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Updated December 20, 2000
Kids and Holiday Drinking

Ask Dr. Bill

Dear Dr. Bill,

We are going to have Christmas dinner with my brother's family this year. My sister-in-law allows her children (now age 10 and 12) to have sips of wine or spiked eggnog at their holiday dinners. I'm concerned as I read the advice given by Arthur Logan, clinical counselor and lecturer at Clemson University in The Suburbanite("HOLIDAY SHOWCASE,"11/29/00, Pg. 51) that "if alcohol is part of your family's holiday celebrations...think about the message that you might be sending to your children." Although my children are a bit older (13 and 16), I think that they are still too young to be given alcoholic drinks, even sips. What do you think?

Am I a "Too Cautious Mom?"

Dear NOT Too Cautious Mom,
I also read the same article and had to agree with Mr. Logan. For those readers who missed the article, let me quote a bit more. He suggested that "while many factors shape a child's interest in the use of alcohol...adult modeling is key." He noted that many adults began their drinking by being allowed sips of holiday drinks under the supervision of a parent or guardian, but added "That's a strong way to socialize a child into drinking...by associating alcohol with appealing, pleasant events and feelings" adding that "a little of that can do a lot of harm."

A research paper published by the Duke University Medical Center in 1998 offered the first scientific evidence that alcohol has different effects on drinkers depending upon their age. Neuropsychologist Scott Swartzwelder, lead investigator of the study, noted that "Historically, there has been no compelling reason to deter the youth of America from drinking, other than a moral or authoritarian message....now we can back our message with scientific evidence showing that even occasional and moderate drinking could impair a young person's memory systems much more than an adult's."

The results of the two studies conducted proved that just one drink can impair learning and memory of young people under 21, with no like memory effect on adults Aged 21 to 30. "Quite simply, the younger the age, the worse they performed on the memory tests when given the equivalent of two drinks," said Swartzwelder. "If alcohol's effects varied that much within such a narrow age range, then there's a compelling reason to believe its effects are even stronger in adolescents and children."

According another analysis of 43,000 interviews by Grant and Dawson of the National Institute on Alcohol Abuse and Alcoholism reported in the January 1995 issue of the Journal of Substance Abuse, " The younger the age of drinking onset, the greater the chance that an individual, at some point in life, will develop a clinically defined alcohol disorder."

These researchers found that more than 40 percent of respondents who began drinking before age 15 were classified with alcohol dependence at some time in their lives. That compares to 24.5 percent for respondents who began drinking at age 17 and approximately 10 percent for respondents who began drinking at the ages of 21 and 22. The analysis revealed another increase in risk for subsequent alcohol dependence among persons who began drinking at ages 23 and 24 which declined again for persons 25 and older. Overall, the risk for alcohol dependence decreased by 14 percent with each increasing year of age of drinking onset.

Commenting on this study, NIAAA director Enoch Gordis, M.D. noted, " It remains to be seen whether it is the delay in alcohol use or, possibly, other associated factors that explain the inverse relation-ship between age at drinking onset and lifetime risk for alcohol abuse and alcoholism."

In the aforementioned article Logan recommends "maintaining a 'sober environment" during holiday celebrations that include young people below the legal drinking age." I agree..... Happy holidays!!


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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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