title: Will increasing alcohol availability by lowering the minimum legal drinking age decrease drinking and related consequences among youths?
abstract: Alcohol use health consequences are considerable; prevention efforts are needed, particularly for adolescents and college students. The national minimum legal drinking age of 21 years is a primary alcohol-control policy in the United States. An advocacy group supported by some college presidents seeks public debate on the minimum legal drinking age and proposes reducing it to 18 years. We reviewed recent trends in drinking and related consequences, evidence on effectiveness of the minimum legal drinking age of 21 years, research on drinking among college students related to the minimum legal drinking age, and the case to lower the minimum legal drinking age. Evidence supporting the minimum legal drinking age of 21 years is strong and growing. A wide range of empirically supported interventions is available to reduce underage drinking. Public health professionals can play a role in advocating these interventions.
authors.affiliation: Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA.
authors.forename: Henry
authors.initials: H
authors.lastname: Wechsler
authors.forename: Toben F
authors.initials: TF
authors.lastname: Nelson
mesh_terms: D000063:Accidents, Traffic / Q000401:mortality / Q000706:statistics & numerical data; D000293:Adolescent; D000367:Age Factors; D000428:Alcohol Drinking / Q000453:epidemiology / Q000331:legislation & jurisprudence* / Q000517:prevention & control / Q000639:trends; D006801:Humans; D013334:Students / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D014495:Universities; D055815:Young Adult
references.citation: Arch Pediatr Adolesc Med. 2009 Jul;163(7):598-600
references.pmid: 19581541
references.citation: Alcohol Clin Exp Res. 2009 Dec;33(12):2180-90
references.pmid: 19775322
references.citation: Am J Prev Med. 2000 Jul;19(1):24-9
references.pmid: 10865160
references.citation: J Stud Alcohol Drugs. 2008 Jul;69(4):481-90
references.pmid: 18612562
references.citation: J Adolesc Health. 2003 Jan;32(1):26-35
references.pmid: 12507798
references.citation: Alcohol Clin Exp Res. 2004 May;28(5):769-74
references.pmid: 15166652
references.citation: J Stud Alcohol. 2001 Mar;62(2):133-41
references.pmid: 11327179
references.citation: Addiction. 2009 Dec;104(12):1958-65
references.pmid: 19922564
references.citation: Subst Use Misuse. 2003 Dec;38(14):1983-2016
references.pmid: 14677779
references.citation: J Stud Alcohol. 2002 May;63(3):263-70
references.pmid: 12086126
references.citation: Am J Prev Med. 2003 Oct;25(3):212-8
references.pmid: 14507527
references.citation: J Stud Alcohol. 2003 Jan;64(1):23-31
references.pmid: 12608480
references.citation: Health Place. 2003 Mar;9(1):1-6
references.pmid: 12609468
references.citation: J Stud Alcohol. 2003 Sep;64(5):696-703
references.pmid: 14572192
references.citation: J Stud Alcohol. 2004 Jul;65(4):477-88
references.pmid: 15378804
references.citation: J Stud Alcohol Suppl. 2002 Mar;(14):206-25
references.pmid: 12022726
references.citation: Am J Public Health. 1995 Jul;85(7):921-6
references.pmid: 7604914
references.citation: N Z Med J. 2002 Jan 25;115(1146):9-11
references.pmid: 11936350
references.citation: Am J Public Health. 2005 Mar;95(3):441-6
references.pmid: 15727974
references.citation: J Stud Alcohol. 2003 Sep;64(5):704-11
references.pmid: 14572193
references.citation: Accid Anal Prev. 2008 Jul;40(4):1430-40
references.pmid: 18606277
references.citation: J Am Coll Health. 2002 Mar;50(5):223-36
references.pmid: 11990980
references.citation: J Am Acad Child Adolesc Psychiatry. 2009 Jul;48(7):692-702
references.pmid: 19465879
references.citation: MMWR Morb Mortal Wkly Rep. 2004 Sep 24;53(37):866-70
references.pmid: 15385917
references.citation: Addiction. 2005 Mar;100(3):335-45
references.pmid: 15733247
references.citation: Addiction. 2008 Mar;103(3):405-13; discussion 414-5
references.pmid: 18190669
references.citation: Am J Prev Med. 2009 Mar;36(3):208-17
references.pmid: 19215846
references.citation: Am J Public Health. 2006 Jan;96(1):126-31
references.pmid: 16317197
references.citation: J Stud Alcohol. 2001 Jan;62(1):23-31
references.pmid: 11271961
references.citation: Lancet. 2009 Jun 27;373(9682):2223-33
references.pmid: 19560604
references.citation: J Am Coll Health. 2002 Mar;50(5):203-17
references.pmid: 11990979
references.citation: J Am Coll Health. 2004 Jan-Feb;52(4):159-68
references.pmid: 15018427
references.citation: Am J Prev Med. 2009 Mar;36(3):218-24
references.pmid: 19215847
references.citation: J Stud Alcohol. 2002 Nov;63(6):726-33
references.pmid: 12529073
references.citation: Addict Behav. 2007 Apr;32(4):819-35
references.pmid: 16860940
references.citation: JAMA. 2004 Mar 10;291(10):1238-45
references.pmid: 15010446
references.citation: Am J Prev Med. 2001 Nov;21(4 Suppl):66-88
references.pmid: 11691562
references.citation: J Stud Alcohol Drugs. 2008 Mar;69(2):192-201
references.pmid: 18299759
references.citation: J Stud Alcohol Drugs Suppl. 2009 Jul;(16):12-20
references.pmid: 19538908
references.citation: Addiction. 1993 Jan;88 Suppl:75S-81S
references.pmid: 8453348
references.citation: J Am Coll Health. 2000 Mar;48(5):219-26
references.pmid: 10778022
references.citation: Am J Prev Med. 2003 Oct;25(3):204-11
references.pmid: 14507526
references.citation: Alcohol Clin Exp Res. 2006 Jul;30(7):1194-9
references.pmid: 16792567
references.citation: JAMA. 1994 Dec 7;272(21):1672-7
references.pmid: 7966895
references.citation: Alcohol Clin Exp Res. 2009 Jul;33(7):1208-19
references.pmid: 19389192
references.citation: J Abnorm Psychol. 2004 Nov;113(4):530-40
references.pmid: 15535786
references.citation: J Stud Alcohol Suppl. 2002 Mar;(14):23-39
references.pmid: 12022728
references.citation: Arch Pediatr Adolesc Med. 2006 Jul;160(7):739-46
references.pmid: 16818840