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Adolescents Binge Drinking When on Holiday: An Evaluation of a Community Intervention Based on Self-Regulation
Substance Use & Misuse
Abstract
This paper presents a case study of a community intervention aimed at reducing excessive drinking in young men on holiday in seaside camping resorts in the Netherlands. The self-regulated voluntary covenant of parties concerned was evaluated on the basis of several types of data (all collected in 2004 ): questionnaires administered to young men (N = 191), observations carried out by trained "peers," nuisance questionnaires among city center residents (N = 121), and interviews with local actors. Compliance with measures as well as the effects of measures are discussed. Limitations are noted and recommendations for optimizing the potential of community interventions are made.
... Hence, alcohol-related health education is necessary for minors. Community-based interventions can effectively reduce high-risk alcohol consumption and effects of alcohol [35,36], especially for the youth. Liqueur consumption trends show the opposite from that of beer consumption, as more Chinese men are more inclined to consume beer as they age. ...
Background: The volume of alcohol intake and type of alcohol affect Chinese men’s health. This study investigated changes of alcohol type between 2004 and 2011, explored the trend of change in alcohol type with age and determined the social demographic factors influencing the alcohol intake of Chinese men. Methods: Research data originated from the public database, China Health and Nutrition Survey (CHNS). Three chi-square tests were used to determine the prevalence of different alcohol types (beer, wine and liqueur) and the trend with age among male drinkers from 2004 to 2011. An ordered logistic regression model was established with alcohol intake as the dependent variable and social demography as the independent variable to analyze the influence of these factors on male alcohol intake. Results: This study confirmed that from 2004 to 2011, 70.1% of Chinese men consumed alcohol less than 168 g/w. The popularity of beer was on the rise, while the liqueur alcohol consumption decreased from 2004 to 2011 and the consumption of wine began to rise rapidly after 2006 (p < 0.05 for all). The prevalence of liqueur drinking increased with age and the prevalence of beer drinking decreased with age among Chinese male drinkers (p < 0.05 for all). From 2004 to 2011, a positive correlation appeared between age and male alcohol intake (p < 0.05 for all). In 2004 (OR = 1.22, 95% CI: 1.03–1.44), 2006 (OR = 1.21, 95% CI: 1.02–1.42) and 2011 (OR = 1.51, 95% CI: 1.31–1.75), Chinese men living in rural areas had a high volume of alcohol intake. From 2004 to 2011, the participants had married consumed more alcohol (p < 0.05 for all). In 2004 (OR = 0.61, 95% CI: 0.43–0.88) and 2011 (OR = 0.80, 95% CI: 0.68–0.94), higher education levels were negatively correlated with male alcohol intake. In 2006 (OR = 1.29, 95% CI: 1.07–1.56), 2009 (OR = 1.76, 95% CI: 1.45–2.14) and 2011 (OR = 1.35, 95% CI: 1.13–1.61), male drinkers who were working consumed more alcohol. From 2004 to 2011, a significant positive correlation appeared between tobacco consumption and alcohol intake (p < 0.05 for all). Conclusion: Consumption of three types of alcohol (beer, wine and liqueur) varies with the year. Beer consumption decreases with age, whereas liqueur consumption increases with age. Social demographic factors, such as residence, age, highest education level, working status and tobacco consumption, are related to alcohol intake. Our study affirms the effect of age on the choice of different types of alcohol.
... Un ejemplo de intervención comunitaria diseñada para prevenir el consumo intensivo de alcohol por parte de adolescentes durante las vacaciones de verano es el que propusieron en Holanda Van De Luitgaarden, Knibbe y Wiers (2010). En una zona turística y en la que repetidamente aparecían episodios de consumo descontrolado de alcohol por parte de jóvenes durante el periodo estival, se llevaron a cabo reuniones de trabajo entre los investigadores, los responsables políticos, los dueños de los establecimientos y los vecinos para consensuar una acción conjunta. ...
... Design/Fragestellung Pedersen ER, LaBrie JW, Kilmer JR. 157 Before you slip into the night, you'll want something to drink: exploring the reasons for prepartying behavior among college student drinkers Fragestellung Pilowsky DJ, Keyes KM, Hasin DS. 160 Adverse childhood events and lifetime alcohol dependence Design Raslan-Allgäuer R, Güttinger F. 163 "Smartconnection" -Ein Alkohol-Präventionsprojekt von und für Jugendliche Nur Projektbeschreibung Sambrano S, Springer JF, Sale E, Kasim R, Hermann J. 168 Understanding prevention effectiveness in real-world settings: The national cross-site evaluation of high risk youth programs 169 Screening for high-risk drinking in a college student health center: characterizing students based on quantity, frequency, and harms Design Spoth R, Greenberg M, Turrisi R. 186 Preventive interventions addressing underage drinking: state of the evidence and steps toward public health impact 137 Do we learn from our mistakes? An examination of the impact of negative alcoholrelated consequences on college students' drinking patterns and perceptions Fragestellung Perkins HW, Haines MP, Rice R. 158 Misperceiving the college drinking norm and related problems: A nationwide study of exposure to prevention information, perceived norms and student alcohol misuse Querschnittstudie Schinke SP, Cole KC, Fang L. 171 Gender-specific intervention to reduce underage drinking among early adolescent girls: a test of a computer-mediated, mother-daughter program The Sacramento Neighborhood Alcohol Prevention Project: outcomes from a community prevention trial Zielgruppe/ Fragestellung van de Luitgaarden J, Knibbe RA, Wiers RW. 211 Adolescents binge drinking when on holiday: an evaluation of a community intervention based on self-regulation Design Velleman RDB, Templetonl LJ. 214 Substance misuse by children and young people: the role of the family and implications for intervention and prevention Meinungsartikel Zucker RA, Donovan JE, Masten AS, Mattson ME, Moss HB. 226 Early developmental processes and the continuity of risk for underage drinking and problem drinking ...
Prevention of alcohol misuse by children, adolescents and young adults
Abstract
Background
Despite many activities to prevent risky alcohol consumption among adolescents and young adults there is an increase of alcohol intoxications in the group of ten to twenty year old juveniles.
Objectives
This report gives an overview about the recent literature as well
as the German federal preventionsystem regarding activities concerning behavioral and policy prevention of risky alcohol consumption among children, adolescents and young adults. Furthermore, effective components of prevention activities are identified and the efficiency and efficacy of ongoing prevention programs is evaluated.
Methods
A systematic literature research is done in 34 databases using Bool’sche combinations of the key words: alcohol, prevention, treatment, children, adolescents and young adults.
Results
401 studies were found and 59 studies were selected for the health technology assessment (HTA). Most of the studies are done in USA, nine in Germany. A family strengthening program, personalized
computer based intervention at schools, colleges and universities, brief motivational interventions and policy elements like increase of prices and taxes proved effective.
Discussion
Among the 59 studies there are three meta-analyses, 15 reviews, 17 randomized controlled trials (RCT) and 18 cohort studies. Despite the overall high quality of the study design, many of them have
methodological weaknesses (missing randomization, missing or too short follow-ups, not clearly defined measurement parameters). The transferability of US-results to the German context is problematic. Only
a few prevention activities reach a sustainable reduction of frequency and/or amount of alcohol consumption.
Conclusion
The HTA-report shows the need to develop specific and target group focused prevention activities for the German situation. Essential for
that is the definition of target goals (reduction of consumption,
change of behaviour) as well as the definition and empirical validation of risky alcohol consumption. The efficacy of prevention activities should be proven before they are launched. At present activities for the reduction or prevention of risky alcohol consumption are not sufficiently evaluated in Germany concerning their sustainable efficacy.
... Echter, de Noord-Amerikaanse drinkcultuur verschilt erg van de Nederlandse, zeker als het gaat om het drinkgedrag van jongeren in de leeftijd van 13-17 jaar oud (Brand, Saisana, Rynn, Pennoni & Lowenfels, 2007;Johnston, O'Malley, Bachman & Schulenberg, 2009;Van Laar, Cruts, Verdurmen, Van Ooyen-Houben & Meijer, 2008). De drinkcultuur onder jongeren in Nederland is erg 'nat'; het is de norm om vaak en veel alcohol te drinken in sociale situaties (Van de Luitgaarden, Knibbe & Wiers, 2010). Een Nederlands onderzoek toonde aan dat 75 procent van het alcoholgebruik van Nederlandse jongeren plaatsvindt in publieke drinkgelegenheden (Knibbe & Oostveen, 1991), wat het bestaan van een 'natte' drinkomgeving onder jongeren in Nederland bevestigt. ...
Motieven voor het drinken van alcohol zijn de redenen voor de uiteindelijke beslissing die iemand neemt om te gaan drinken en kunnen intern (vanuit de persoon zelf) of extern (door omgevingsfactoren) geïnitieerd worden. In deze studie wordt onderzocht welke motieven veranderingen in het drinkgedrag van Nederlandse jongeren voorspellen (H1) en of omgekeerde causaliteit, waarbij eerder drinkgedrag van jongeren toekomstige drinkmotieven voorspelt, kan worden uitgesloten (H2). In totaal hebben 454 drinkende jongeren van 13-16 jaar tweemaal een vragenlijst ingevuld (in november 2008 en november 2009). Hierin werd de Drinking Motives Questionnaire Revised afgenomen, er werd gevraagd naar hun totale wekelijkse consumptie en hoe vaak zij 6+ glazen gedronken hadden in het laatste half jaar. De resultaten geven weer dat sociale drinkmotieven, in tegenstelling tot ‘enhancement’- en ‘coping’-motieven, het meest voorspellend zijn voor een toename in de totale weekconsumptie en frequentie van 6+ drinken van jongeren. Ook kon omgekeerde causaliteit worden uitgesloten. Voor preventie betekent dit dat het algemene bewustzijn dat ook het drinken om sociale redenen schadelijk is voor jongeren, verhoogd zou moeten worden in Nederland. Ouders en andere belangrijke sociale actoren zouden een actievere rol moeten spelen in het verminderen van de beschikbaarheid van alcohol voor jongeren en het monitoren van hun drinkgedrag.
... However, the North American drinking culture is very different from the Dutch, especially among 13-17-year-olds [27,28]. The peer drinking environment of Dutch adolescents is very 'wet'; the norm is to drink heavily in social situations, and this is socially accepted [29]. A study showing that 75% of the alcohol consumption of Dutch adolescents takes place in public drinking places underlines this assumption [30]. ...
Longitudinal full cross-lagged models are essential to test causal relationships. This study used such a model to test the predictive value of internal (enhancement and coping) and external (conformity and social) drinking motives for changes in alcohol use over time, and tested possible reversed causality (i.e. alcohol use explains later drinking motives).
Longitudinal data consisting of two waves (separated by 1 year) were used to estimate cross-lagged structural equation models.
Three comparable (regarding urbanization and social stratification) Dutch communities.
A total of 454 alcohol-using adolescents aged 13-16 years (mean = 14.8 years, SD = 0.78) at wave 1.
Standardized questionnaires including the Drinking Motive Questionnaire-revised, and items on total weekly consumption and frequency of heavy episodic drinking.
In adolescence, drinking motive preferences are already relatively stable over time. Also, only social motives significantly predicted increases in total weekly consumption and frequency of heavy episodic drinking. No feedback mechanisms by which alcohol consumption explains later drinking motives scores were found.
Among drinking adolescents in a wet drinking culture, such as the Dutch drinking culture, social drinking motives, rather than enhancement or coping motives for drinking, appear to predict overall consumption and frequency of heavy episodic use a year later. Parents and other important social actors have an active role in reducing alcohol availability and monitoring adolescents' drinking.
'Effecten van preventie' is het deelrapport van de Volksgezondheid Toekomst Verkenning 2010 over de effectiviteit van preventieve maatregelen en interventies. Sinds de Preventienota 'Kiezen voor gezond leven' uit 2006 hanteert de overheid in het preventiebeleid een vijftal speerpunten. Het gaat om het terugdringen van roken, overgewicht en overmatig alcoholgebruik en de preventie van diabetes en depressie. Ook wordt de laatste jaren meer aandacht besteed aan het verminderen van gezondheidsachterstanden. Voor al deze onderwerpen worden in dit rapport de preventiemogelijkheden beschreven en kritisch tegen het licht gehouden. Zo wordt een systematisch en zorgvuldig overzicht gegeven van de effecten van preventie.
Alcohol consumption by adolescents is a well-established risk factor with a variety of negative consequences such as violence, aggression, and traffic accidents. Only limited attention, however, has been paid to the context in which most of young people' s alcohol consumption takes place. The potential importance of visiting public drinking places is rarely explained from a developmental perspective. This study addresses this issue by focusing on the relation between pub-going and indicators of social integration, maturing out, and psychosocial well-being in a 17 to 18-year-old population. Adolescents who went to pubs and discos had more friends, more often had a best same-sex friend, spent more time with their friends, had more satisfying contacts with friends, and experienced feelings of loneliness less often. They were also more likely to be involved in a romantic relationship, to have a job, and to place less emphasis on educational aspirations. No differences were found on levels of stress and self-esteem between visitors and nonvisitors. The consequences of these outcomes for further research and prevention policies are discussed.
Communities Mobilizing for Change on Alcohol (CMCA) was a randomized 15-community trial of a community organizing intervention designed to reduce the accessibility of alcoholic beverages to youths under the legal drinking age.
Data were collected at baseline before random assignment of communities to intervention or control condition, and again at follow-up after a 2.5-year intervention. Data collection included in-school surveys of twelfth graders, telephone surveys of 18- to 20-year-olds and alcohol merchants, and direct testing of the propensity of alcohol outlets to sell to young buyers. Analyses were based on mixed-model regression, used the community as the unit of assignment, took into account the nesting of individual respondents or alcohol outlets within each community, and controlled for relevant covariates.
Results show that the CMCA intervention significantly and favorably affected both the behavior of 18- to 20-year-olds (effect size = 0.76, p<.01) and the practices of on-sale alcohol establishments (effect size = 1.18, p<.05), may have favorably affected the practices of off-sale alcohol establishments (effect size = 0.32, p = .08), but had little effect on younger adolescents. Alcohol merchants appear to have increased age-identification checking and reduced propensity to sell to minors. Eighteen- to 20-year-olds reduced their propensity to provide alcohol to other teens and were less likely to try to buy alcohol, drink in a bar or consume alcohol.
Community organizing is a useful intervention approach for mobilizing communities for institutional and policy change to improve the health of the population.
This study, guided by the social development model, examined the dynamic patterns and predictors of alcohol and marijuana use onset.
Survival analysis and complementary log-log regression were used to model hazard rates and etiology of initiation with time-varying covariates. The sample was derived from a longitudinal study of 808 youth interviewed annually from 10 to 16 years of age and at 18 years of age.
Alcohol initiation rose steeply up to the age of 13 years and then increased more gradually; most participants had initiated by 13 years of age. Marijuana initiation showed a different pattern, with more participants initiating after the age of 13 years.
This study showed that: (1) the risk of initiation spans the entire course of adolescent development; (2) young people exposed to others who use substances are at higher risk for early initiation; (3) proactive parents can help delay initiation; and (4) clear family standards and proactive family management are important in delaying alcohol and marijuana use, regardless of how closely bonded a child is to his or her mother.
Clear policies and expectations are key to increasing responsible service of alcohol in licensed establishments. Few training programs focus exclusively on owners and managers of alcohol establishments to reduce the risk of alcohol service. Project ARM: Alcohol Risk Management is a one-on-one consultation program for owners and managers. Participants received information on risk level, policies to prevent illegal sales, legal issues, and staff communication. This nonrandomized demonstration project was implemented in five diverse bars. Two waves of underage and pseudo-intoxicated purchase attempts were conducted pre- and postintervention in the five intervention bars and nine matched control bars. Underage sales decreased by 11.5%, and sales to pseudo-intoxicated buyers decreased by 46%. Results were in the hypothesized direction but not statistically significant. A one-on-one, outlet-specific training program for owners and managers is a promising way to reduce illegal alcohol sales, particularly to obviously intoxicated individuals.
Project Northland was a randomized trial to reduce alcohol use among adolescents in 24 school districts in northeastern Minnesota. Phase 1 (1991-1994), when the targeted cohort was in grades 6-8, included school curricula, parent involvement, peer leadership and community task forces. The Interim Phase (1994-1996) involved minimal intervention. Phase 2 (1996-1998), when the cohort was in grades 11 and 12, included a classroom curriculum, parent education, print media, youth development and community organizing. Outcomes of these interventions were assessed by annual student surveys from 1991 to 1998, alcohol purchase attempts by young-looking buyers in 1991, 1994 and 1998, and parent telephone surveys in 1996 and 1998. Growth curve analysis was used to examine the student survey data over time. Project Northland was most successful when the students were young adolescents. The lack of intervention in the Interim Phase when the students were in grades 9 and 10 had a significant and negative impact on alcohol use. The intervention used with the high school students as those in grades 11 and 12 made a positive impact on their tendency to use alcohol use, binge drinking and ability to obtain alcohol. There was no impact in Phase 2 on other student-level behavioral and psychosocial factors. Developmentally appropriate, multi-component, community-wide programs throughout adolescence appear to be needed to reduce alcohol use.
The Alcohol Expectancy Challenge (EC) is a promising program for changing alcohol expectancies and reducing alcohol consumption in "heavy drinking" young men in a bar-lab setting. In this study the EC was adapted for use in mixed-gender groups in a holiday setting and its feasibility tested in camping resorts in the Netherlands where a lot of binge drinking takes place (summer 2002). Male and female participants (N = 170; mean age, 18.8 years) were randomly assigned to an EC or to an assessment-only control group. One day before the intervention, alcohol expectancies were measured by a Visual Analogue Scale of arousal-sedation expectancies (VAS expectancies questionnaire). At the same time, alcohol use in everyday life and on holiday was assessed by a General Drinking Questionnaire and a 24-hour drinking diary, respectively. Twenty-four hours after the intervention, the VAS expectancies questionnaire was administered again and alcohol use over the previous 24 hours was reported in the drinking diary. Six weeks after the intervention, participants were telephoned and administered oral versions of the VAS expectancies questionnaire and General Drinking Questionnaire. Data were analyzed using mixed ANOVAs. Although the study was hampered by recruitment difficulties, the EC proved feasible in this setting, was well received by youngsters, and effects on their alcohol expectancies may have been present. No effect was found on alcohol use. In conclusion, implementation must be improved and more studies are needed to come to more definite conclusions about the value of the EC in a real-life targeted intervention.
This article reports the results of the Sacramento Neighborhood Alcohol Prevention Project (SNAPP). SNAPP set as its goal the reduction of alcohol access, drinking, and related problems in two low-income, predominantly ethnic minority neighborhoods, focusing on individuals between the ages 15 and 29, an age group identified with high rates of alcohol-involved problems.
Two neighborhoods in Sacramento were selected to be the intervention sites because they were economically and ethnically diverse and had high rates of crime and other drinking-related problems. The quasi-experimental design of the study took a "phased" approach to program implementation and statistical examination of outcome data. Outcome-related data were collected in the intervention sites as well as in the Sacramento community at large. Five project interventions included a mobilization component to support the overall project, a community awareness component, a responsible beverage-service component, an underage-access law enforcement component, and an intoxicated-patron law enforcement component. Archival data were collected to measure and evaluate study outcomes and to provide background and demographic information for the study.
Overall, we found significant (p < .05) reductions in assaults as reported by police, aggregate emergency medical services (EMS) outcomes, EMS assaults, and EMS motor vehicle accidents.
Results from the Sacramento Neighborhood Alcohol Prevention Project demonstrate the effectiveness of neighborhood-based interventions in the reduction of alcohol-related problems such as assaults, motor vehicle crashes, and sale of alcohol to minors.
https://deepblue.lib.umich.edu/bitstream/2027.42/150621/1/Overview 2018 FINAL print 2-25.pdf
Monitoring the Future (MTF) is a long-term study of American adolescents, college students, and adults through age 50. It has been conducted annually by the University of Michigan's Institute for Social Research since its inception in 1975 and is supported under a series of investigator-initiated, competing research grants from the National Institute on Drug Abuse. The 2011 the MTF survey encompassed about 46,700 8th-, 10th-, and 12th-grade students in 400 secondary schools nationwide. The first published results are presented in this report. Recent trends in the use of licit and illicit drugs are emphasized, as well as trends in the levels of perceived risk and personal disapproval associated with each drug. This study has shown these beliefs and attitudes to be particularly important in explaining trends in use. In addition, trends in the perceived availability of each drug are presented. A synopsis of the design and methods used in the study and an overview of the key results from the 2011 survey is presented in the introductory section. These are followed by a separate section for each individual drug class, providing figures that show trends in the overall proportions of students at each grade level (a) using the drug, (b) seeing a "great risk" associated with its use (perceived risk), (c) disapproving of its use (disapproval), and (d) saying they could get it "fairly easily" or "very easily" if they wanted to (perceived availability). For 12th graders, annual data are available since 1975, and for 8th and 10th graders, since 1991, the first year they were included in the study. The tables at the end of this report provide the statistics underlying the figures; in addition, they present data on lifetime, annual, 30-day, and (for selected drugs) daily prevalence. (Contains 17 tables and 9 footnotes.) [For "Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2010," see ED528077.]
This paper presents the findings and lessons from a community prevention trial involving three experimental communities in the United States to reduce alcohol-involved trauma. The paper provides recommendations for other community prevention efforts. Effectiveness was demonstrated by: (a) 78 fewer alcohol-involved traffic crashes as a result of the Drinking and Driving Component alone (approximately a 10% reduction); (b) a significant reduction in underage sales of alcohol, i.e. off-premise outlets sold to minors about one-half as often as in comparison communities; (c) increased implementation of responsible beverage service policies by bars and restaurants; and (d) increased adoption of local ordinances and regulations to reduce concentrations of alcohol outlets.
AIMS/INTERVENTION: The Complying with the Minimum Drinking Age project (CMDA) is a community trial designed to test effects of two interventions designed to reduce alcohol sales to minors: (1) training for management of retail alcohol establishments and (2) enforcement checks of alcohol establishments.
CMDA is a multi-community time-series quasi-experimental trial with a nested cohort design.
CMDA was implemented in 20 cities in four geographic areas in the US Midwest.
The core outcome, propensity for alcohol sales to minors, was directly tested with research staff who attempted to purchase alcohol without showing age identification using a standardized protocol in 602 on-premise and 340 off-premise alcohol establishments. Data were collected every other week in all communities over 4 years. Mixed-model regression and Box-Jenkins time-series analyses were used to assess short- and long-term establishment-specific and general community-level effects of the two interventions.
Effects of the training intervention were mixed. Specific deterrent effects were observed for enforcement checks, with an immediate 17% reduction in likelihood of sales to minors. These effects decayed entirely within 3 months in off-premise establishments and to an 8.2% reduction in on-premise establishments.
Enforcement checks prevent alcohol sales to minors. At the intensity levels tested, enforcement primarily affected specific establishments checked, with limited diffusion to the whole community. Finally, most of the enforcement effect decayed within 3 months, suggesting that a regular schedule of enforcement is necessary to maintain deterrence.
To evaluate a 3-year community intervention programme by measuring changes in drinking patterns in a 15-16-year-old population.
The action programme included five demand-reducing and one supply-reducing interventions. Cross-sectional, non-repeated data were collected from a questionnaire distributed in classrooms from 1999 to 2001 and 2003 (n = 1376, 724 boys and 652 girls; response rate = 92.3%). Stepwise logistic regression analyses were used to determine the relationship between different risk factors and excessive drinking, heavy episodic drinking, purchaser of alcohol and alcohol provided by parents. The results from the intervention community were also compared with similar Swedish cross-sectional data sets.
The results of our analyses indicated a decrease in harmful drinking behaviour in Trelleborg when comparing baseline with postintervention measurements. The comparison with other studies showed that the changes in these indicators were more rapid and consistent in Trelleborg. Finally, the multivariable logistic regression analyses showed that the outcomes were not likely to be attributed to changes in environmental factors.
We concluded that a community action programme based on the systems approach reduced hazardous alcohol consumption effectively among adolescents in Trelleborg.
Expectancy challenges (ECs) were used to change alcohol expectancies and alcohol consumption in young heavy drinking men (age 16-24) on holiday. The intervention took place in community centers and bars. Alcohol expectancies and consumption were assessed with paper and pencil measures prior to the intervention (N=301) and 2 days afterwards (EC: n=178; controls: n=86). Six weeks after the EC, participants were interviewed by telephone (EC: n=163; controls: n=71). The intervention resulted in an increase in sedation expectancies in the EC group. Furthermore, the EC led to a differential reduction in alcohol consumption on a night out at the six-week posttest in the heaviest drinkers only. The reduction in alcohol consumption on a night out was not mediated by the change in sedation expectancies. These findings suggest that further research on the mechanisms of change is necessary before a single-session EC may be used in a real-life prevention setting.
Binge drinking among young people is a problem in the Netherlands. This article outlines the current Dutch approach to alcohol prevention in this target group. It is argued that well-enforced evidence-based control measures are lacking despite renewed political interest in them. Politicians often favor alcohol education, but to increase the effectiveness of alcohol prevention, a combined approach of policy measures, enforcement, and education is needed. Translation of education and policy-based measures is discussed.
Gemeenten laten beslissen over leeftijdsgrens alcoholverkoop [Allowing municipalities to decide on a age limit for alcohol sales
- Ministry
- Health
Jongeren, alcohol en vakantie: Kwantitatieve studie naar het alcoholgebruik van jongeren op vakantie in Nederland en Spanje
- P Van De Hoef
- L Lemmers
- R A Knibbe
Evaluatie zomercampagne 1997 “Lazer op met je zatte kop” [[Evaluation summer campaign 1997 “Bugger off with your boozy talk
- L Lemmers
- Y Willems
- P Thijssen
- C Osterman
Hoe eerder, hoe beter
- Municipality Schouwen-Duiveland
Creating health behavior change: how to develop community-wide programs for youth
- C L Perry
Alle dagen feest?? Een kwalitatieve studie naar omgevingsinvloeden op het alcoholgebruik van jongeren op vakantie
- S Pos
- R Knibbe
- L Lemmers
Startnotitie integraal veiligheidsbeleid Schouwen-Duiveland Alcohol en wapenverbod[Start memorandum integrated safety policy
- Municipality Schouwen-Duiveland
Communities mobilizing for change on alcohol: design of a randomized community trial
- A C Wagenaar
- D M Murray
- M Wolfson
- J L Forster
- J R Finnigan
Prevention of alcohol problems in Dutch youth: missed opportunities and new developments. Evaluation and the Health Professions
- J Van De Luitgaarden
- C Thush
- R W Wiers
- R A Knibbe