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Updated April 24, 2002
Teen Drinking-The Real Question

Ask Dr. Bill

Dear Dr. Bill,
According to your March 27th column and recent news reports, teenage drinking, particularly college bingeing has not decreased. I find it hard to believe the statistic that underage drinkers account for as much as 25% of total national consumption. Is the situation really that bad?

River Edge Parent

 

Dear Parent:
In a release designating April as "Alcohol Awareness Month," the National Council on Alcoholism and Alcohol Abuse (NCAA) noted that "New statistics released February 26, 2002 indicating that underage drinkers account for 25 percent of alcohol consumption have come into question by researchers and other professionals and have created a debate about analysis and methodology. (According to the 2000 Household Survey on Drug Abuse, a yearly poll of 25,000 people, conducted by the Substance Abuse and Mental Health Services Administration, the the real figure is more like 11 percent.)" The bottom line....teenage drinking is a serious problem in America, and has been for many years. Whatever the numbers, the real question remains: what can be done about this critical health issue? The NCAA urges that we not lose sight of the REAL QUESTION.

In response to queries about the statistics issued by Columbia University's National Center on Addiction and Substance Abuse (CASA), Stacia Murphy, President of the National Council on Alcoholism and Drug Dependence commented, "Regardless of the debate, the bottom line is that alcohol is not a drink for children. Alcohol is a drug - a powerful, mood-altering drug that affects children's changing and developing body systems. This is a critical public health issue and we need to stop abdicating responsibility and worrying about percentage points."

Early use of alcohol can draw children into a host of problems and aggravate existing ones; alcohol may have profound and persistent effects on children's physical and psychological development, even into adulthood. According to former Surgeon General David Satcher, M.D., children who begin drinking alcohol before the age of 15 are four times more likely to develop alcoholism in adulthood than those children who do not begin consuming alcohol until the legal age of 21. Unfortunately, as Dr. Satcher noted in an interview with NCADD, "Alcohol is the drug most frequently used by American teenagers. It is consumed more frequently than all of the illicit drugs combined and is the drug most likely to be associated with injury or death."

As Ms. Murphy further notes: "It's time for the nation to acknowledge that alcoholism is a disease, not a rite of passage." To that, I say, "Amen." We adults can no longer evade the serious consequences of underage and excessive college drinking. Alcohol is constantly marketed to underage drinkers and is strongly associated with athletic and social events popular with high school and college students. Establishments knowingly serve underage drinkers at happy hours, two-for-one and all-you-can-drink specials, often with a wink and a nod to fake identification. And, sadly, many underage drinkers are often first presented with alcohol in their own living rooms, dining rooms, and kitchens."

I am not not against drinking socially; nor are most of my medical colleagues. What I am against is a society that promotes the heavy use of drinking by the nation's young without considering its many negative consequences. Then, when too many of these kids develop an addiction to the drug alcohol, the uninformed turn their backs on them, calling their resultant alcoholism a sign of moral failure rather than recognizing them as victims of a medical disease.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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