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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

ever having tried to purchase alcohol, in comparison with 59 percent of college students in Pennsylvania where the laws regarding purchase, possession, and the use of false identification of alcohol were much stricter (Preusser et al., 1995). Similarly, 43 percent of New York high school students and 30 percent of Pennsylvania high school students reported ever having tried to purchase alcohol.

Ultimately, adults are responsible for young people obtaining alcohol by selling, providing, or otherwise making it available to them. Given the fact that young people use multiple sources for alcohol, efforts to target underage access should not focus exclusively on commercial access to alcohol, but should also address social availability through parents, friends, and strangers (Holder, 1994).

ACCESS TO ALCOHOL THROUGH COMMERCIAL SOURCES

Commercial access to alcohol takes place primarily through on-license and off-license establishments. On-license establishments are permitted to sell alcohol for consumption at the location where the sale is made; they include bars, restaurants, roadhouses, theaters, and similar places of business. Off-license establishments are permitted to sell alcohol for consumption at other locations; they include liquor stores, markets, convenience stores, and similar venues. In addition to on- and off-license establishments, some states allow home delivery and Internet sales of alcohol.

States differ considerably in their regulatory practices, ranging from those with complete state-run retail or wholesale monopolies and distribution systems to those where retail and wholesale alcohol sales and distribution are completely private. To some extent, retail alcohol sales can also be regulated at the local or municipal level through the use of local ordinances, conditional use permits, and zoning. Some states also allow for a “local option” through which municipalities or counties can prohibit or limit alcohol sales. Local ordinances can send a very strong message about what a community considers to be acceptable norms concerning underage drinking.

As noted above, young people under 21 can and do purchase alcohol in commercial settings, notwithstanding the fact that such sales are illegal everywhere. Purchase surveys in the United States show that anywhere from 40 percent to 90 percent of outlets sell to underage buyers, depending on location (e.g., Forster et al., 1994, 1995; Preusser and Williams, 1992; Grube, 1997). In part, these high sales rates result from low and inconsistent levels of enforcement against adults who sell or provide alcohol to minors and from perceptions on the part of law enforcement officers that there is little community support for such prevention efforts (Wagenaar and Wolfson, 1994, 1995).

Page
168
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)