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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

conducted and the methods used to identify outlets, and (d) plans for enforcing the law in the coming fiscal year.

Responsible Beverage Service and Sales

Responsible beverage service and sales programs implement a combination of outlet policies (e.g., requiring clerks or servers to check identification for all customers appearing to be under the age of 30; requiring all servers to be over 21), manager training (e.g., policy development and enforcement), and server training (e.g., teaching clerks and servers to recognize altered or false identification). Such programs can be implemented at both on-license and off-license establishments and have been shown to be effective in some circumstances. They have been found to reduce the number of intoxicated patrons leaving a bar (e.g., Dresser and Gliksman, 1998; Gliksman et al., 1993; Saltz, 1987, 1989) and to reduce the number of car crashes (e.g., Holder and Wagenaar, 1994).

Few studies have evaluated the effects of responsible beverage service and sales programs on underage drinking. In one study of an off-license program, voluntary clerk and manager training were found to have a negligible effect on sales to minors above and beyond the effects of increased enforcement (Grube, 1997). Similarly, a study in Australia found that, even after training, age identification was rarely checked in bars, although decreases in the number of intoxicated patrons were observed (Lang et al., 1996, 1998). In at least one study, however, training was associated with an increase in self-reported checking of identification by servers (Buka and Birdthistle, 1999), and the apparent changes in behavior persisted among trained servers for as long as 4 years. Another study reported an 11.5 percent decrease in sales to minors and a 46.0 percent decrease in sales to intoxicated patrons following individual manager training and policy development (Toomey et al., 2001). Voluntary programs appear to be less effective than mandatory programs or programs using incentives such as reduced liability (Dresser and Gliksman, 1998).

How responsible beverage service and sales programs are implemented and what elements are included in a particular program may be important determinants of their effectiveness. Policy development and implementation within outlets may be as important, if not more so, than server training (Saltz, 1997). Research indicates, for example, that establishments with firm and clear policies (e.g., checking ID for all patrons who appear under the age of 30) and a system for monitoring staff compliance are less likely to sell alcohol to minors (Wolfson et al., 1996a, 1996b). There are six key elements of successful outlet policies: (1) minimum age of 21 for all servers and sellers; (2) staff awareness of legal responsibility; (3) staff awareness of outlet policies and consequences for violating those policies; (4) identifica-

Page
171
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)