. 1996;41:92–
104.
Dusenbury L. Family-based drug abuse prevention programs: A review. Journal of Primary
Prevention. 2000;20:337–352.
Dusenbury L, Brannigan R, Falco M, Hansen WB. A review of research on fidelity of
implementation: Implications for drug abuse prevention in school settings. Health Education
Research. 2003;18:237–256. [PubMed: 12729182]
Disney, L. D., & LaVallee, R. A. (2013). The effect of internal possession laws on underage drinking
among high school students: A 12-state analysis. American Journal of Public Health, 103(6), 1090–
1095.
Eccles JS, Barber BL. Student council, volunteering, basketball, or marching band: What kind of
extracurricular involvement matters? Journal of Youth and Adolescence. 1999;6(3):281–294.
Eggert LL, Thompson EA, Herting JR, Nicholas LJ. A prevention research program:
Reconnecting at-risk youth. Issues in Mental Health Nursing. 1994;15:107–135. [PubMed:
8169117]
Eigen L. An OSAP White Paper. Rockville, MD: Office for Substance Abuse Prevention; 1991.
Alcohol practices, policies, and potentials of American colleges and universities.
Elder RW, Shults RA. Involvement by young drivers in fatal alcohol-related motor-vehicle
crashes—United States, 1982-2001. Morbidity and Mortality Weekly Report. 2002
December;51(48):1089–1091. [PubMed: 12528920]
Ellickson PL, Bell RM, Harrison ER. Changing adolescent propensities to use drugs: Results
from Project ALERT. Health Education Quarterly. 1993;20:227–242. [PubMed: 8491635]
Engelberts AC, De Jonge GA, Kostense PJ. An analysis of trends in the incidence of sudden
infant death in the Netherlands 1969 to 1989. Journal of Pediatrics and Child Health.
1991;27(6):329–333. [PubMed: 1756073]
Ennett ST, Bauman KE. Mediators in the relationship between parental and peer characteristics
and beer drinking by early adolescents. Journal of Applied Social Psychology.
1991;21(20):1699–1711.
Entertainment Software Review Board. ESRB game ratings, game rating and descriptor guide.
2003. Available:http://www.esrb.com/esrbratings_guide.asp [August, 2003]
Fawcett SB, Lewis RK, Paine-Andrews A, Francisco VT, Richter KP, Williams EL, Copple B.
Evaluating community coalitions for prevention of substance abuse: The case of Project
Freedom. Health Education and Behavior. 1997;24:812–828. [PubMed: 9408793]
Feldman SS, Rosenthal DA. The acculturation of autonomy expectations in Chinese high
schoolers residing in two Western nations: Effects of length of residence. International Journal
of Psychology. 1990;25:259–281.
Fendrich M, Johnson TP. Examining prevalence differences in three national surveys of youth:
Impact of consent procedures, mode, and editing rules. Journal of Drug Issues. 2001;31(3):615–
642.
Ferguson SA, Fields M, Voas RB. Enforcement of zero tolerance laws in the United States.
Paper presented at the 15th International Conference on Alcohol, Drugs, and Traffic Safety;
Stockholm, Sweden. May, 2000.
Finken LL, Jacobs JE, Laguna K. The role of age, experience, and situational factors in the
drinking and driving decisions of college students. Journal of Youth and Adolescence.
1998;27:493–511.
Flynn BS, Worden JK, Secker-Walker RH, Pirie PL, Badger GJ, Carpenter JH, Geller BM. Mass
media and school interventions for cigarette smoking prevention: Effects two years after completion.
American Journal of Public Health. 1994;84(7):1148–1150. [PMC free article: PMC1614753]
[PubMed: 8017542]
Forster JL, Murray DM, Wolfson M, Wagenaar AC. Commercial availability of alcohol to young
people: Results of alcohol purchase attempts. Preventive Medicine. 1995;24:342–347. [PubMed:
7479623]
Foster SE, Vaughan RD, Foster WH, Califano JA. Alcohol consumption and expenditures for
underage drinking and adult excessive drinking. Journal of the American Medical Association.
2003;26(8):989–995. [PubMed: 12597750]
Fowler FJ Jr, Stringfellow VL. Learning from experience: Estimating teen use of alcohol, cigarettes,
and marijuana from three survey protocols. Journal of Drug Issues. 2001;31:643–664.
Garfield CF, Chung PJ, Rathouz PJ. Alcohol advertising in magazines and adolescent readership.
Journal of the American Medical Association. 2003;289(18):2424–2429. [PubMed: 12746369]
Gottfredson DC, Wilson DB. Characteristics of effective school-based substance abuse prevention.
Prevention Science. 2003;4(1):23–38. [PubMed: 12611417]
Grant BF, Dawson DF. Age of onset of alcohol use and its association with DSM IV alcohol abuse
and dependence: Results from the national longitudinal alcohol epidemiologic survey. Journal of
Substance Abuse. 1997;9:103–110. [PubMed: 9494942]
Greenberger E, Steinberg L. When teenagers work: The psychological and social costs of adolescent
employment. New York: Basic Books; 1986.
Grube JW. Comparison of drinking rates and problems: European countries and the United States.
Calverton, MD: Pacific Institute for Research and Evaluation, Office of Juvenile Justice Enforcing
the Underage Drinking Laws Program; 2001.
Grube JW. Alcohol in the media: Drinking portrayals, alcohol advertising, and alcohol consumption
among youth. National Research Council and Institute of Medicine, Reducing underage drinking: A
collective responsibility, background papers; Committee on Developing a Strategy to Reduce and
Prevent Underage Drinking, Division of Behavioral and Social Sciences and Education; Washington,
DC: The National Academies Press; 2004. [CD-ROM] [PubMed: 20669473]
Grube JW, Nygaard P. Adolescent drinking and alcohol policy. Contemporary Drug Problems.
2001;28:87–131.
Grube JW, Chen M, Madden P, Morgan M. Predicting adolescent drinking from alcohol expectancy
values: A comparison of additive, interactive, and nonlinear models. Journal of Applied Social
Psychology. 1995;25(10):839–857.
Grube JW, Wallack L. Television beer advertising and drinking knowledge, beliefs, and intentions
among schoolchildren. American Journal of Public Health. 1994;84:254–259. [PMC free article:
PMC1614998] [PubMed: 8296950]
Gruber E, DiClemente RJ, Anderson MM, Lodico M. Early drinking onset and its association with
alcohol use and problem behavior in late adolescence. Preventive Medicine. 1996;25:293–300.
[PubMed: 8781007]
Grunbaum JA, Kann L, Kinchen SA, Williams B, Ross JG, Lowry R, Kolbe L. Youth risk behavior
surveillance, United States, 2001. Morbidity and Mortality Weekly Report. 2002 June;51(SS04):1–64.
[PubMed: 12102329]
Hackbarth DP, Schnopp-Wyatt D, Katz D, Williams J, Silvestri B, Pfleger M. Collaborative research
and action to control the geographic placement of outdoor advertising of alcohol and tobacco
products in Chicago. Public Health Reports. 2001;116(6):558–567. [PMC free article:
PMC1497388] [PubMed: 12196615]
Hafemeister TL, Jackson SL. Effectiveness of sanctions and law enforcement practices targeted at
underage drinking not involving operation of a motor vehicle. National Research Council and
Haines M, Spear S. Changing the perception of the norm: A strategy to decrease binge drinking
among college students. Journal of American College Health. 1996;45:134–140. [PubMed:
8952206]
Hallfors D, Cho H, Livert D, Kadushin C. Fighting back against substance abuse: Are community
coalitions winning? American Journal of Preventive Medicine. 2002;23(4):237–245. [PubMed:
12406477]
Halpern-Felsher BL, Cauffman E. Costs and benefits of a decision: Decision making competence in
adolescents and adults. Journal of Applied Developmental Psychology. 2001;22:257–273.
Halpern-Felsher BL, Ozer EM, Millstein SG, Wibbelsman CJ, Fuster CD, Elster AB, Irwin CE.
Preventive services in a health maintenance organization: How well do pediatricians screen and
educate adolescent patients? Archives of Pediatrics and Adolescent Medicine. 2000;154:173–179.
[PubMed: 10665605]
Hansen W, Graham JW. Preventing alcohol, marijuana, and cigarette use among adolescents: Peer
resistance training versus establishing conservative norms. Preventive Medicine. 1991;20:414–430.
[PubMed: 1862062]
Hanson DJ. The drinking age should be lowered. In: Engs RC, editor. Controversies in the addictions
field. Vol. 1. Baltimore, MD: American Council on Alcoholism; 1990. pp. 85–95.
Hardesty PH, Kirby KM. Relation between family religiousness and drug use within adolescent peer
groups. Journal of Social Behavior and Personality. 1995;10(2):421–430.
Harford TC. Situational factors in drinking: A developmental perspective on drinking contexts. In:
Miller PM, Nirenburg TD, editors. Prevention of alcohol abuse. New York: Plenum Press; 1984. pp.
119–156.
Harford TC, Wechsler H, Muthen BO. The impact of current residence and high school drinking on
alcohol problems among college students. Journal of Studies on Alcohol. 2002;63(3):271–279.
[PubMed: 12086127]
Harrington NT, Leitenberg H. Relationship between alcohol consumption and victim behaviors
immediately preceding sexual aggression by an acquaintance. Violence and Victims. 1994;9(4):315–
324. [PubMed: 7577759]
Harrison LD. Understanding the differences in youth drug prevalence rates produced by the MTF,
NHSDA, and YRBS studies. Journal of Drug Issues. 2001;31(3):665–694.
Harrison PA, Fulkerson JA, Park E. Relative importance of social versus commercial sources in
youth access to tobacco, alcohol, and other drugs. Preventive Medicine. 2000;31:39–48. [PubMed:
10896842]
Harter S, Marold DB, Whitesell NR, Cobbs G. A model of the effects of perceived parent and peer
support on adolescent false self behavior. Child Development. 1996;67:360–374. [PubMed:
8625718]
Hawkins JD, Catalano RF, Kosterman R, Abbott R, Hill KG. Preventing adolescent health-risk
behaviors by strengthening protection during childhood. Archives of Pediatric Adolescent Medicine.
1999;153:226–234. [PubMed: 10086398]
Hawkins JD, Catalano RF, Miller JY. Risk and protective factors for alcohol and other drug
problems in adolescence and early adulthood: Implications for substance-abuse prevention.
Psychological Bulletin. 1992;112(1):64–105. [PubMed: 1529040]
Hawthorne G, Garrard J, Dunt DR. The Trojan Horse: Life education's drug education program,
does it have public health benefit. Addiction. 1995;90(2):205–215. [PubMed: 7703814]
Herd D. Changes in the prevalence of alcohol use in rap song lyrics, 1979-1997. 2003 Unpublished.
[PubMed: 16128715]
Higher Education Center. Planning campus events (HEC 712). Newton, MA: The Higher Education
Center for Alcohol and Other Drug Prevention; 1998.
Hingson RW, Heeren T, Winter M. Effects of lower legal blood alcohol limits for young and adult
drivers. Alcohol, Drugs and Driving. 1994;10:243–252.
Hingson RW, Heeren T, Zakocs RC, Kopstein A, Wechsler H. Magnitude of alcohol-related mortality
and morbidity among U.S. college students ages 18-24. Journal of Studies on Alcohol.
2002;63(2):136–144. [PubMed: 12033690]
Hingson RW, Howland J, Levenson S. Effects of legislative reform to reduce drunken driving and
alcohol-related traffic fatalities. Public Health Reports. 1988a;103(6):659–667. [PMC free article:
PMC1478153] [PubMed: 3141962]
Hingson RW, Howland J, Morelock S, Heeren T. Legal interventions to reduce drunken driving and
related fatalities among youthful drivers. Alcohol, Drugs and Driving. 1988b;4:87–98.
Holder HD. Supply side approaches to reducing underage drinking: An assessment of the scientific
evidence. National Research Council and Institute of Medicine, Reducing underage drinking: A
collective responsibility, background papers; Committee on Developing a Strategy to Reduce and
Prevent Underage Drinking, Division of Behavioral and Social Sciences and Education; Washington,
DC: The National Academies Press; 2004. [CD-ROM] [PubMed: 20669473]
Holder HD, Gruenewald PJ, Ponicki WR, Grube JW, Saltz RF, Voas RB, Reynolds R, Davis J,
Sanchez L, Gaumont G, Roeper P, Treno AJ. Effect of community-based interventions on high-risk
drinking and alcohol-related injuries. Journal of the American Medical Association.
2000;284(18):2341–2347. [PubMed: 11066184]
Holder HD, Janes K, Mosher J, Saltz RF, Spurr S, Wagenaar AC. Alcoholic beverage server liability
and the reduction of alcohol-involved problems. Journal of Studies on Alcohol. 1993;54:23–36.
[PubMed: 8355497]
Holder HD, Saltz RF, Grube JW, Treno AJ, Reynolds RI, Voas RB, Gruenewald PJ. Summing up:
Lessons from a comprehensive community prevention trial to reduce alcohol-involved trauma.
Addiction. 1997a;92(Suppl 2):S293–S301. [PubMed: 9231452]
Holder HD, Saltz RF, Grube JW, Voas RB, Gruenewald PJ, Treno AJ. A community prevention trial
to reduce alcohol-involved accidental injury and death: Overview. Addiction. 1997b;92(Suppl
2):S155–S172. [PubMed: 9231442]
Holder HD, Treno AJ. Media advocacy in community prevention: News as a means to enhance policy
change. Addiction. 1997;92(Suppl 2):S189–S199. [PubMed: 9231444]
Holder HD, Wagenaar AC. Mandated server training and reduced alcohol-involved traffic crashes: A
time series analysis of the Oregon experience. Accident Analysis and Prevention. 1994;26:89–97.
[PubMed: 8110360]
Humphrey J, Friedman J. The onset of drinking and intoxication among university students. Journal
of Studies on Alcohol. 1986;47:455–458. [PubMed: 3795959]
Hurst PM, Wright PG. Deterrence at last: The Ministry of Transport's alcohol blitzes. In: Goldberg
L, editor. Alcohol, drugs and traffic safety. III. Stockholm: Almqvist and Wiksell International; 1981.
Healey, C., Rahman, A., Faizal, M., & Kinderman, P. (2014). Underage drinking in the UK:
Changing trends, impact and interventions. A rapid evidence synthesis. International Journal of Drug
Policy, 25(1), 124–132.
Hagger MS, Chatzisarantis NLD. An integrated behavior-change model for physical activity.
Exerc Sport Sci Rev. 2014;42:62–9.
Hudson, A., Wekerle, C., & Stewart, S. H. (2015). Associations between personality and drinking
motives in adolescents involved in the child welfare system. Personality and Individual Differences,
81(1), 84–89.
International Center for Alcohol Policies. Drinking age limits. Washington, DC: International Center
for Alcohol Policies; 2002. (ICAP Reports 4), revised.
Jaccard J, Turrisi R. Cognitive processes and individual differences in judgments relevant to drunk
driving. Journal of Personality and Social Psychology. 1987;53:135–145. [PubMed: 3612486]
Jacobs JE. Perceptions of risk and social judgments: Biases and motivational factors. National
Research Council and Institute of Medicine, Reducing underage drinking: A collective responsibility,
background papers; Committee on Developing a Strategy to Reduce and Prevent Underage Drinking,
Division of Behavioral and Social Sciences and Education; Washington, DC: The National
Academies Press; 2004. [CD-ROM] [PubMed: 20669473]
Jacobs JE. Everyone else is doing it: Relations between bias in base rate estimates and involvement
in problem behaviors. Paper presented at the Society for Research on Adolescence; Chicago, IL.
2000.
Jacobs JE, Ganzel AK. Decision making in adolescence: Are we asking the wrong question? In:
Maehr ML, Pintrich PR, editors. Advances in achievement and motivation. Vol. 8. Greenwich, CT:
JAI Press; 1994. pp. 1–31.
Jacobs JE, Greenwald JP, Osgood DW. Developmental differences in base rate estimates of social
behaviors and attitudes. Social Development. 1995;4:165–181.
Jacobs JE, Klaczynski PA. The development of judgment and decision making during childhood and
adolescence. Current Directions in Psychological Science. 2002;11:145–149.
Jenson JM, Howard MO, Yaffe J. Treatment of adolescent substance abusers: Issues for practice and
research. Social Work in Health Care. 1995;21:1–18. [PubMed: 8553196]
Jernigan D, O'Hara J. Alcohol advertising and promotion. National Research Council and Institute
of Medicine, Reducing underage drinking: A collective responsibility, background papers; Committee
on Developing a Strategy to Reduce and Prevent Underage Drinking, Division of Behavioral and
Social Sciences and Education; Washington, DC: The National Academies Press; 2004. [CD-ROM]
[PubMed: 20669473]
Jernigan D, Wright PA. Making news, changing policy: Case studies of media advocacy on alcohol
and tobacco issues. Rockville, MD: University Research Corporation, Marin Institute, Center for
Substance Abuse Prevention; 1994.
Jernigan D, Wright PA. Media advocacy: Lessons from community experiences. Journal of Public
Health Policy. 1996;17(3):306–329. [PubMed: 8918021]
Jessor R, Jessor S. A social-psychological framework for studying drug use. NIDA Research
Monograph. 1980;30:102–109. [PubMed: 6779164]
Johnston LD, O'Malley PM, Bachman JG. Monitoring the Future national results on adolescent drug
use: Overview of key findings, 2002. Bethesda, MD: National Institute on Drug Abuse; 2003. NIH
Publication No. 03-5374.
Jones BT, Corbin W, Fromme K. A review of expectancy theory and alcohol consumption. Addiction.
2001;96(1):427–436. [PubMed: 11177520]
Jones N, Pieper C, Robertson L. The effect of the legal drinking age on fatal injuries of adolescents
and young adults. American Journal of Public Health. 1992;82:112–114. [PMC free article:
PMC1694407] [PubMed: 1536313]
Jones-Webb R, Toomey TL, Short B, Murray DM, Wagenaar A, Wolfson M. Relationships among
alcohol availability, drinking location, alcohol consumption, and drinking problems in adolescents.
Substance Use and Misuse. 1997;32:1261–1285. [PubMed: 9286000]
Kallgren CA, Reno RR, Cialdini RB. A focus theory of normative conduct: When norms do and do not
affect behavior. Personality and Social Psychology Bulletin. 2000;26:1002–1012.
Kaminer Y, Bukstein O. Adolescent chemical use and dependency: Current issues in epidemiology,
treatment and prevention. Acta Psychiatr Scand. 1989;79:415–424. [PubMed: 2665421]
Kandel DB. Homophily, selection, and socialization in adolescent friendships. American Journal of
Sociology. 1978;84:427–436.
Kandel DB, Logan JA. Patterns of drug use from adolescence to young adulthood: I. Periods of risk
for initiation, continued use, and discontinuation. American Journal of Public Health.
1984;74(7):660–666. [PMC free article: PMC1651682] [PubMed: 6611092]
Kellogg. Binge drinking on college campuses. Washington, DC: Office of Educational Research and
Improvement; 1999.
Kelly JJ, Slater MD, Karan D. Image advertisements' influence on adolescents' perceptions of the
desirability of beer and cigarettes. Journal of Public Policy and Marketing. 2002;21(2):295–304.
Kenkel DS. Drinking, driving and deterrence: The effectiveness and social costs of alternative
policies. Journal of Law and Economics. 1993;36(2):877–914.
Kenkel DS. National Institute on Alcohol Abuse and Alcoholism, 10th special report to the U.S.
Congress on alcohol and health. Bethesda, MD: Author; 2000. Effects of changes in alcohol prices
and taxes; pp. 341–354.
Kenny ME, Donaldson GA. Contributions of parental attachment and family structure to the social
and psychological functioning of first-year college students. Journal of Counseling Psychology.
1991;38:479–486.
Lang E, Stockwell T, Rydon P, Beel A. Can training bar staff in responsible serving practices reduce
alcohol-related harm? Drug and Alcohol Review. 1998;17:39–50. [PubMed: 16203467]
Langley JD, Wagenaar AC, Begg DJ. An evaluation of the New Zealand graduated driver licensing
system. Accident Analysis and Prevention. 1996;28:139–146. [PubMed: 8703271]
Larimer ME, Cronce JM. Identification, prevention and treatment: A review of individual-focused
strategies to reduce problematic alcohol consumption by college students. Journal of Studies on
Alcohol. 2002;14:148–163. [PubMed: 12022721]
Larson R, Kleiber D. Free-time activities as factors in adolescent adjustment. In: Tolan P, Choler B,
editors. Handbook of clinical research and practice with adolescents. New York: Oxford University
Press; 1990.
Lastovicka JL. Methodological interpretation of the experimental and survey research evidence
concerning alcohol adverting effects. In: Martin SE, editor. The effects of the mass media on the use
and abuse of alcohol. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 1995. pp.
69–81.
Lustig JL, Ozer EM, Adams SH, Wibbelsman CJ, Fuster CD, Bonar RW, Irwin CE. Improving the
delivery of adolescent clinical preventive services through skills-based training. Pediatrics.
2001;107:1100–1107. [PubMed: 11331693]
Manger TH, Hawkins JD, Haggerty KP, Catalano RF. Mobilizing communities to reduce risks for
drug abuse: Lessons on using research to guide prevention practice. Journal of Primary Prevention.
1992;13(1):3–22. [PubMed: 24258340]
Mann RE, Stoduto G, Anglin L, Pavic B, Fallon F, Lauzon R, Amitay OA. Graduated licensing in
Ontario: Impact of the 0 BAL provision on adolescents' drinking-driving. In: Mercier-Guyon C,
editor. Alcohol, drugs, and traffic safety. Vol. 3. Annecy, France: Centre d'Etudes et de Recherches en
Médecine du Trafic; 1997. pp. 1055–1060.
Ohsfeldt RL, Morrisey MA. Beer taxes, workers' compensation, and industrial injury. Review of
Economics and Statistics. 1997;79(1):155–160.
Olds RS, Thombs DL. The relationship of adolescent perceptions of peer norms and parent
involvement to cigarette and alcohol use. Journal of School Health. 2001;71(6):223–228. [PubMed:
11512489]
Perry CL, Williams CL, Komro KA, Veblen-Mortenson S, Forster JL, Bernstein-Lachter R, Pratt LK,
Dudovitz B, Munson KA, Farbakhsh K, Finnegan J, McGovern P. Project Northland high school
interventions: Community action to reduce adolescent alcohol use. Health Education and Behavior.
2000;27(1):29–49. [PubMed: 10709791]
Peterson PL, Hawkins JD, Abbott RD, Catalano RF. Disentangling the effects of parent drinking,
family management, and parental alcohol norms on current drinking by Black and White adolescents.
Journal of Research on Adolescence. 1994;4:203–228.
Ramirez, J. J., Monti, P. M., & Colwill, R. M. (2015). Alcohol-cue exposure effects on craving and
attentional bias in underage college-student drinkers. Psychology of Addictive Behaviors, 29(2),
317–322.
Roper Center at University of Connecticut. Public opinion online, accession # 0025861, question 001,
Gallup Poll. Sep, 1987. Available:http://www.ropercenter.uconn.edu/ipoll.html[February, 2003].
Roper Center at University of Connecticut. Public opinion online, accession # 0150315, question 005,
Gallup Poll. Sep, 1988. Available:http://www.ropercenter.uconn.edu/ipoll.html[February, 2003].
Saffer H, Grossman M. Beer taxes, the legal drinking age, and youth motor vehicle fatalities. Journal
of Legal Studies. 1987;16:351–374.
Saltz RF. Roles of bars and restaurants in preventing alcohol-impaired driving: An evaluation of
server intervention. Evaluation and Health Professions. 1987;10:5–27.
Saltz RF. Research needs and opportunities in server intervention programs. Health Education
Quarterly. 1989;16:429–438. [PubMed: 2793495]
Zuckerman M. Sensation seeking: Beyond the optimal level of arousal. Hillsdale, NJ: Lawrence
Erlbaum; 1979.