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Alcohol use by children, adolescents, and young adults under the age of 21 years is one of the top public health concerns in the United States. In fact, research has shown that nearly half of all eighth grade students in this country have had at least one drink, while nearly 30% of all 12th graders report drinking at least three times per month. According to the 2007 Monitoring the Future Survey, approximately 10% of eighth graders and 26% of 12th graders reported drinking five or more drinks consecutively in the previous 2 weeks. Moreover, the National Institute on Alcohol Abuse and Alcoholism reported that the average age adolescents started to drink alcohol was 17V2 years in 1965 compared with an alarming 14 years in 2003. Currently, approximately 3 million U.S. teenagers are alcohol dependent, and at least 1 million more abuse alcohol. College-age students between the ages of 18 and 24 are even more likely to drink and to drink hazardously, with 31% of college students meeting criteria for alcohol abuse and 6% meeting criteria for alcohol dependence. This demographic also accounts for the majority of drinking-related negative consequences, with nearly 600,000 college students suffering unintentional injuries each year as a result of their alcohol use, while many more are involved in assaults, drunk driving, sexual abuse, unsafe sex, property damage, legal problems, and academic problems stemming from their alcohol consumption. Furthermore, over 1,700 college students die each year from alcohol-related incidents. Unfortunately, for each message sent to U.S. youth about the dangers of alcohol use, other messages are sent through the popular media glorifying excessive drinking. Further complicating the issue is that alcohol is the most widely available mind-altering substance and has quickly become the drug of choice among U.S. youth.

Consequences of Underage Drinking

The consequences of underage drinking can be devastating. Drinking-related incidents such as motor-vehicle accidents, homicides, suicides, drownings, falls, and burns kill and injure thousands of adolescents each year. Those under 21 who drink and drive are twice as likely as their adult counterparts to be involved in a fatal drunk driving accident. Moreover, alcohol is commonly a factor in sexual assaults, and in fact, rape and aggression are far more likely to occur when either the perpetrator or victim has been drinking. Teens who drink are also far more likely to engage in high-risk sexual activity such as unprotected sex and sex with multiple partners than those who do not use alcohol.

Acute intoxication is not only directly involved in the injury and death of thousands of young people each year; drinking habits formed in adolescence and young adulthood often develop into alcohol abuse and dependence later in life. For example, a teen who begins drinking at age 15 is 4 times more likely to develop alcohol dependence at some point in his or her life than is an individual who begins drinking at age 20 or later. In addition, research suggests that the earlier children begin drinking, the more likely they are to use other illicit substances. According to the National Survey on Drug Use and Health, among youth who drank heavily, two thirds also reported using other illicit substances in the past 4 weeks. Similarly, the Center on Addiction and Substance Abuse reported that, compared with young people who abstained from drinking, youth who reported some degree of alcohol use were 50 times more likely to use cocaine.

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