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Reducing Underage Drinking: A Collective Responsibility (2004)
Division of Behavioral and Social Sciences and Education (DBASSE)

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. "II. The Strategy - 5. Designing the Strategy." Reducing Underage Drinking: A Collective Responsibility. Washington, DC: The National Academies Press, 2004.

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Reducing Underage Drinking: A Collective Responsibility

TABLE 5-1 Reducing Underage Drinking: A Collective Responsibility

Responsible Party

Reduce Availability

Reduce Demand

Reduce Drinking Occasions

Alcohol producers and importers

x

x

 

Wholesalers

x

x

 

Retail outlets

x

 

x

Restaurants and bars

x

 

x

Entertainment media

 

x

 

Schools

 

x

x

Colleges/universities

x

x

x

Youth employers

 

x

 

Military bases

x

x

x

Landlords

 

 

x

Community organizations

x

x

x

Parents and other adults

x

x

x

Peers and friends

x

x

x

  • expansion of educational, counseling, and treatment programs of proven effectiveness in elementary and secondary schools, colleges and universities, and in other settings where natural opportunities arise to discourage underage drinking and assist young people with drinking problems (see Chapter 10);

  • mobilization of communities to design and implement multipronged, comprehensive programs to prevent and reduce underage drinking (see Chapter 11);

  • a commitment by the federal government to implement a national strategy to prevent and reduce underage drinking, to provide stable funding and technical assistance, and to mount the necessary surveys to monitor its effectiveness, and an analogous commitment by state governments to establish and fund the necessary infrastructure to implement state-based components of the strategy, such as enforcing access restrictions (see Chapter 12);

  • increases in federal and state excise taxes on alcohol to help reduce underage consumption, reflect the social costs of drinking, and raise revenue for implementing the proposed strategy (see Chapter 12); and

  • rigorous research and evaluation to assess the effectiveness of current interventions, to help design new ones, and to facilitate refinements of the strategy and its implementation (see Chapter 12).

The committee strongly endorses what it finds are compelling arguments for a multipronged strategy and believes the effectiveness of its pro-

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106
Front Matter (R1-R18)
Executive Summary (1-12)
1. Introduction: The Challenge (13-32)
I. Underage Drinking in the United States - 2. Characteristics of Underage Drinking (33-57)
3. Consquences of Underage Drinking (58-69)
4. Understanding Youth Drinking (70-86)
II. The Strategy - 5. Designing the Strategy (87-107)
6. National Media Campaign (108-124)
7. Alcohol Industry (125-144)
8. Entertainment Industries (145-157)
9. Access (158-184)
10. Youth-Oriented Interventions (185-215)
11. Communities (216-231)
12. Federal and State Governments (232-249)
References (250-282)
Appendix A: Statement of Task (283-283)
Appendix B: Agenda and Participants, October 10-11, 2002, Public Workshop (284-288)
Appendix C: Agenda and Participants, November 18, 2002, Open Committee Meeting and Public Forum (289-291)
Appendix D: Other Public Contributors (292-295)
Appendix E: Biographical Sketches of Committee Members and Staff (296-302)
Index (303-318)
1 The Epidemiology of Underage Drinking in the United States: An Overview--Robert L. Flewelling, Mallie J. Paschall, and Christopher Ringwalt (319-350)
2 Social, Health, and Economic Consequences of Underage Drinking--Ralph Hingson and Donald Kenkel (351-382)
3 Health Consequences of Adolescent Alcohol Involvement--Sandra A. Brown and Susan F. Tapert (383-401)
4 Developmental and Environmental Influences on Underage Drinking: A General Overview--Bonnie L. Halpern-Felsher and Michael Biehl (402-416)
5 Perceptions of Risk and Social Judgments: Biases and Motivational Factors--Janis E. Jacobs (417-436)
6 Alcohol Use and Misuse: Prevention Strategies with Minors--William Hansen and Linda Dusenbury (437-457)
7 Supply Side Approaches to Reducing Underage Drinking: An Assessment of the Scientific Evidence--Harold D. Holder (458-489)
8 Effectiveness of Sanctions and Law Enforcement Practices Targeted at Underage Drinking Not Involving Operation of a Motor Vehicle--Thomas L. Hafemeister and Shelly L. Jackson (490-540)
9 The Effects of Price on Alcohol Use, Abuse, and Their Consequences--Frank J. Chaloupka (541-564)
10 Media Intervention Impact: Evidence and Promising Strategies--Charles Atkin (565-596)
11 Alcohol in the Media: Drinking Portrayals, Alcohol Advertising, and Alcohol Consumption Among Youth--Joel W. Grube (597-624)
12 Alcohol Advertising and Promotion--David Jernigan and James O’Hara (625-653)
13 Drinking and Coming of Age in a Cross-Cultural Perspective--Robin Room (654-677)
14 Preventing Underage Drinking in American Indian and Alaska Native Communities: Contexts, Epidemiology, and Culture--Douglas K. Novins, Paul Spicer, Janette Beals, and Spero M. Manson (678-696)
15 Teen Treatment: Addressing Alcohol Problems Among Adolescents--Rosalind Brannigan, Mathea Falco, Linda Dusenbury, and William B. Hansen (697-715)
16 Youth Smoking Prevention Policy: Lessons Learned and Continuing Challenges--Paula M. Lantz (716-742)