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

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. " I. Underage Drinking in the United States - 2. Characteristics of Underage Drinking." Reducing Underage Drinking: A Collective Responsibility. Washington, DC: The National Academies Press, 2004.

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Reducing Underage Drinking: A Collective Responsibility

TABLE 2-6 Past Month Heavy Drinking Among 18- to 22-Year-Olds by College Enrollment Status (in percent)

Age

Full-Time College Students

Other Young Adults

Difference Between Students and Others

18

33.8

29.8

4.0

19

39.1

31.7

9.3

20

42.9

35.6

7.3

21

48.0

43.7

4.3

22

44.8

40.7

4.1

Average, 18-22

41.4

35.9

5.5

 

SOURCE: Data from SAMHSA (2002).

were those living in a dormitory or fraternity house. Bachman et al. (1997) have found a similar “dormitory effect.”

Race and Ethnicity

In general, drinking among racial and ethnic minorities is lower than among whites, and there is a great deal of variability across racial and ethnic groups. Among youths aged 12 to 20, drinking of all types (recent, heavy, frequent heavy) is highest for non-Hispanic whites, followed closely by Native Americans. Asian Americans and African Americans have the lowest prevalence of any racial or ethnic group. Hispanics and youth of multiple races fall about midway between the highest and lowest rates (Flewelling et al., 2004). For the 12- to 20-year-old population as a whole, the prevalence of alcohol use and heavy alcohol use increases among various racial and ethnic groups as they approach the legal drinking age (see Figures 2-6 and 2-7). “Due to sample size limitations, finer breakdowns by age groups and gender within the underage [whites, Hispanics, African Americans] population was only possible for the three major racial/ethnic groups” (Flewelling et al., 2004). This pattern holds for all three age groups and racial and ethnic groups.

Ethnic minorities consistently have lower rates of alcohol use than non-Hispanic whites, although it is unclear whether reporting bias contributes to these differences. Trend analysis of data from the Alcohol Research Group’s National Alcohol Surveys showed that while rates of heavy drinking among 18- to 29-year-olds dropped between 1984 and 1995, rates among African American males remained the same (Caetano and Clark, 1998). This suggests the need to further explore explanations for racial and ethnic differences in drinking rates.

Page
48
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)