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nity representatives on the utility of specific activities, and an evaluation of Alcohol 101, an industry-funded college-based intervention (see Chapter 7 for further discussion of these activities).

The committee’s basic charge is to provide science-based recommendations about how best to prevent and reduce underage drinking. Based on its expertise, consideration of public input, and review of the available scientific literature, including the papers written for the committee, the committee identified eight categories of programs or interventions and presents the evidence for each in the relevant chapter:

  • media campaigns designed to discourage underage drinking directly, to affect the behavior of adults, and to build a broader public awareness of the nature and magnitude of the problem (Chapter 6 for adult-oriented campaigns and Chapter 10 for youth-oriented campaigns);

  • measures to curtail or counteract activities by individuals or businesses, including alcohol marketing practices, that tend to encourage or facilitate underage drinking (Chapters 7 and 8);

  • measures restricting youth access to alcohol in both commercial and noncommercial settings, together with programs enforcing these laws (Chapter 9);

  • measures to reduce alcohol-related social harms by enforcing compliance with underage drinking restrictions, such as zero tolerance laws and other programs to reduce alcohol-related traffic injuries and criminal behavior (Chapter 9);

  • educational activities undertaken by schools, colleges and universities, faith-based institutions, healthcare organizations, alcohol companies, parent associations, and other entities designed to discourage underage drinking (Chapter 10);

  • community-based initiatives designed to tailor comprehensive approaches to the specific underage drinking problems of local communities (Chapter 11);

  • screening, counseling, and treatment programs to assist underage drinkers who have developed alcohol problems (Chapter 11); and

  • methods of increasing the price of alcohol to underage purchasers, including increases in excise taxes (Chapter 12).

It is important to recognize that implementation of any national “strategy” will depend on the cooperative actions of thousands of organizations and millions of individuals who have their own ideas about what is likely to be effective and valuable. These organizations include agencies at all levels of government (federal, state, and local) with an interest in underage drinking (e.g., alcoholic beverage control commissions, schools, and agencies responsible for law enforcement, substance abuse prevention, social ser-



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