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

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. "9. Access." Reducing Underage Drinking: A Collective Responsibility. Washington, DC: The National Academies Press, 2004.

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Reducing Underage Drinking: A Collective Responsibility

TABLE 9-1 Minimum Legal Drinking or Purchase Age Across 64 Countries

Minimum Age

Number of Countries

None

5

< 16

4

16

6

17

1

18

38

19

1

20

2

21

7

NOTE: Some countries have different minimum legal ages for the purchase and consumption of alcoholic beverages or for different beverage types (e.g., beer and wine versus spirits), and in some cases there are regional variations within countries. The numbers in this table reflect the lowest minimum age for purchase or consumption of any alcoholic beverage in any state, province, or region within a country.

SOURCE: International Center for Alcohol Policies (2002).

can be done to increase compliance and, thereby, alcohol’s availability to underage youths. In order to promote compliance with any laws, they must be communicated to, and understood by, the intended audiences (in this case, primarily adults), and there must be a credible threat of enforcement to deter violations by those who have strong incentives to offend—in this case, by selling or giving alcohol to underage drinkers. Maximizing the incentives for voluntary compliance will minimize the need for enforcement.

The effectiveness of laws to restrict access to alcohol by youths can be increased by closing gaps in coverage, promoting compliance, and strengthening enforcement. Although particular methods for increasing effectiveness along these lines have been tried in various jurisdictions, and some data are available regarding their success, others have not been evaluated. The strength of the evidence in support of any particular intervention varies, and in some cases the available evidence is contradictory. However, the committee believes that the preponderance of the available evidence, including recent evidence from studies on the prevention of youth smoking, supports an emphasis on efforts designed to increase the effectiveness of restrictions on youth access to alcohol.

Given that youth usually obtain alcohol—directly or indirectly—from adults, the committee also believes that the focus of these efforts should be on adults. A key component of the committee’s strategy is the proposed

Page
159
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)