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

Page
219
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Reducing Underage Drinking: A Collective Responsibility

university administrations or statewide college task forces, as found in the states of Missouri and California. Still others may be the result of grassroots organizations from a number of localities realizing that they have common interests at the state level, and banding together for coordinated and more effective action.

Recommendation 11-1: Community leaders should assess the underage drinking problem in their communities and consider effective approaches—such as community organizing, coalition building, and the strategic use of the mass media—to reduce drinking among underage youth

SUCCESSFUL COMMUNITY COALITIONS: TWO PORTRAITS

Successful community coalitions include the use of multiple program strategies, such as education programs, community organization, environmental policy changes, strategic use of the news media, and heightened enforcement of existing policies (Hingson and Howland, 2002). Strategic use of the mass media by communities is an important component of community mobilization and can support other interventions. It can be an effective vehicle for publicizing new or existing policies and gaining public support for alcohol control policies and increased enforcement efforts (Casswell and Gilmore, 1989; Stewart and Casswell, 1993). Skillful use of media resources can support community organization and public education about successful strategies, as well as influence those who have the power to make changes in enforcement practices or in policies. Community groups that have developed the skills to use the news media strategically to support their objectives for changes in the environments contributing to public health problems can influence public opinion and public policy (Wallack et al., 1996; Wallack, 2000; Seevak, 1997).

Two examples of coalition-building in communities comprised primarily of racial and ethnic minority groups provide instructive lessons. Oakland, California, achieved successful alcohol policy outcomes through the work of a single coalition consisting primarily of professionals and government officials. The central focus of the coalition was to develop legislation that would tax all alcohol outlets in the city to provide funds for improving neighborhood safety and beautification. The major strategy relied much more on skillful use of the media than on grassroots organizing. The “Deemed Approved Ordinance,” enacted by the city in 1993, charged alcohol outlets an annual fee of $600 for monitoring establishments. At the same time, the city also enacted a 1-year moratorium on new licenses and required a 1,000-foot separation between alcohol outlets citywide except for the downtown area. A year later, in 1994, Oakland received a $100,000

Page
219
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)