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

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. "4. Understanding Youth Drinking." Reducing Underage Drinking: A Collective Responsibility. Washington, DC: The National Academies Press, 2004.

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Reducing Underage Drinking: A Collective Responsibility

BOX 4-1
Select Vignettes of Alcohol Messages to Youth

Twelve-year-old Jenna rides her bike to and from school most days. Her route takes her past a large billboard advertising a popular malt liquor.

Fourteen-year-old Joshua loves to watch basketball on television. During a typical game, he sees many beer commercials.

At 15, Sarah enjoys going to movies with friends. Many of the movies she has seen lately include scenes of adults drinking alcohol with dinner and at parties. A recent favorite showed teenagers getting into a nightclub using fake identification.

A favorite T-shirt for 16-year-old Sam says, “I’m trying to graduate with a 4.0 … blood alcohol level.” His best friend’s favorite sports shirt has an advertisement for a local bar on the back and “start drinking at 9 a.m. … it’s gotta be happy hour somewhere” on the front.

Following the homecoming dance, 17-year-old Lynne attends an all-night party at a friend’s home. The parents greet the guests as they arrive and take their car keys because they are serving beer. They prefer that their children and their friends drink at their home in a “safe environment” since they assume that their children will be drinking anyway.

After moving his belongings into his college dormitory and bidding his parents farewell, 19-year-old Jeremy attends an off-campus “welcome party” with a new acquaintance. He learns a lot on his first night on campus—how to play a drinking game, where to get a fake ID (identification), and which bars have happy hours on Thursdays.

by age 12, among drinkers as well as among those who have never consumed alcohol (Christiansen et al., 1982; Jones et al., 2001). Although it is always difficult to know if individuals can accurately report the reasons for their behavior, including drinking (see Nisbett and Wilson, 1977), both adolescents and adults indicate that alcohol is an important ingredient in social interactions, allowing them to lower their inhibitions and feel more relaxed in social situations (Jones et al., 2001; Wood et al., 1992). Other reasons given for drinking include reducing tension, fostering courage, reducing worry, increasing a sense of power, and causing cognitive and behavioral impairment (Prendergast, 1994). In addition, most individuals assign some costs to drinking, as well, which are discussed later in this chapter.

According to models such as the theory of planned behavior (Ajzen, 1991), social cognitive theory (e.g., Bandura, 1986), and alcohol expectancy theory (e.g., Goldman et al., 1991; Leigh, 1989), alcohol use can be largely explained by the alcohol-related expectancies for both positive and negative outcomes. Initiation and continuation of drinking, as well as the onset of problem drinking, are strongly and positively associated with expected benefits of drinking and negatively related to perceived negative

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71
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)