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Reducing Underage Drinking: A Collective Responsibility (2004)
Division of Behavioral and Social Sciences and Education (DBASSE)

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. "9. Access." Reducing Underage Drinking: A Collective Responsibility. Washington, DC: The National Academies Press, 2004.

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Reducing Underage Drinking: A Collective Responsibility
  • Enforcement agencies should issue citations for violations of underage sales laws, with substantial fines and temporary suspension of license for first offenses and increasingly stronger penalties thereafter, leading to permanent revocation of license after three offenses.

  • Communities and states should implement media campaigns in conjunction with compliance check programs detailing the program, its purpose, and outcomes.

States may need to consider the adequacy of funding for their alcohol control agencies including how efficiently resources are utilized, to enable the agencies to undertake the committee’s recommended enforcement efforts. Communities might also consider programs that reward retailers for compliance and remind them of the law, as a complement to law enforcement compliance checks (Biglan et al., 2000).

A model for enforcing compliance with underage alcohol sales laws at the national level can be found in the Synar Amendment, which applies to tobacco. The Synar Amendment, enacted in 1992, requires states to enact and enforce effective laws prohibiting the sale of tobacco products to children under 18 years of age. States failing to comply lose a portion of their block grant funds for substance abuse prevention.

Recommendation 9-3: The federal government should require states to achieve designated rates of retailer compliance with youth access prohibitions as a condition of receiving relevant block grant funding, similar to the Synar Amendment’s requirements for youth tobacco sales.

Specifically, under this requirement, all states, as a prerequisite for receiving funds under one or more block grants (e.g., substance abuse prevention and treatment, enforcing the underage drinking laws), would be expected to:

  • enforce effective laws prohibiting sales of alcohol to persons under 21 years of age in a manner that can reasonably be expected to reduce the availability of alcohol products to individuals under the age of 21;

  • conduct annual random, unannounced inspections of both on- and off-license outlets to ensure compliance with the law;

  • conduct these inspections in such a way as to provide a valid sample of outlets accessible to youth;

  • develop a strategy and a time frame for achieving an inspection failure rate of less than 20 percent of outlets; and

  • submit an annual report detailing (a) the state’s activities to enforce their law, (b) the overall success the state has achieved during the previous year in reducing alcohol availability to youth, (c) how inspections were

Page
170
Front Matter (R1-R18)
Executive Summary (1-12)
1. Introduction: The Challenge (13-32)
I. Underage Drinking in the United States - 2. Characteristics of Underage Drinking (33-57)
3. Consquences of Underage Drinking (58-69)
4. Understanding Youth Drinking (70-86)
II. The Strategy - 5. Designing the Strategy (87-107)
6. National Media Campaign (108-124)
7. Alcohol Industry (125-144)
8. Entertainment Industries (145-157)
9. Access (158-184)
10. Youth-Oriented Interventions (185-215)
11. Communities (216-231)
12. Federal and State Governments (232-249)
References (250-282)
Appendix A: Statement of Task (283-283)
Appendix B: Agenda and Participants, October 10-11, 2002, Public Workshop (284-288)
Appendix C: Agenda and Participants, November 18, 2002, Open Committee Meeting and Public Forum (289-291)
Appendix D: Other Public Contributors (292-295)
Appendix E: Biographical Sketches of Committee Members and Staff (296-302)
Index (303-318)
1 The Epidemiology of Underage Drinking in the United States: An Overview--Robert L. Flewelling, Mallie J. Paschall, and Christopher Ringwalt (319-350)
2 Social, Health, and Economic Consequences of Underage Drinking--Ralph Hingson and Donald Kenkel (351-382)
3 Health Consequences of Adolescent Alcohol Involvement--Sandra A. Brown and Susan F. Tapert (383-401)
4 Developmental and Environmental Influences on Underage Drinking: A General Overview--Bonnie L. Halpern-Felsher and Michael Biehl (402-416)
5 Perceptions of Risk and Social Judgments: Biases and Motivational Factors--Janis E. Jacobs (417-436)
6 Alcohol Use and Misuse: Prevention Strategies with Minors--William Hansen and Linda Dusenbury (437-457)
7 Supply Side Approaches to Reducing Underage Drinking: An Assessment of the Scientific Evidence--Harold D. Holder (458-489)
8 Effectiveness of Sanctions and Law Enforcement Practices Targeted at Underage Drinking Not Involving Operation of a Motor Vehicle--Thomas L. Hafemeister and Shelly L. Jackson (490-540)
9 The Effects of Price on Alcohol Use, Abuse, and Their Consequences--Frank J. Chaloupka (541-564)
10 Media Intervention Impact: Evidence and Promising Strategies--Charles Atkin (565-596)
11 Alcohol in the Media: Drinking Portrayals, Alcohol Advertising, and Alcohol Consumption Among Youth--Joel W. Grube (597-624)
12 Alcohol Advertising and Promotion--David Jernigan and James O’Hara (625-653)
13 Drinking and Coming of Age in a Cross-Cultural Perspective--Robin Room (654-677)
14 Preventing Underage Drinking in American Indian and Alaska Native Communities: Contexts, Epidemiology, and Culture--Douglas K. Novins, Paul Spicer, Janette Beals, and Spero M. Manson (678-696)
15 Teen Treatment: Addressing Alcohol Problems Among Adolescents--Rosalind Brannigan, Mathea Falco, Linda Dusenbury, and William B. Hansen (697-715)
16 Youth Smoking Prevention Policy: Lessons Learned and Continuing Challenges--Paula M. Lantz (716-742)