Communities mobilizing for change on alcohol: outcomes from a randomized community trial.

Wagenaar, Alexander C.; Murray, David M.; Gehan, John P.; Wolfson, Mark; Forster, Jean L.; Toomey, Traci L.; Perry, Cheryl L.; Jones‐Webb, Rhonda

doi:10.15288/jsa.2000.61.85

Cited by 212 publications

(191 citation statements)

References 27 publications

Supporting

Mentioning

188

Contrasting

Order By: Relevance

“…Targeting servers and sellers with the enforcement of laws governing the purchase of alcohol can also be an effective strategy for reducing problem teen drinking. 159 Research on the effects of price on alcohol consumption indicates that, as price increases, consumption decreases. 160 Furthermore, increasing the price of alcohol has, with rare exceptions, been associated with reductions in rates of motor vehicle deaths.…”

Section: Adolescent Drinking and Drivingmentioning

confidence: 99%

A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age

Brown¹,

McGue²,

et al. 2008

View full text Add to dashboard Cite

Late adolescence (ie, 16 -20 years of age) is a period characterized by escalation of drinking and alcohol use problems for many and by the onset of an alcohol use disorder for some. This heightened period of vulnerability is a joint consequence of the continuity of risk from earlier developmental stages and the unique neurologic, cognitive, and social changes that occur in late adolescence. We review the normative neurologic, cognitive, and social changes that typically occur in late adolescence, and we discuss the evidence for the impact of these transitions on individual drinking trajectories. We also describe evidence linking alcohol abuse in late adolescence with neurologic damage and social impairments, and we discuss whether these are the bases for the association of adolescent drinking with increased risks of mental health, substance abuse, and social problems in adulthood. Finally, we discuss both the challenges and successes in the treatment and prevention of adolescent drinking problems. I N THE UNITED States, alcohol involvement sometimes starts but more often escalates between 16 and 20 years of age, when youths are also experiencing dramatic physical, emotional, and social changes. Specifically, a variety of forms of hazardous drinking emerge during middle to late adolescence and, for many youths, these problematic patterns of drinking continue to escalate through 18 to 20 years of age, the period of greatest risk for the onset of an alcohol use disorder (AUD).In seeking to understand youth development and alcohol involvement, it is important to consider all dimensions of functioning, because the interrelated cognitive, biological, social, and affective changes that occur during adolescence not only affect each another but also influence an individual's risk of problem drinking. In particular, the timing, sequence, and synchrony of developmentally specific transitions can affect how well youths master new roles, as well as continuities and discontinuities in their behavior. Therefore, developmental models representing a range of theoretical orientations, including systems theory, behavioral genetics, and developmental psychopathology, hold great promise for advancing our understanding of the processes that underlie adolescent changes, including the emergence of alcohol use and abuse.The need for developmental approaches is underscored by the existence of a consistent body of research showing that the escalation in drinking and the emergence of AUDs in middle and late adolescence have behavioral, social, and biological roots from earlier developmental stages. Moreover, it is becoming increasingly clear that alcohol involvement in adolescence has both short-and long-term effects on health and well-being at later developmental stages. Importantly, the consequences of adolescent drinking seem to differ from those associated with adult drinking, because there is increasing evidence that adolescents are especially vulnerable to the adverse effects of heavy alcohol use on both biological and socia...

show abstract

Section: Adolescent Drinking and Drivingmentioning

confidence: 99%

A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age

Brown¹,

McGue²,

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Laws that raise the minimum legal purchasing age reduce alcohol sales and problems among young drinkers (11). Regulations directed at commercial vendors of alcohol who sell to minors and ignore other restrictions can also be effective (12).…”

Section: Regulating the Physical Availability Of Alcoholmentioning

confidence: 99%

Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges

Babor¹,

Caetano²

2005

Rev Panam Salud Publica

View full text Add to dashboard Cite

The objectives of this article are to describe the evidence base for alcohol policy in the Americas, to Policy efforts in the developing countries of Latin America should focus on improving countermeasures against driving while intoxicated, measures that alter the drinking context, and limits on physical availability. For the developed, high-income countries of North America the goal should be to prevent deterioration of current drinking patterns and to reduce the overall volume of drinking. Given the low to moderate cost of many of the policies reviewed in this article, it now seems possible for communities and nations to substantially reduce the alcohol-related burden of illness in the Americas.Alcohol drinking, alcoholic intoxication, evidence-based medicine, policy making, Americas. ABSTRACTAlcohol policy is broadly defined as any purposeful effort on the part of governments or nongovernment groups to minimize or prevent alcoholrelated consequences. Policies can involve the implementation of a specific strategy with regard to alcohol problems (e.g., age restrictions on alcohol sales) or the allocation of resources that reflect priorities with regard to prevention or treatment intervention efforts. Among the various strategies and interventions that have been used as a basis for alcohol policy are: taxation and pricing, regulating the physical availability of alcohol, Key wordsBabor TF, Caetano R. Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges. Rev Panam Salud Publica. 2005;18(4/5):327-37.

show abstract

“…Research shows that even moderate increases in enforcement can reduce sales of alcohol to minors by as much as 35% to 40%, especially when combined with strategic media advocacy and other community and policy activities. 13,24 Although community-level restrictions on alcohol availability to youth and increased enforcement of minor possession laws are becoming increasingly important as local intervention strategies, 25 few studies have investigated the effects of alcohol availability and possession enforcement at the local level on consumption by young people. 21,22 As a result, little is known about how increased enforcement and resulting changes in local availability of alcohol are related to reductions in alcohol use and alcohol-related problems among young people.…”

Section: Introductionmentioning

confidence: 99%

“…26,27,28 More recently alcohol outlet density has been related to ease of underage purchase of alcohol 29 and to frequency of underage drinking and driving and riding with drinking drivers. 30 In the only currently published experimental study addressing changes in availability on youth drinking, 24 it was found that while a comprehensive environmentally focused program, which included enforcement of sales laws as one of several components, led to increases in checking age-identification by alcohol merchants and reduced sales to minors, it had no observed effects on drinking by high school students. In part, this absence of effects may have resulted from a lack of statistical power because of the relative small number of communities in the study (N = 15).…”

Section: Introductionmentioning

confidence: 99%

Community level alcohol availability and enforcement of possession laws as predictors of youth drinking

Dent

Grube

Biglan

2005

Preventive Medicine

120

100

View full text Add to dashboard Cite

Objective-To examine the relationship between community measures of youth access to alcohol, enforcement of possession laws, and the frequency of youth alcohol use and related problems in those communities.Design-Multi-level analysis of a cross-sectional student survey. Setting: Ninety-two communities in Oregon.Participants-Students in grade 11 (ages 16-17) in each participating community.Main outcome measures-Thirty-day frequency of alcohol use, binge drinking, use of alcohol at school, and drinking and driving.Results-The rate of illegal merchant sales in the communities directly related to all four alcohol-use outcomes. There was also evidence that communities with higher minor in possession law enforcement had lower rates of alcohol use and binge drinking. The use of various sources in a community expanded and contracted somewhat depending on levels of access and enforcement.Conclusions-This evidence provides much needed empirical support for the potential utility of local efforts to invest in increasing access control and possession enforcement.

show abstract

Communities mobilizing for change on alcohol: outcomes from a randomized community trial.

Cited by 212 publications

References 27 publications

A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age

A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age

Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges

Community level alcohol availability and enforcement of possession laws as predictors of youth drinking

Contact Info

Product

Resources

About