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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

priate timing for increased autonomy during adolescence varies across cultures (e.g., Feldman and Rosenthal, 1990). Individuals adapt and modify their identities to enable them to function best in their particular social and cultural context (Baumeister and Muraven, 1996). Adolescents may “try on” various identities that will be defined, in part, by how time is spent and with whom it is spent. While constructing an identity, an adolescent’s motivation may be to gain new experiences that will allow them to evaluate what fits and what does not with their newly developing identities. This process allows them to create adult selves that are realistic and comfortable (Curry et al., 1994). During this period, adolescents report having a “true self” (who they really are inside) and a “false self” (who they want other people to think they are, to impress or please them) (Harter et al., 1996). At this point, adolescents may knowingly make choices that they know they may later regret “just to see what it is like,” to act more like an adult, or to impress others (e.g., Moffit, 1993). Some of these choices are likely to involve alcohol consumption.

In order to understand the shifts that adolescents are undergoing, it is important to consider both changes in cognition and in the social world in which adolescents find themselves during this period.

Cognitive Changes

Cognitive changes during adolescence include gradual improvements in social perspective, to about age 16 (Steinberg and Cauffman, 1996). These newfound perspective-taking skills allow an adolescent to recognize how the thoughts and actions of one person influence those of another and to imagine how others might perceive them. Although generally an indicator of greater maturity, a downside of this new ability is that adolescents are highly concerned with peer conformity, which may make them particularly susceptible to peer influence. The majority of studies indicate a positive relationship between susceptibility to peer pressure and risk-taking behavior (such as drinking). For reasons not yet known, there is variation in the extent to which adolescents succumb to social influence, including pressure to engage in behaviors that are undesirable (see Steinberg and Cauffman, 1996, for a review).

In general, thinking becomes more abstract and more future-oriented during adolescence, allowing adolescents to consider multiple aspects of any decision at one time, assess potential consequences of a decision, consider possible outcomes associated with various choices, and plan for the future. These cognitive changes enhance the adolescent’s capacity for competent decision making (see, for example, Halpern-Felsher and Cauffman, 2001; Steinberg and Cauffman, 1996). However, these newly formed competencies are not always practiced when adolescents are confronted with

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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)