Campbell CA, Hahn RA, Elder R, Brewer R, Chattopadhyay S, Fielding J, et al. The CLEAR Outcomes trial enrolled patients from 1,250 centers in 32 countries, of these 4,206 were at high cardiovascular risk but had not experienced a prior cardiovascular event. Careers, Unable to load your collection due to an error. Kumpfer KL. As researchers and clinicians develop comprehensive approaches to the prevention of adolescent alcohol use, they must continue to identify the most important characteristics of different intervention strategies that contribute to the strategies effectiveness. Community strategies for the reduction of youth drinking: Theory and application. As a library, NLM provides access to scientific literature. Although debates over these controversial proposals involve apparent concern for reducing youth access to alcohol, home delivery from local retail outlets is a more likely source of alcohol than Internet orders, at least in part because it provides more immediate access to alcohol. Excessive alcohol use is responsible for more than 140,000 deaths in the United States each year 1 and $249 billion in economic costs in 2010. WAYS TO PREVENT DRUNK DRIVING BAC EDUCATION TEEN DRIVER SAFETY LAWS DADSS WAYS TO IDENTIFY DRUNK DRIVERS A.08 BAC LEGAL LIMIT During those years, only minimal intervention (i.e., a five-session classroom program) took place, and drinking rates between the treatment and control groups began to converge. Certain cultures, celebrations, or events may promote alcohol use. Studies evaluating server-training programs show that such programs by themselves are unlikely to reduce sales to underage youth (Howard-Pitney et al. Preventing alcohol, marijuana, and cigarette use among adolescents: Peer pressure resistance training versus establishing conservative norms. That's why for more than 40 years, preventionists across the country have observed National Impaired Driving Prevention Month in December to raise awareness that impaired driving can be deadly and to put strategies in place for all of . There were several limitations to the study, including that it was a secondary analysis of a subgroup within the larger CLEAR Outcomes trial. Primordial Prevention: In 1978, the most recent addition to preventive strategies, primordial prevention, was described. Adolescent alcohol use is one of the most difficult behaviors to change because alcohol use is so ingrained in the U.S. culture. Elder RW, Lawrence B, Ferguson A, Naimi TS, Brewer RD, Chattopadhyay SK, et al. To develop effective programs to prevent alcohol use among young adolescents, it is necessary to first identify the causes of use. For example, it changed alcohol merchant practices around selling to underage youth and reduced the propensity of 18- to 20-year olds to buy alcohol in a bar, provide alcohol to other teens, or consume alcohol (Wagenaar et al. To receive email updates about this page, enter your email address: Centers for Disease Control and Prevention. Alcohol use initiation rates for children rise quickly from age 10 up to about age 13, when they reach more than 50 percent. It can be concluded that psychological intervention used during the driving school studies is an effective primary prevention activity against drunk driving. Adolescents choose to consume alcohol, not just because of personal characteristics, such as personality type or level of social skills, but also because it is a part of daily life in their communities and, for many youth, in their homes (Wagenaar and Perry 1994). The Oxford Handbook of Substance Use and Substance Use Disorders: Volume 2, Substance Use Disorders and Personality Disorders, Comorbidity of Anxiety and Depression with Substance Use Disorders, An Integrative Common Liabilities Model for the Comorbidity of Substance Use Disorders with Externalizing and Internalizing Disorders, Effects of Substance Use on Health and Societal Problems Across the Life Span, Effects of Alcoholism on Neurological Function and Disease in Adulthood, Substance Involvement and Physical Health: Unintentional Injury, Organ-Specific Diseases Including Cancer, and Infectious Diseases, Substance Use Disorders and Intentional Injury, Substance Use and School and Occupational Performance, Biological Markers of Substance Use: Focus on the Objective Assessment of Alcohol Exposure, Self-Report Assessments of Psychoactive Substance Use and Dependence, Brief Interventions and Motivational Interviewing, Self-Help Organizations for Substance Use Disorders, Pharmacotherapy of Substance Use, Craving, and Acute Abstinence Syndromes, Programs and Policies Designed to Reduce Impaired Driving, Primary Prevention: Reducing High-Risk Drinking, Laws Against Serving Obviously Intoxicated Patrons, Laws that Support Responsible Beverage Service, Brief Interventions to Reduce Risky Consumption, Summary of Opportunities to Reduce Risky Drinking, Detection of Vehicles Driven by DUI Offenders, Overview of Court-Mandated Treatment/Education Programs, Screening and Brief Interventions in Emergency Rooms, Controlling Impaired Driving by DUI Offenders, Summary of Tertiary Prevention Program Opportunities, Prevention and Intervention in the School Setting, Anticipating the Future of Research on Substance Use and Substance Use Disorders, 'Programs and Policies Designed to Reduce Impaired Driving', Archaeological Methodology and Techniques, Browse content in Language Teaching and Learning, Literary Studies (African American Literature), Literary Studies (Fiction, Novelists, and Prose Writers), Literary Studies (Postcolonial Literature), Musical Structures, Styles, and Techniques, Popular Beliefs and Controversial Knowledge, Browse content in Company and Commercial Law, Browse content in Constitutional and Administrative Law, Private International Law and Conflict of Laws, Browse content in Legal System and Practice, Browse content in Allied Health Professions, Browse content in Obstetrics and Gynaecology, Clinical Cytogenetics and Molecular Genetics, Browse content in Public Health and Epidemiology, Browse content in Science and Mathematics, Study and Communication Skills in Life Sciences, Study and Communication Skills in Chemistry, Browse content in Earth Sciences and Geography, Browse content in Engineering and Technology, Civil Engineering, Surveying, and Building, Environmental Science, Engineering, and Technology, Conservation of the Environment (Environmental Science), Environmentalist and Conservationist Organizations (Environmental Science), Environmentalist Thought and Ideology (Environmental Science), Management of Land and Natural Resources (Environmental Science), Natural Disasters (Environmental Science), Pollution and Threats to the Environment (Environmental Science), Social Impact of Environmental Issues (Environmental Science), Neuroendocrinology and Autonomic Nervous System, Psychology of Human-Technology Interaction, Psychology Professional Development and Training, Browse content in Business and Management, Information and Communication Technologies, Browse content in Criminology and Criminal Justice, International and Comparative Criminology, Agricultural, Environmental, and Natural Resource Economics, Teaching of Specific Groups and Special Educational Needs, Conservation of the Environment (Social Science), Environmentalist Thought and Ideology (Social Science), Pollution and Threats to the Environment (Social Science), Social Impact of Environmental Issues (Social Science), Browse content in Interdisciplinary Studies, Museums, Libraries, and Information Sciences, Browse content in Regional and Area Studies, Browse content in Research and Information, Developmental and Physical Disabilities Social Work, Human Behaviour and the Social Environment, International and Global Issues in Social Work, Social Work Research and Evidence-based Practice, Social Stratification, Inequality, and Mobility, https://doi.org/10.1093/oxfordhb/9780199381708.001.0001, https://doi.org/10.1093/oxfordhb/9780199381708.013.14. The curricula cover drug information, drug-resistance skills, self-management skills, and general social skills. Download Citation | Primary and secondary prevention of drink driving by the use of alcolock device and program: Swedish experiences | To prevent drinking and driving, alcolock (or alcohol . Furthermore, following the intervention, arrests for driving under the influence among 18- to 20-year olds were significantly lower in the intervention communities than in the control communities (Wagenaar et al. Most states have set the legal BAC limit for driving at 0.08 grams of alcohol per deciliter (g/dL); the limit is 0.05 g/dL in Utah. Internet sales require youth to plan weeks in advance to purchase alcohol for a drinking event, require a credit card, involve careful planning when and where the alcohol will be delivered, and potentially require storage until the drinking event occurs. Journal of Consulting and Clinical Psychology. Grube JW. Any drinking by pregnant women or those younger than age 21. Methodology and Evidence Review e599 1.2. Kosterman R, Hawkins JD, Gui J, et al. Primary prevention covers programs directed at reducing the high-risk drinking that leads to impaired driving, including programs directed at preventing drinking by youths aged 20 and younger and at preventing service to obviously intoxicated individuals. As researchers, clinicians, and policymakers learn more about each strategy, they need to synthesize this knowledge to develop multicomponent projects consisting of high-quality and complementary components that together create interventions strong enough to overcome the drinking culture found throughout U.S. communities. Learn more about the Community Guides findings. More widespread, frequent use of these checkpoints could save about 1,500 to 3,000 lives on the road each year. 1997). Home alone: Is it a risk factor for middle school youth and drug use? Wearing a seatbelt, using public transport & rideshare apps, and taking personal responsibility for the safe roadways are all crucial steps. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account. 1998; NIDA 1997). Many hospitals are sanctuaries for drunk drivers. View the institutional accounts that are providing access. Centers for Disease Control and Prevention. Such compliance checks can significantly reduce sales to minors (Preusser et al. However, more research using rigorous controlled designs is needed to understand the effects of involvement in extracurricular activities and youth leadership on early onset of alcohol use. Wagenaar AC, Toomey TL. Although various individual strategies have been successful in preventing youth alcohol use, a more comprehensive approach combining several of the intervention strategies described above might be even more effective. If you believe you should have access to that content, please contact your librarian. School-based adolescent drug prevention programs: 1998 meta-analysis. The intervention was conducted in three stages: a first intervention phase, an interim phase, and a second intervention phase. Discretionary time outside of school represents an enormous potential for either desirable or undesirable behaviors, such as alcohol and other drug use. Driving under the influence in the past year generally increased with age through the young adult years and then declined thereafter. Project ARM: Alcohol risk management to prevent sales to underage and intoxicated patrons. Gruber E, DiClemente RJ, Anderson MM, Lodico M. Early drinking onset and its association with alcohol use and problem behavior in late adolescence. This theoretical framework, which is supported by research on risk and protective factors (i.e., etiological research), provides a comprehensive understanding of the factors that influence the onset of alcohol use among adolescents. 1996). A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions. Alcohol policy: Gaps between legislative action and current research. Pre-exposure vaccination is one of the most effective methods for preventing transmission of HPV, HAV, and HBV, all of which can be sexually transmitted. 1993). 1994; Grube 1997). Relative effectiveness of comprehensive community programming for drug abuse prevention with high-risk and low-risk adolescents. Inclusion in an NLM database does not imply endorsement of, or agreement with, A public health perspective on urban adolescents. Shibboleth / Open Athens technology is used to provide single sign-on between your institutions website and Oxford Academic. 1990). Meta-analysis of adolescent drug prevention programs: Results of the 1993 meta-analysis. Because of increasing demands on their time and attention, however, parents are spending less time with their children and therefore need strategies and ideas to help them effectively parent their children (Kumpfer 2000). If you cannot sign in, please contact your librarian. The goal of many school-based programs is to reduce the onset and prevalence of adolescent alcohol use by decreasing personal and social risk factors and strengthening personal and social protective factors. 2000a). Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. These rates are higher than those for use of tobacco or any illegal drug (Johnston et al. 2010 national and state costs of excessive alcohol consumption, The effectiveness of limiting alcohol outlet density as a means of reducing excessive alcohol consumption and alcohol-related harms, The effectiveness of tax policy interventions for reducing excessive alcohol consumption and related harms, Effects of dram shop liability and enhanced overservice law enforcement initiatives on excessive alcohol consumption and related harms: two Community Guide systematic reviews, Effectiveness of policies maintaining or restricting days of alcohol sales on excessive alcohol consumption and related harms, Effectiveness of policies restricting hours of alcohol sales in preventing excessive alcohol consumption and related harms, Alcohol electronic screening and brief intervention: a Community Guide systematic review, Traffic Safety and Alcohol Regulation: A Symposium, Effects of alcohol retail privatization on excessive alcohol consumption and related harms: a Community Guide systematic review, Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse: Recommendation Statement Website, 2020 2025 Dietary Guidelines for Americans, Resources to Support States and Communities, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Excessive Alcohol Use and Womens Health, State Fact Sheets: Addressing Excessive Alcohol Use, Alcohol Screening and Brief Intervention for People Who Consume Alcohol and Use Opioids, U.S. Department of Health & Human Services. 2000). Support was higher among gun owners (35%) than non-gun owners (17%) and among Republicans (35%) than Democrats. Grossman M, Chaloupka FJ, Saffer H, Laixuthai A. Williams CL, Perry CL. Preventing Childhood Disorders, Substance Abuse, and Delinquency: Prevention and Early Intervention Approaches. Am Fam Physician. If your institution is not listed or you cannot sign in to your institutions website, please contact your librarian or administrator. 2000). According to the theory of triadic influence (TTI), which integrates many behavioral theories into a comprehensive mega-theory of health behavior, all behaviors have roots in three domains: the persons personal characteristics, current social situation, and cultural environment (Flay and Petraitis 1994). National Library of Medicine 2234.) Document Review and Approval e599 1.4. Promising family strategies for preventing alcohol, tobacco, and other drug use include structured, home-based parent-child activities; family skills training; behavioral parent training; and behavioral family therapy. This problem is not unique to Oregon. Abstract The purpose of this review is to update research on the prevention of alcohol-related traffic deaths since the 1988 Surgeon General's Workshop on Drunk Driving. In: Plant M, Single E, Stockwell T, editors. Key Components of Strategies to Prevent Underage Drinking. Alcohol is a substance that reduces the function of the brain, impairing thinking, reasoning and muscle coordination. The intervention included multiple strategies that addressed alcohol-impaired driving as well as other traffic problems, such as speeding, other moving violations, and seat belt use. The strategies listed below can help communities create social and physical environments that discourage excessive alcohol consumption thereby, reducing alcohol-related fatalities, costs, and other harms. A more recent meta-analysis examined the relative effectiveness of two types of interactive programscomprehensive life skills programs and social influences programsand determined specific drug use outcomes for both strategies (Roona et al. Only small increases in the incidence of gout and cholelithiasis were observed and there was no significant effect on stroke or coronary revascularization. Alternative approaches seem to be most effective with high-risk youth who may not have adequate adult supervision and a variety of activities available to them in their daily life. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Society member access to a journal is achieved in one of the following ways: Many societies offer single sign-on between the society website and Oxford Academic. Although many possible policy strategies have been identified that may help reduce social access to alcohol, little research has been done to evaluate the specific effects of these strategies. Conversely, the increase in alcohol use was significantly greater in the intervention group than in the control group during the interim phase, when there were minimal program efforts. 2001). Promoting the Health of Adolescents: New Directions for the Twenty-First Century. 11 Treatment was also associated with significant benefits for several key secondary end points, including the prespecified 3-component MACE (2 . Virginia DUI Laws: First Offense. The intervention was successful in several respects. Before If you go out alone, do not drink alcohol. Interlocks keep vehicles from starting if drivers have a BAC above a certain level, usually 0.02 g/dL. Accordingly, Griffin and colleagues (2000) concluded that classroom-based prevention efforts should be complemented with family, community, and policy initiatives that facilitate change in the larger social environment. More intensive programs seem to be most effective. Hahn RA, Middleton JC, Elder R, Brewer R, Fielding J, Naimi TS, et al. 1996), the Midwestern Prevention Project (Pentz et al. Botvin GJ, Baker E, Dusenbury L, et al. 2000). Enter your library card number to sign in. Howard-Pitney V, Johnson MD, Altman DG, et al. Adolescent alcohol use also is determined by important environmental influences, such as the legal, economic, physical, and social availability of alcohol (Wagenaar and Perry 1994). The review offered the following conclusions based on the available research: As noted by Carmona and Stewart (1996), an important component of extracurricular activities appears to be active youth leadership. Effect of community-based interventions on high-risk drinking and alcohol-related injuries. Other strategies strive to involve the adolescents families in the prevention programs. Forster JL, Murray DM, Wolfson M, Wagenaar AC. A Matter of Time: Risk and Opportunity in the Nonschool Hours. In: Ashery R, Robertson E, Kumpfer K, editors. Home deliveries of alcohol may make it even easier for youth to obtain alcohol from a retail establishment because the transaction occurs in completely unmonitored settings. Alcohol use by underage drinkers is a persistent public health problem in the United States, and alcohol is the most commonly used drug among adolescents. As alcohol levels rise in a person's system, the negative effects on the central nervous system increase. The Provider Needs Workgroup is developing resources in a variety of formats both to educate providers and to help them educate their patients about the benefits and safety of primary HPV screening. Thus, the focus of prevention approaches has broadened from individual personality characteristics to the social world of the adolescent (e.g., family and peers) and to macrolevel environmental factors (e.g., community and societal messages, norms, and availability) (Perry et al. Children and Youth: Interdisciplinary Perspectives. State and local laws providing for graduated administrative (as opposed to criminal) fine and license suspension penalties for establishments that sell to minors may improve the effectiveness of these enforcement efforts because the increased certainty of penalties is a key component of deterrence-based approaches (Ross 1992). Dui Foundation Drunk Driving Organizations Getting behind the wheel while under the influence is a crime that puts the driver and others on the road in danger. One policy that has been used to raise the price of alcohol is to increase the excise tax on alcohol. Researchers knowledge about effective interventions to reduce underage drinkingparticularly about school-based programs targeting individual-level factorshas grown substantially during the past decade, and investigators have identified key components of state-of-the-art school-based programs. 1999). The following sections and the table summarize current knowledge regarding the most promising components of the whole spectrum of prevention approaches, including school, extracurricular, family, policy, and community strategies. Alcohol safety programs are reviewed under three headings: primary prevention, secondary prevention, and tertiary prevention. In 1984, the Federal government passed the Uniform Drinking Age Act, which provided for a reduction in Federal funds to States that did not raise their MLDA to age 21, and by 1988, all States again had a MLDA of 21. 8600 Rockville Pike Other policy tools to reduce youth access to alcohol from commercial sources include requiring servers of alcohol to be trained to detect false age identification, designing drivers licenses to clearly indicate whether someone is underage, and banning or regulating home deliveries of alcohol. Everyone can contribute to the prevention of excessive alcohol use. We support enforcement and education efforts that help all drivers understand the risks of driving drunk and how to make responsible decisions that ensure their safety as well as the safety of others on the road. Cook PJ, Moore MJ. Approaches involving the entire community also have been employed.
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