From 1979 to 2006, risk of binge drinking declined from 12- to 20-year old males but not females in this age range. NO reduction in binge drinking occurred for college males. In a national study, 13.8% of eighth-graders reported having at least one drink in the past 30 days, and 11.5% had been drunk at least once in the past year. Today, alcohol is widely available and aggressively promoted throughout society. And alcohol use continues to be regarded, by many people, as a normal part of growing up. Yet underage drinking is dangerous, not only for the drinker but also for society, as evident by the number of alcohol-involved motor vehicle crashes, homicides, suicides, and other injuries.
People who begin drinking early in life run the risk of developing serious alcohol problems, including alcoholism, later in life. They also are at greater risk for a variety of adverse consequences, including risky sexual activity and poor performance in school.
Identifying adolescents at greatest risk can help stop problems before they develop. And innovative, comprehensive approaches to prevention, such as Project Northland, are showing success in reducing experimentation with alcohol as well as the problems that accompany alcohol use by young people.
Between 1993 and 2001, 18- to 20-year-old drinkers showed the largest increase (56%) in binge-drinking episodes among American adults. This group of underage drinkers also had the second-highest rate of binge drinking, outstripped only by young adults ages 21 to 25.8
Twelve- to fourteen-year-old binge drinkers consume 91% of the alcohol drunk by their age group. Ninety-four percent of the alcohol drunk by all 15- to 17-year-olds and 96% of the alcohol drunk by all 18- to 20-year-olds is consumed through binge drinking.9
Approximately 10.0 million persons ages 12 to 20 (26.3 % of this age group) reported drinking alcohol in the past month. Nearly 6.5 million (17.0%) were binge drinkers, and 2.0 million (5.1%) were heavy drinkers.10
Almost half (48%) of all alcohol use reported by college students is attributable to those who are underage.11
Underage drinking is estimated to account for between 11% and 20% of the U.S. alcohol market. Even the lower estimate of 11% represents 3.6 billion drinks each year.12, 13
Youth who start drinking before the age of 15 are five times more likely to develop alcohol dependence or abuse in their lifetimes than those who begin drinking at age 21 years or later.1
In 2009, among current underage drinkers, 30.6% paid for the alcohol the last time they drank—8.8% purchased the alcohol themselves and 21.6% gave money to someone else to purchase it. Among the underage drinkers who did not pay for the alcohol the last time they drank, 38.9% received it from an unrelated person ages 21 or older, 16.6% received it from other underage persons, and 21.6% received it from parents, guardians, or other adult family members, 6.0% took the alcohol from home, 3.8% took it from someone else's home, and 8.1% got it some other way.15Alcohol use by persons under age 21 years is a major public health problem.1 Alcohol is the most commonly used and abused drug among youth in the United States, more than tobacco and illicit drugs. Although drinking by persons under the age of 21 is illegal, people aged 12 to 20 years drink 11% of all alcohol consumed in the United States.2 More than 90% of this alcohol is consumed in the form of binge drinks.2 On average, underage drinkers consume more drinks per drinking occasion than adult drinkers.3 In 2008, there were approximately 190,000 emergency rooms visits by persons under age 21 for injuries and other conditions linked to alcohol.4Alcohol is the drug of choice among youth. Many young people are experiencing the consequences of drinking too much, at too early an age. As a result, underage drinking is a leading public health problem in this country.
Each year, approximately 5,000 young people under the age of 21 die as a result of underage drinking; this includes about 1,900 deaths from motor vehicle crashes, 1,600 as a result of homicides, 300 from suicide, as well as hundreds from other injuries such as falls, burns, and drownings (1–5).
Yet drinking continues to be widespread among adolescents, as shown by nationwide surveys as well as studies in smaller populations. According to data from the 2005 Monitoring the Future (MTF) study, an annual survey of U.S. youth, three-fourths of 12th graders, more than two-thirds of 10th graders, and about two in every five 8th graders have consumed alcohol. And when youth drink they tend to drink intensively, often consuming four to five drinks at one time. MTF data show that 11 percent of 8th graders, 22 percent of 10th graders, and 29 percent of 12th graders had engaged in heavy episodic (or “binge1”) drinking within the past two weeks (6) (see figure). (1 The National Institute on Alcohol Abuse and Alcoholism [NIAAA] defines binge drinking as a pattern of drinking alcohol that brings blood alcohol concentration [BAC] to 0.08 grams percent or above. For the typical adult, this pattern corresponds to consuming five or more drinks [men], or four or more drinks [women], in about 2 hours.)
Binge Drinking
Percent of young people drinking 5+ drinks at one time in the last 2 weeks. Source: www.monitoringthefuture.org/data/05data.html#2005data-drugs.
Research also shows that many adolescents start to drink at very young ages. In 2003, the average age of first use of alcohol was about 14, compared to about 17 1/2 in 1965 (7,8). People who reported starting to drink before the age of 15 were four times more likely to also report meeting the criteria for alcohol dependence at some point in their lives (9). In fact, new research shows that the serious drinking problems (including what is called alcoholism) typically associated with middle age actually begin to appear much earlier, during young adulthood and even adolescence.
Other research shows that the younger children and adolescents are when they start to drink, the more likely they will be to engage in behaviors that harm themselves and others. For example, frequent binge drinkers (nearly 1 million high school students nationwide) are more likely to engage in risky behaviors, including using other drugs such as marijuana and cocaine, having sex with six or more partners, and earning grades that are mostly Ds and Fs in school (10). Today, alcohol is widely available and aggressively promoted throughout society. And alcohol use continues to be regarded, by many people, as a normal part of growing up. Yet underage drinking is dangerous, not only for the drinker but also for society, as evident by the number of alcohol-involved motor vehicle crashes, homicides, suicides, and other injuries.
People who begin drinking early in life run the risk of developing serious alcohol problems, including alcoholism, later in life. They also are at greater risk for a variety of adverse consequences, including risky sexual activity and poor performance in school.
Identifying adolescents at greatest risk can help stop problems before they develop. And innovative, comprehensive approaches to prevention, such as Project Northland, are showing success in reducing experimentation with alcohol as well as the problems that accompany alcohol use by young people.
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