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"The Institute of Medicine and
National Research Council have released a landmark study, "Reducing
Underage Drinking: A Collective Responsibility."
The American Medical Association's Office of Alcohol and Other Drug Use
has developed a tool kit to assist local coalitions and advocates in
taking the study's recommendations and advancing local and state policy
and prevention initiatives."
Landmark
NAS Report Full Text
September 2003
Read the entire
E-Book Version online here Alcohol
use by young people is extremely dangerous - both to themselves and
society at large. Underage alcohol use is associated with traffic
fatalities, violence, unsafe sex, suicide, educational failure, and
other problem behaviors that diminish the prospects of future success,
as well as health risks – and the earlier teens start drinking, the
greater the danger. Despite these serious concerns, the media continues
to make drinking look attractive to youth, and it remains possible and
even easy for teenagers to get access to alcohol.

Alcohol Advertising and risks to youth
Talking points on
Youth, Alcohol, Harm
from the NAS study by
CSPI
AMA press release on the NAS
report
Consequences of underage drinking fact sheet
It's A Brain Thing!
AMA Report on harm to the
Brain of Youth who drink alcohol.
What does
Genetics (Family History) have
to do with drinking problems and risk factors?


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Review
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Alcohol Industry-Calls for Increased Alcohol Excise Tax, and Limits to
Marketing Practices
NATIONAL ACADEMIES REPORT TO CONGRESS RELEASED
The National Academies’ Institute of Medicine (IOM) and National
Research Council released a much-anticipated Report to Congress entitled
“Reducing Underage Drinking: A Collective Responsibility,” on September
9. The committee that prepared the report was charged with reviewing
existing programs and approaches and developing a strategy to reduce
underage drinking. As the title suggests, emphasis was placed on
adopting an inclusive strategy to address this issue, one that invites
everyone to take responsibility for combating the problem. The committee
based its considerations on the societal context in which underage
drinking occurs.
This included five elements—that alcohol is:
Easy for youth to get
Obtained from adults in commercial and
social outlets
Advertised in venues that reach youth
Prominent in entertainment media
Cheaper than it was 30-40 years ago
(when adjustments are made for inflation)
The committee also found that the
average age of drinking is decreasing. Understanding that
underage drinking has become a normative behavior in our society, the
committee developed the following strategy to address the problem. The
report purposely does not rank the components, believing that a
multifaceted approach with reinforcing elements is essential to
successful implementation.
The components include:
Adult-Oriented Media
Campaign—The goal of this effort is to
raise adult awareness and recognition of individual and collective
responsibility of adults. The committee stressed the need to develop and
test messages for effectiveness prior to implementation.
National Partnership—The
need for all stakeholders to work together was emphasized. The committee
suggested that public and private partners, including the alcohol
industry, establish and fund an independent nonprofit foundation with
the sole mission of preventing and reducing underage drinking. Emphasis
was placed on funding only science-based programs with proven efficacy.
Advertising Restraint—The
committee identified the need for the alcohol industry to strengthen its
current voluntary advertising codes, refrain from marketing practices
that have substantial appeal to youth, and be more careful to place ads
to reduce youthful exposure. Even though the committee stated that
without direct evidence for a causal link between advertising and
alcohol consumption, self-regulation is appropriate, it also stated that
Congress should appropriate necessary funding for the U.S
Department of Health and Human Services (DHHS) to monitor underage
exposure to alcohol advertising on a continuing basis and to report
periodically to Congress and the public.
Entertainment Responsibility—The
committee recommended that the entertainment industries use rating
systems and marketing codes to reduce the likelihood that underage
audiences will be exposed to movies, recordings, or television programs
with unsuitable alcohol content. The committee recommended that DHHS
periodically review programs, etc., that are likely to be viewed by
youth and report these findings to Congress and the public.
Compliance with Access
Limits—Recommendations were made
for the State and Federal level including strengthening compliance check
programs from retail outlets, regulation of Internet sales and home
delivery, enforcement to deter adults from purchasing alcohol for
minors, and keg registration.
In addition, States were encouraged to enforce zero tolerance laws,
enact and enforce graduated driver licensing laws, implement sobriety
checkpoints, strengthen efforts to prevent and detect use of fake IDs,
and establish administrative procedures and noncriminal penalties.
Recommendations for local enforcement were also included.
- Youth-Oriented
Interventions—This is an area where the
need for research and evaluation was highlighted, both to inform a
youth-focused media campaign and to evaluate intervention programs.
College-based interventions were specifically recommended for
evaluation.
- Community Interventions—The
committee recognized the value of community interventions tailored to
the needs of the community. It was emphasized that only evidence-based
interventions should be funded.
- Government Assistance and
Coordination—it was recommended that a
Federal interagency coordinating committee on prevention of underage
drinking be established, chaired by the Secretary of DHHS.
- Alcohol Excise Taxes—This
was by far the most controversial proposal in the report. The
committee was resolute that increasing the price of alcohol is known
to be effective in reducing underage consumption. It was beyond the
scope of the committee to recommend specifics, but the committee did
state that alcohol should at least be indexed to the consumer price
index.
- Research and Evaluation—The
committee emphasized the need for ongoing research and evaluation to
inform all aspects of the plan and to reach all segments of the
population
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