Environmental Prevention and Underage Drinking. Kathryn Stewart Safety and Policy Analysis International and Prevention Research Center Lafayette, California MADD National Conference, September 2012. Age 21 Laws have been effective!. Effects of Age 21 Laws.
Environmental Prevention and Underage Drinking
Safety and Policy Analysis International and Prevention Research Center
MADD National Conference, September 2012
Age 21 Laws have been effective!
Reduction in alcohol consumption
Reduction in drinking driver fatal crashes
Reduction in alcohol-related homicides, suicides, unintentional injuries
Drinking Drivers Over Age 21 involved in fatal crashes: the decrease since1982
Drinking Drivers Under Age 21 involved in fatal crashes: the decrease since1982
MLDA 21 accounted for much of the difference (Hedlund, et al., 2001)
FARS - sober drivers
FARS - alcohol
Alcohol kills 4X more kids under 21 than all illegal drugs combined.
Most kids drink to get drunk, consuming four to five drinks at one time.
Focus efforts on adults
and engage entire society
Reducing Underage Drinking: A Collective Responsibility
2003 Report to Congress
The Surgeon General’s Call to Action
To Prevent and Reduce Underage Drinking 2007
Youth usually obtain alcohol – either directly or indirectly – from adults. Efforts to reduce underage drinking, therefore, need to focus on adults and must engage the society at large.”Institute of Medicine, National Research Council of the National Academies (2003)
Creating an environment in which it is harder to make the wrong choice and easier to make the right choice.
Environmental prevention removes focus from individual behavior and works to change the larger environment.
Focus on behavior change
Focus on the individual and alcohol problems
Focus on short term: program development
Focus on population level change
Focus on social, political, legal context of alcohol problems
Focus on long term: policy development
Changing environmental contributors to alcohol problems will change individual behavior.
Effective and Efficient
Changes community standards
Involves adult and youth participation
Involves partnership with enforcement
Addresses physical, social, political, legal, and economic factors
Limitations on Access
Each Year College Drinking Causes:
1,825 students deaths
599,000 unintentional injuries
-97,000 sexual assaults
3,360,000 students drive under the influence
(Hingson et al, 2009)
2nd hand effects by drinking peers (Wechsler et al, 2002)
31% met criteria for alcohol abuse (Knight et al, 2002)
$68 billion social cost for underage drinking (PIRE 2009)
In addition…No Displacement
The Border Project
Preventing alcohol-related problems at the US/Mexico Border
Reducing Youth Access to Alcohol in Oregon: Integrated Environmental Approaches
Reward and Reminder Program
Minor Decoy Operations
Shoulder Tap Operations
Communities can create environments that reduce alcohol related problems through:
“Mountain of Beer”
Partnership between law enforcement and the community
National Electronic Seminars
Underage Drinking Enforcement Training Center