PREVENTION

See also: Teens

Initiatives to Address Impaired Driving
This report presents an in-depth look at impaired driving: a significant highway safety issue that impacts directly on the success of NHTSA's mission. PDF http://trb.org/news/blurb_detail.asp?id=2163

Bonnie, Richard J.; O'Connell , Mary Ellen O'Connell, Editors "Reducing underage drinking: a collective responsibility," National Academies Press, c2003, p295. Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks &endash; and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. http://www.nap.edu/openbook/0309089352/html/

Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.

"A call to action: reducing underage drinking in Pima County!: recommendations from the Tuscon/Pima County Commission on Addiction Treatment and Prevention", August, 2004, 23p. An excellent paper.

Fell, J. C.; Fisher, D. A.; Voas, R. B.; Blackman,K.,; Tippets, A. S.; "The relationship of underage drinking laws to reductions in drinking drivers in fatal crashes in the United States", ACCIDENT: ANALYSIS AND PREVENTION (2008), 40 (4): 1430-40. This study reports on an effort to evaluate and interrelate the existence and strength of two core laws and 14 expanded laws designed to (a) control the sales of alcohol, (b) prevent possession and consumption of alcohol, and (c) prevent alcohol impaired driving by youth aged 20 and younger. Our first analysis determined if the enactment of the possession and purchase laws (the two core minimum legal drinking age laws) was associated with a reduction in the ratio of drinking to nondrinking drivers aged 20 and younger who were involved in fatal crashes controlling for as many variable as possible. "There has been evidence since the 1980s that an increase in the drinking age to 21 was having an impact on traffic death," Fell said. "But this is the first time we've been able to tease out the real effect, free of the variables that had been used to question the validity of the evidence." Fell said that even why you account for all of the other contributing factors, the 11% drop in youth alcohol-related fatalities is a "conservative" figure.

Simons-Morton, Bruce G.; Hartos, Jessica L.; Leaf, William A.; Preusser, David F.; "Persistence of effects of the checkpoints program on parental restrictions of teen driving privileges", AMERICAN JOURNAL OF PUBLIC HEALTH (2005), 95 (3): 447-452. A simple behavioral intervention was effective in increasing parental restriction of high-risk teen driving conditions among newly licensed drivers.

Stewart, Sherry H.; Conrod, Patricia J.; Marlatt, G. Allan; Comeau, M, Nancy; Thush, Carolien; Krank, Marvin; "New developments in prevention and early intervention for alcohol abuse in youths", ALCOHOLISM: CLINICAL AND EXPERIMENTAL RESEARCH (2005), 29 (2): 278-286. The set of papers presented outline new developments in the field of targeted prevention and early intervention programs for adolescent drinking problems, presented by an international panel of researchers. These developments include attention to making interventions relevant to adolescents' lives, focus on personality and motivational factors underlying alcohol misuse, and combining existing cognitive behavioral programs with expectancy challenge and motivational interviewing techniques.

updated 12/21/16