Communities Pay the Lion’s Share of Costs Associated with Problem Drinking

  • Alcohol-related problems cost every man, woman and child in American roughly $683 (in 1998 dollars) each year.
  • The cost of alcohol problems includes lost productivity (70 percent); health care expenditures to treat alcoholism and other medical consequences (14 percent); alcohol-related motor vehicle crashes (8 percent); and alcohol-related crime (3 percent).
  • Almost half (45 percent) of the cost of alcohol problems is borne by problem drinkers and their households. Society also pays for the negative effects of alcohol use: the federal government pays 20 percent, primarily in reduced tax revenue as a result of productivity losses; state and local governments pay 18 percent in reduced tax revenue, crime and motor vehicle crash costs; private insurers pay 10 percent in life, health, auto and fire insurance; and the victims of alcohol-related crime and the non-drinking victims of motor vehicle crashes pay 6 percent.

National Report:  Increase Alcohol Excise Tax
A National Call to Action Reduce Underage Illegal Drinking -
Last year the NAS report outlined actions to reduce alcohol consumption by those under the legal drinking age (21).

Underage Drinking (CASA)
Underage drinkers are a critical segment of the alcohol beverage market. Since most heavy and problem drinkers begin drinking before they reach age 21, underage drinking is key to the profitability of the alcohol industry.

  • 87 percent of adults who drink had their first drink of alcohol before age 21.  
  • Individuals who begin drinking before the age of 15 are four times more likely to become alcohol dependent than those who begin drinking at age 21.  
  • The prevalence of lifetime alcohol abuse is greatest for those who begin drinking at age 14. 
  • Underage drinkers and adult heavy drinkers combined consume 61 percent of the alcohol sold in the U.S. more on this report

Underage drinking is widespread in the United States.

Approximately 13,212,000 underage youth in The United States drink each year. In 2001, according to self-reports by United States students in grades 9-121:

  • 78% had at least one drink of alcohol on one or more days during their life.
  • 29% had their first drink of alcohol, other than a few sips, before age 13.
  • 47% had at least one drink of alcohol on one or more occasion in the past 30 days.
  • 30% had five or more drinks of alcohol in a row (i.e. binge drinking) in the past 30 days.
  • 5% had at least one drink of alcohol on school property on one or more of the past 30 days.
     

In 2001, underage drinkers consumed 16.2% of all alcohol sold in the United States.2

1Center for Disease Control (CDC). (2001). Youth Risk Behavior Surveillance System (YRBSS). Available [On-line]: http://www.cdc.gov/nccdphp/dash/yrbs/2001/youth01online/htm.

State Estimates of Substance Use From the 2002–2003 NSDUH, SAMHSA


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