Policies to Reduce Underage Drinking

A Review of the Recent Literature
  • Alexander C. Wagenaar
  • Kathleen M. Lenk
  • Traci L. Toomey
Part of the Recent Developments in Alcoholism book series (RDIA, volume 17)


Heavy Episodic Drinking Compliance Check Underage Drinking Alcohol Policy Traffic Fatality 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Alcohol Epidemiology Program (AEP). Alcohol Policies in the United States: Highlights from the 50 states. University of Minnesota: Minneapolis, MN, 2000.Google Scholar
  2. Babor TF, Mendelson JH, Greenberg I, Kuehnle J. Experimental analysis of the "happy hour:" effects of purchase price on alcohol consumption. Psychopharmacology 1978;58:35–41.CrossRefPubMedGoogle Scholar
  3. Babor TF, Mendelson JH, Uhly B, Souza E. Drinking patterns in experimental and barroom settings. Journal of Studies on Alcohol 1980;41(7):635–51.PubMedGoogle Scholar
  4. Bormann CA, Stone MH. The effects of eliminating alcohol in a college stadium: The Folsom Field beer ban. Journal of American College Health 2001 Sep;50(2):81–8.PubMedCrossRefGoogle Scholar
  5. Buka SL, Birdthistle I. Long-term effects of a community-wide alcohol server training intervention. Journal of Studies on Alcohol 1999;60:27–36.PubMedGoogle Scholar
  6. Chaloupka FJ, Saffer H, Grossman M. Alcohol-control policies and motor-vehicle fatalities. Journal of Legal Studies 1993;22:161–86.CrossRefGoogle Scholar
  7. Chaloupka FJ, Wechsler H. Binge drinking in college: The impact of price, availability, and alcohol control policies. Contemporary Economic Policy 1996;14:112–24.Google Scholar
  8. Christie J, Fisher D, Kozup JC, Smith S, Burton S, Creyer EH. The effects of bar-sponsored alcohol beverage promotions across binge and nonbinge drinkers. Journal of Public Policy & Marketing 2001 Fall;20(2):240–53.CrossRefGoogle Scholar
  9. Coate D, Grossman M. Effects of alcoholic beverage prices and legal drinking ages on youth alcohol use. Journal of Law & Economics 1988 Apr;31(1):145–71.CrossRefGoogle Scholar
  10. Cohen DA, Mason K, Scribner R. The population consumption model, alcohol control practices, and alcohol-related traffic fatalities. Preventive Medicine 2002 Feb;34(2):187–97.CrossRefPubMedGoogle Scholar
  11. Conway K. Booze and beach bans: turning the tide through community action in New Zealand. Health Promotion International 2002 Jun;17(2):171–7.CrossRefPubMedGoogle Scholar
  12. Cook PJ, Moore MJ. Drinking and schooling. Journal of Health Economics 1993;12:411–29.CrossRefPubMedGoogle Scholar
  13. Cook PJ, Moore MJ. The economics of alcohol abuse and alcohol-control policies. Health Affairs 2002;21(2):120–33.CrossRefPubMedGoogle Scholar
  14. Coutts MC, Graham K, Braun K, Wells S. Results of a pilot program for training bar staff in preventing aggression. Journal of Drug Education 2000;30(2):171–91.CrossRefPubMedGoogle Scholar
  15. Dee TS, Evans WN. Teen drinking and educational attainment: Evidence from two-sample instrumental variables estimates. Journal of Labor Economics 2003 Jan;21(1):178–209.CrossRefGoogle Scholar
  16. Dee TS. State alcohol policies, teen drinking and traffic fatalities. Journal of Public Economics 1999a May;72(2):289–315.CrossRefGoogle Scholar
  17. Dee TS. The complementarity of teen smoking and drinking. Journal of Health Economics 1999b Dec;18(6):769–93.CrossRefPubMedGoogle Scholar
  18. Dee TS. The effects of minimum legal drinking ages on teen childbearing. Journal of Human Resources 2001 Fall;36(4):823–38.CrossRefGoogle Scholar
  19. DiNardo J, Lemieux T. Alcohol, marijuana, and American youth: the unintended consequences of government regulation. Journal of Health Economics 2001 Nov;20(6):991–1010.CrossRefPubMedGoogle Scholar
  20. Everitt R, Jones P. Changing the minimum legal drinking age — its effect on a central city Emergency Department. New Zealand Medical Journal 2002 Jan;115(1146):9–11.PubMedGoogle Scholar
  21. Fenaughty AM, MacKinnon DP. Immediate effects of the Arizona alcohol warning poster. Journal of Public Policy & Marketing 1993;12(1):69–77.Google Scholar
  22. Fletcher LA, Toomey TL, Wagenaar AC, Short B, Willenbring ML. Alcohol home delivery services: A source of alcohol for underage drinkers. Journal of Studies on Alcohol 2000 Jan;61(1):81–4.PubMedGoogle Scholar
  23. Forster JL, McGovern PG, Wagenaar AC, Wolfson M, Perry CL, Anstine PS. The ability of young people to purchase alcohol without age identification in northeastern Minnesota, USA. Addiction 1994;89:699–705.CrossRefGoogle Scholar
  24. Forster JL, Murray DM, Wolfson M, Wagenaar AC. Commercial availability of alcohol to young people: Results of alcohol purchase attempts. Preventive Medicine 1995;24(4):342–7.CrossRefPubMedGoogle Scholar
  25. Gliksman L, Douglas RR, Rylett M, Narbonne-Fortin C. Reducing problems through municipal alcohol policies: The Canadian experiment in Ontario. Drugs: Education, Prevention and Policy 1995;2(2):105–18.Google Scholar
  26. Gliksman L, McKenzie D, Single E, Douglas R, Brunet S, Moffatt K. The role of alcohol providers in prevention: An evaluation of a server intervention programme. Addiction 1993;88(9):1195–203.CrossRefPubMedGoogle Scholar
  27. Grossman M, Chaloupka FJ, Sirtalan I. An empirical analysis of alcohol addiction: Results from the monitoring the future panels. Economic Inquiry 1998;36(January):39–48.Google Scholar
  28. Grube JW. Preventing sales of alcohol to minors: Results from a community trial. Addiction 1997;92(Supplement 2):S251–S260.CrossRefPubMedGoogle Scholar
  29. Hennessy M, Saltz RE Adjusting for multimethod bias through selection modeling. Evaluation Review 1989;13(4):380–99.Google Scholar
  30. Holder HD, Edwards G. Alcohol and public policy: Evidence and issues. New York: Oxford University Press, 1995.Google Scholar
  31. Holder H, Flay B, Howard J, Boyd G, Voas R, Grossman M. Phases of alcohol problem prevention research. Alcoholism: Clinical and Experimental Research 1999;23(1):183–94.Google Scholar
  32. Holder HD, Gruenewald PJ, Ponicki WR, Treno AJ, Grube JW, Saltz RF, Voas RB, Reynolds R, Davis J, Sanchez L, Gaumont G, Roeper P. Effect of community-based interventions on high-risk drinking and alcohol-related injuries. Journal of the American Medical Association 2000 Nov; 284(18):2341–7.CrossRefPubMedGoogle Scholar
  33. Holder HD, Wagenaar AC. Mandated server training and reduced alcohol-involved traffic crashes: A time series analysis of the Oregon experience. Accident Analysis and Prevention 1994;26(1):89–97.CrossRefPubMedGoogle Scholar
  34. Howard-Pitney B, Johnson MD, Altman DG, Hopkins R, Hammond N. Responsible alcohol service: A study of server, manager, and environmental impact. American Journal of Public Health 1991 Feb;81(2):197–9.PubMedGoogle Scholar
  35. Hughes K, Mackintosh AM, Hastings G, Wheeler C, Watson J, Inglis J. Young people, alcohol, and designer drinks — quantitative and qualitative study. British Medical Journal 1997 Feb;(7078):414–8.Google Scholar
  36. Johannessen K, Glider P, Collins C, Hueston H, DeJong W. Preventing alcohol-related problems at the University of Arizona's homecoming: An environmental management case study. American Journal of Drug & Alcohol Abuse 2001;27(3):587–97.CrossRefGoogle Scholar
  37. Kaestner R. A note on the effect of minimum drinking age laws on youth alcohol consumption. Contemporary Economic Policy 2000 Jul;18(3):315–25.CrossRefGoogle Scholar
  38. Kenkel DS. Drinking, driving, and deterrence: The effectiveness and social costs of alternative policies. Journal of Law and Economics 1993;36(October):877–913.Google Scholar
  39. Kuo M, Adlaf EM, Lee H, Gliksman L, Demers A, Wechsler H. More Canadian students drink but American students drink more: Comparing college alcohol use in two countries. Addiction 2002 Dec;97(12):1583–92.CrossRefPubMedGoogle Scholar
  40. Laixuthai A, Chaloupka FJ. Youth alcohol use and public policy. Contemporary Policy Issues 1993 Oct;11:70–81.Google Scholar
  41. Lang E, Stockwell T, Rydon P, Beel A. Use of pseudo-patrons to assess compliance with laws regarding under-age drinking. Australian and New Zealand Journal of Public Health 1996;20(3):296–300.PubMedGoogle Scholar
  42. Lang E, Stockwell T, Rydon P, Beel A. Can training bar staff in responsible serving practices reduce alcohol-related harm? Drug and Alcohol Review 1998;1:39–50.CrossRefGoogle Scholar
  43. Lockhart SJ, Beck KH, Summons TG. Impact of higher alcohol prices on alcohol-related attitudes and perceptions of suburban, middle-class youth. Journal of Youth and Adolescence 1993;22(4):441–53.CrossRefGoogle Scholar
  44. Makowsky CR, Whitehead PC. Advertising and alcohol sales: A legal impact study. Journal of Studies on Alcohol 1991;52:555–67.PubMedGoogle Scholar
  45. Markowitz S, Grossman M. Alcohol regulation and domestic violence towards children. Contem-porary Economic Policy 1998 Jul;(3):309–20.Google Scholar
  46. Markowitz S, Grossman M. The effects of beer taxes on physical child abuse. Journal of Health Economics 2000 Mar; 19(2):271–82.CrossRefPubMedGoogle Scholar
  47. Mast BD, Benson BL, Rasmussen DW. Beer taxation and alcohol-related traffic fatalities. Southern Economic Journal 1999 Oct;66(2):214–49.CrossRefGoogle Scholar
  48. McKnight J. Factors influencing the effectiveness of server-intervention education. Journal of Studies on Alcohol 1991;52(5):389–97.PubMedGoogle Scholar
  49. Mosher JF, Toomey TL, Good C, Harwood E, Wagenaar AC. State laws mandating or promoting training programs for alcohol servers and establishment managers: An assessment of statutory and administrative procedures. Journal of Public Health Policy 2002;23(1):90–113.PubMedGoogle Scholar
  50. National Institute on Alcohol Abuse and Alcoholism. Tenth Special Report to the U.S. Congress on Alcohol and Health. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health, 2000. Report No.: NIH Publication No. 00-1583.Google Scholar
  51. National Highway Traffic Safety Administration. Traffic Safety Facts 2002. Alcohol. Washington, DC: U.S. Department of Transportation, 2003 Aug. Report No.: DOT HS 809 606.Google Scholar
  52. Nelson JP. Advertising bans, monopoly, and alcohol demand: Testing for substitution effects using state panel data. Review of Industrial Organization 2003 Feb;22(1):1–25.CrossRefGoogle Scholar
  53. Ogborne AC, Smart RG. Will restrictions on alcohol advertising reduce alcohol consumption? British Journal of Addiction 1980;75:293–6.CrossRefPubMedGoogle Scholar
  54. Ornstein SI. A survey of findings on the economic and regulatory determinants of the demand for alcoholic beverages. Substance Abuse and Alcohol Actions/Misuse 1984;5:39–44.Google Scholar
  55. Ornstein SI, Hannsens DM. Alcohol control laws and the consumption of distilled spirits and beer. Journal of Consumer Research 1985;12(2):200–13.CrossRefGoogle Scholar
  56. Preusser DF, Williams AF, Weinstein HB. Policing underage alcohol sales. Journal of Safety Research 1994;25(3):127–33.CrossRefGoogle Scholar
  57. Prugh T. Point of purchase health warning notices. Alcohol Health and Research World 1986;10(4):36.Google Scholar
  58. Riccelli C. Alcohol dispenser training in Amherst Massachusetts. Journal of Alcohol and Drug Education 1986;31(3):1–5.Google Scholar
  59. Romanus G. Alcopops in Sweden — a supply side initiative. Addiction 2000 Dec;95(12Suppl 4):S609–S619.CrossRefGoogle Scholar
  60. Ruhm CJ. Alcohol policies and highway vehicle fatalities. Journal of Health Economics 1996;15:435–54.CrossRefPubMedGoogle Scholar
  61. Russ NW, Geller ES. Training bar personnel to prevent drunken driving: A field evaluation. American Journal of Public Health 1987 Aug;77(8):952–4.PubMedCrossRefGoogle Scholar
  62. Saffer H, Dave D. Alcohol consumption and alcohol advertising bans. Applied Economics 2002 Jul;34(11):1325–34.CrossRefGoogle Scholar
  63. Saffer H, Grossman M. Beer taxes, the legal drinking age, and youth motor vehicle fatalities. Journal of Legal Studies 1987a;16(2):351–74.CrossRefGoogle Scholar
  64. Saffer H, Grossman M. Drinking age laws and highway mortality rates: Cause and effect. Economic Inquiry 1987b;25(3):403–17.CrossRefGoogle Scholar
  65. Saffer H. Alcohol advertising bans and alcohol abuse: An international perspective. Journal of Health Economics 1991;65–79.Google Scholar
  66. Saffer H. Alcohol advertising and motor vehicle fatalities. Review of Economics and Statistics 1997;79(3):431–42.CrossRefGoogle Scholar
  67. Saltz RE The roles of bars and restaurants in preventing alcohol-impaired driving: An evaluation of server intervention. Evaluation and Health Professions 1987;10(1):5–27.Google Scholar
  68. Scribner R, Cohen D. The effect of enforcement on merchant compliance with the minimum legal drinking age law. Journal of Drug Issues 2001 Fall;31(4):857–66.Google Scholar
  69. Simons-Morton BG, Cummings SS. Evaluation of a local designated driver and responsible server program to prevent drinking and driving. Journal of Drug Education 1997;27(4):321–33.PubMedGoogle Scholar
  70. Sloan FA, Reilly BA, Schenzler C. Effects of prices, civil and criminal sanctions, and law enforcement on alcohol-related mortality. Journal of Studies on Alcohol 1994;55(4):454–65.PubMedGoogle Scholar
  71. Sloan FA, Reilly BA, Schenzler C. Effects of tort liability and insurance on heavy drinking and drinking and driving. Journal of Law and Economics 1995;38(April):49–77.Google Scholar
  72. Smart RG, Adlaf EM. Banning happy hours: the impact on drinking and impaired-driving charges in Ontario, Canada. Journal of Studies on Alcohol 1986;47(3):256–8.PubMedGoogle Scholar
  73. Smart RG, Cutler RE. The alcohol advertising ban in British Columbia: Problems and effects on beverage consumption. British Journal of Addiction to Alcohol and other Drugs 1976;71:13–21.PubMedGoogle Scholar
  74. Spaite DW, Meislin HW, Valenzuela T, Criss EA, Smith R, Nelson A. Banning alcohol in a major college stadium: Impact on the incidence and patterns of injury and illness. Journal of American College Health 1990;39:125–8.PubMedCrossRefGoogle Scholar
  75. Stout EM, Sloan FA, Liang L, Davies HH. Reducing harmful alcohol-related behaviors: Effective regulatory methods. Journal of Studies on Alcohol 2000 May;61(3):402–12.PubMedGoogle Scholar
  76. Toomey TL, Kilian GR, Gehan JP, Perry CL, Jones-Webb R, Wagenaar AC. Qualitative assessment of training programs for alcohol servers and establishment managers. Public Health Reports 1998;113(2):162–9.PubMedGoogle Scholar
  77. Toomey TL, Wagenaar AC, Gehan JP, Kilian G, Murray DM, Perry CL. Project ARM: Alcohol risk management to prevent sales to underage and intoxicated patrons. Health Education & Behavior 2001 Apr;28(2):186–99.Google Scholar
  78. Tremblay VJ, Okuyama K. Advertising restrictions, competition, and alcohol consumption. Contemporary Economic Policy 2001 Jul;19(3):313–21.CrossRefGoogle Scholar
  79. Vingilis E, Liban CB, Blefgen H, Colbourne D, Reynolds D. Introducing beer sales at a Canadian ball park: The effect on motor vehicle accidents. Accident Analysis & Prevention 1992;24(5):521–6.CrossRefGoogle Scholar
  80. Wagenaar AC, Finnegan JR, Wolfson M, Anstine PS, Williams CL, Perry CL. Where and how adolescents obtain alcoholic beverages. Public Health Reports 1993;108(4):459–64.PubMedGoogle Scholar
  81. Wagenaar AC, Harwood EM, Silianoff C, Toomey TL. Beer keg registration laws in the U.S.: Statutory, regulatory, and implementation issue. Under review.Google Scholar
  82. Wagenaar AC, Holder HD. Effects of alcoholic beverage server liability on traffic crash injuries. Alcoholism: Clinical and Experimental Research 1991; 15(6):942–7.Google Scholar
  83. Wagenaar AC, Murray DM, Gehan JP, Wolfson M, Forster JL, Toomey TL, Perry CL, Jones-Webb R. Communities Mobilizing for Change on Alcohol: Outcomes from a randomized community trial. Journal of Studies on Alcohol 2000a;61(1):85–94.PubMedGoogle Scholar
  84. Wagenaar AC, Murray DM, Toomey TL. Communities Mobilizing for Change on Alcohol (CMCA): Effects of a randomized trial on arrests and traffic crashes. Addiction 2000b;95(2):209–17.CrossRefPubMedGoogle Scholar
  85. Wagenaar AC, Perry CL. Community strategies for the reduction of youth drinking: Theory and application. Journal of Research on Adolescence 1994;4(2):319–45.CrossRefGoogle Scholar
  86. Wagenaar AC, Toomey TL. Alcohol policy: Gaps between legislative actions and current research. Contemporary Drug Problems 2000;27:681–733.Google Scholar
  87. Wagenaar AC, Toomey TL. Effects of minimum drinking age laws: Review and analyses of the literature from 1960 to 2000. Journal of Studies on Alcohol 2002 Mar;(Suppl 14):206–25.Google Scholar
  88. Wagenaar AC, Wolfson M. Enforcement of the legal minimum drinking age in the United States. Journal of Public Health Policy 1994;15(1):37–53.PubMedGoogle Scholar
  89. Wechsler H, Kuo MC, Lee H, Dowdall GM. Environmental correlates of underage alcohol use and related problems of college students. American Journal of Preventive Medicine 2000 Jul;19(1):24–9.CrossRefPubMedGoogle Scholar
  90. Weitzman ER, Nelson TF, Wechsler H. Taking up binge drinking in college: The influences of person, social group, and environment. Journal of Adolescent Health 2003 Jan;32(1):26–35.CrossRefPubMedGoogle Scholar
  91. Whetten-Goldstein K, Sloan FA, Stout E, Liang L. Civil liability, criminal law, and other policies and alcohol-related motor vehicle fatalities in the United States: 1984–1995. Accident Analysis & Prevention 2000 Nov;32(6):723–33.CrossRefGoogle Scholar
  92. Willner P, Hart K, Binmore J, Cavendish M, Dunphy E. Alcohol sales to underage adolescents: An unobtrusive observational field study and evaluation of a police intervention. Addiction 2000 Sep;95(9):1373–88.CrossRefPubMedGoogle Scholar
  93. Xie X, Mann RE, Smart RG. The direct and indirect relationships between alcohol prevention measures and alcoholic liver cirrhosis mortality. Journal of Studies on Alcohol 2000 Jul;61(4):499–506.PubMedGoogle Scholar
  94. Yamada T, Kendix M, Yamada T. The impact of alcohol consumption and marijuana use on high school graduation. Health Economics 1996;5:77–92.CrossRefPubMedGoogle Scholar
  95. Young DJ, Likens TW. Alcohol regulation and auto fatalities. International Review of Law & Economics 2000 Mar;20(1):107–26.CrossRefGoogle Scholar

Copyright information

© Kluwer Academic/Plenum Publishers 2005

Authors and Affiliations

  • Alexander C. Wagenaar
    • 1
  • Kathleen M. Lenk
    • 2
  • Traci L. Toomey
    • 2
  1. 1.Department of Epidemiology and Health Policy ResearchUniversity of Florida School of MedicineGainesville
  2. 2.Alcohol Epidemiology ProgramUniversity of Minnesota, School of Public HealthMinneapolis

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