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Alcohol

Booze, sauce, brews, brewskis, hooch, hard stuff or juice, no matter what you call it, if you aren’t 21…call it illegal.

Know the Facts

  • Alcohol is the #1 misused drug among young people in the U.S. (Kann et al., 2000).
  • The average age youth first try alcohol is 11 years old for boys and 13 years old for girls (Lebelle, 2000).
  • 50% of eighth graders have had at least one drink (U.S. Department of Health and Human Services, 2003).
  • Nearly four out of every five students have tried alcohol by the end of high school (and we are not talking sips of your parents’ wine) (NIH Publications, 2005).
  • In a survey of 18 to 24 year old current drinkers who failed to graduate from high school, nearly 60% had started drinking before age 16 (Be Responsible About Drinking, Inc., n.d.).
  • Alcohol was linked to reports of date rape in 1 out of 10 high school girls (Be Responsible About Drinking, Inc., n.d.).
  • Between the ages of 19 to 24 is associated with the highest occurrence of periodic, heavy alcohol consumption during the life span (Be Responsible About Drinking, Inc., n.d.).
  • Alcohol is linked to 1,400 student deaths in college and 500,000 unintentional injuries each year (U.S. Department of Health and Human Services, 2002).
  • Alcohol kills 6.5 times more youth than all other illicit drugs combined (Be Responsible About Drinking, Inc., n.d.).
  • Drinking and driving is the number one killer of Americans between the ages of 17 and 24 (California State University Sacramento Psychological Services, n.d.).
  • One person is killed every 22 minutes in a drunk driving accident (Montana State Highway Traffic Safety Office Department of Transportation, 2004).

What is alcohol?

Alcohol is a drug. It is a depressant, a downer, which means that it has a tranquilizing effect on people. Its scientific name is ethyl alcohol. Many alcoholic drinks actually have different amounts of alcohol in them. To keep things equal, therefore, a standard drink has 1.2 tablespoons of pure alcohol, (a.k.a. ethanol) (U.S. Department of Health and Human Services, n.d.). Drinking 12 ounces of beer has the same amount of alcohol as 5 ounces of wine, a 4 ounce cocktail or 1.5 ounces of hard liquor (Wikipedia, 2005).

Alcohol affects everyone differently. There is no set amount of alcohol that defines when one is “drunk.” This level varies from person to person. When drinking with others, it is important to remember that each person has their own limit. Not realizing this fact can be very dangerous, and can lead to alcohol overdose (remember, it is a drug). Some of the main factors that influence how alcohol will affect someone are their age, gender, physical condition, how much food they ate and any medications they might be on (Chudler, 2005).


Where does the alcohol actually go in the body?

  1. Alcohol enters through the mouth.
  2. 20% of the alcohol stays in the bloodstream of the stomach.
  3. The remainder of the alcohol enters the bloodstream through the walls of the small intestine.
  4. The heart then pumps the alcohol throughout the body, even to the brain.
  5. When alcohol enters the liver, it is broken down into water, Carbon Dioxide and energy at a rate of 0.5 ounces per hour. (Chudler, 2005)

How does alcohol affect the body?

Visible short-term Effects on the Body
(Chudler, 2005)

Small amounts of alcohol:

  • Relaxes the body
  • Reduces tension
  • Lowers inhibitions
  • Impairs concentration
  • Slows reflexes
  • Impairs reaction time
  • Reduces coordination

Medium amounts of alcohol:

  • Slurs speech
  • Causes drowsiness
  • Alters emotions
  • Increases anxiety, aggression

Large amounts of alcohol:

  • Induces vomiting
  • Causes breathing difficulties
  • Unconsciousness
  • Alcohol poisoning
  • Coma

Invisible short-term effects on the body
(U.S. Department of Health and Human Services and Samsha’s National Clearinghouse, n.d.)

Brain

When alcohol reaches the outer brain it distorts judgment and lowers inhibitions, while producing a sense of pleasure (euphoria). As more alcohol is guzzled, coordination and perception are affected and sometimes people experience black outs. When alcohol reaches the middle of the brain, reflexes decrease, a state of near-unconsciousness occurs and the person may lapse into a coma. The hangover the next day is due to lack of water and sugar in the brain. If so much alcohol is drank that it seeps into the inner core of the brain, heart rate drastically reduces and breathing stops leading to death.

Stomach & intestines

Alcohol irritates the stomach causing heartburn and ulcers. Alcohol use may cause cancer of the esophagus, stomach, and intestines.

LIVER

The liver suffers the most damage, leading to destruction of liver cells and fat accumulation. The liver’s job is to keep poisons like germs and bacteria out of our blood. Too much drinking may lead to Cirrhosis, a disease that damages the liver and ultimately results in death.

Reproductive system

Alcohol decreases testosterone in the male. Alcohol leads to decreased sexual performance and is toxic to the unborn child causing permanent tissue and organ damage.

Long-term effects of drinking

(U.S. Department of Health and Human Services and Samsha’s National Clearinghouse, n.d.)

Killing brain cells
Memory Loss
Damaging Liver Tissue
Cirrhosis
High Blood Pressure
Strained Heart Muscles

Stomach Ulcers
Loss of Appetite
Vitamin Deficiencies
Impotence
Skin Problems
Central Nervous System Damage

Do you wonder why you may be tempted to use alcohol?
Do you wonder why your friends abuse alcohol?
Is it hard for you to understand why kids your age drink?

Because everyone’s lives and experiences are so different from one another, it is important to understand how such a common problem like alcohol abuse can begin. Cognitive factors, peer pressure, and genetics all play major roles in what kids are exposed to and what problems may develop.

Cognitive factors, or how you think about stuff, affect how young adults prioritize activities such as alcohol or drug use. Risks such as sexual behavior, extreme sports, and drinking alcohol appear more desirable to adolescents, this may be due to the Behavior Decision Theory. This theory dictates that adolescents “calculat[e] the costs and benefits of alternative courses of action and behav[e] in ways that maximize the benefits and minimize the costs” (Steinberg, 89). By prioritizing wants and needs along with the possible consequences that accompany each option, the teen figures out what is best for them. Though the decision to drink may involve negative consequences, the consequences of not taking part in the action may be worse for the individual. Along with this theory, the desire to look “cool” to others becomes a main factor in alcohol abuse. When adolescents watch television, read magazines, or see friends in social situations, they get and give messages that drinking alcohol is a normal, fun part of adolescence. The truth of the matter is, not only is drinking illegal, but it may lead to false and empty relationships that aren’t really satisfying in the end (Steinberg, 87).

One of the reasons risky behaviors, such as alcohol use and abuse, become such a problem in adolescence is that teenagers are frequently unsupervised by parents or adults. Peer pressure becomes increasingly more powerful when kids are surrounded by solely their peers rather than peers and parents. When in social situations without adult supervision, peer influence intensifies and risky decisions such as drinking becomes much harder to reject (Steinberg, 92).

Because adolescents tend to spend more time with peers than family, the type of people kids choose to for friends are really important. These friends form groups that are called “reference groups.” These reference groups “provide their members with an identity in the eyes of other adolescents” (Steinberg, 181). They can form a complete persona for someone within their group. When an adolescent associates themselves with one of these groups, they (whether intentionally or not) associate themselves with the characteristics of the group as well. If their reference group is known for drinking or partying, other peers will see this individual as a drinker as well (even if that person does not drink). When the identity is formed for the teenager, they are more likely to conform to the already-chosen traits than if they had not been associated with the group to begin with.

Self-confidence can be such a struggle for developing teens, and crowds can dictate how this emotional battle plays out. Because crowds (and peer approval/disapproval) provide the most feedback to an individual during adolescence, it can become crucial that the teen conforms to whatever the crowd will most likely accept. If drinking is a common habit among the most popular crowds, the individual will strive to take on these characterizes as well in order to gain their approval (Steinberg, 181).

Factors within the home can influence adolescents to start drinking as well. If one or both parents have drinking problems, their child is more likely to develop a problem as well. Other problems that stem from alcoholic parents include delinquent behavior, ADD or ADHD, drinking problems and learning disabilities. Because adolescents’ attitude towards alcohol come (in part) from their home environment, parents must set a good example for alcohol rules and behaviors in front of their children. Parents that don’t condemn or clearly state the rules of drinking (or simply abuse alcohol themselves) pass on the attitude that it is normal to drink or the attitude that underage drinking is not as bad as people (or the law) make it out to be. “Sons of alcoholic men have a 1in 4risk of becoming alcoholics. Daughters of alcoholics are also at increased risk for alcoholism and are more likely to marry alcoholic men, thereby continuing the cycle of family problems with alcohol” (AAP Policy, Alcohol Use and Abuse: A Pediatric Concern). Because women raised in a house with at least one parent with drinking problems are more likely to marry someone with a drinking problem as well, this pattern simply continues.

Adolescent Alcohol Abuse

Alcohol is not just abused by adults. In fact, adolescents are at a major risk of making potentially life-threatening decisions about alcohol. A study found that over seven million kids between the ages of 12 and 20 admitted to drinking at least five times a month (U.S Department of Health and Human Services, 2002 National Survey).

Young people frequently feel that they are invincible, but alcohol is just as dangerous for teens as it as for adults--if not more! Adolescents do not have the experience that adults do regarding alcohol, so the decisions they make may not be well thought out and therefore, may be very risky.

Alcohol abuse seems to have a genetic influence. If parents are alcoholics, their children are at a greater risk of being alcoholics also. This does not mean that alcoholism is entirely genetic, however. Just because a child does not have alcoholic parents does not mean that he or she is not at risk to be an alcoholic (Sher, “Biological Factors and Adolescent Alcohol Use.”).

Alcohol is the leading cause of death in adolescents. Through car crashes, other accidents, and alcohol poisoning, alcohol kills more adolescents than any other cause of death including illness, homicide, and suicide. Over 5,000 people under the age of 21 die a year from alcohol related causes (The National Institute on Alcohol Abuse and Alcoholism).

Early binge drinking can lead to greater problems…

What is binge drinking? Binge drinking is drinking 5 or more drinks at one time. Did you know that lifelong drinking patterns often begin far sooner than high school and can be traced back to middle school drinking experiences (Guilamos-Ramos, 2005)? Middle school marks a difficult transition for anyone, but especially difficult for those that have moved, been forced to move or faced with great tragedy, such as those Hurricane Katrina survivors. Thus, for many teens alcohol seems to be a temporary cure for their problems. Binge drinking rates increases from 8% to 17% from seventh grade to eighth grade (Guilamos-Ramos, 2005). That means that almost 1 out of 5 thirteen year olds binge drink. Even scarier, is that a smaller number of teens understand the consequences that drinking has on the body. Please learn about the short-term and long-term effects of binge drinking because knowledge about the effects might just be the best deterrent.

Why and When?

Adolescents oftentimes get pressured into drinking. Peer pressure is one of the major factors in adolescent drinking. The amount of adolescents that drank increased over 1.8 million from 1990 to 2000. (U.S. Department of Health and Human Services, 2002 National Survey)

By the age of 15, many adolescents are already drinking on a regular basis. A study found that over forty percent of adolescents who drink before the age of fifteen will show signs of dependency on alcohol throughout their lives. If the average age of drinking is under the age of fifteen that means that many adolescents will rely on alcohol at some point in their lives. The decisions that we make as adolescents can stay with us for our entire lives. Important decision making regarding alcohol is necessary! (U.S. Department of Health and Human Services, 2002 National Survey)

Prevention

It’s time now to look at how you can prevent alcohol from taking over your life. In an ideal world, none of us would be affected by alcohol. You and your friends would be free from the brainwashing messages of our society and the media. You wouldn’t be pressured into drinking at a party. You wouldn’t have to worry about your friend’s substance abuse problem. Ideally, nobody would have to face the devastating effects of alcohol abuse.

Unfortunately for many of us, the problem of alcohol abuse does exist. Kids like you see and hear things about alcohol in your families, communities and society. The media shows you that alcohol use can be a source of entertainment, and even happiness. It is easy to buy into these messages and to want to use alcohol yourself. However, there are two things you should keep in mind: alcohol is dangerous, and it is a drug. There is no happiness or fun in being addicted to alcohol. Our goal as a nation then should be to prevent substance abuse in every community – that is to stop the problem before it can begin. By bringing effective prevention programs to every community we can all work together to reach this goal.

Let’s look at some prevention strategies that can help you keep alcohol from taking over your life.

Recognize Existing Laws and Regulations!

Most kids agree that alcohol is easy to get in social, economical and commercial ways. Many kids find alcohol in their parents’ homes or from their friends’ parents. Others seek older friends and siblings to purchase alcohol for them, and many find stores who will illegally sell alcohol to underage minors. The reason that many of your friends choose to drink is because they can easily get alcohol. Help your friends avoid addiction and abuse by reminding them that it is illegal to obtain, possess and drink alcohol! Remind them that it’s unreasonable and irresponsible to think that you won’t get in trouble for underage drinking – you can even be arrested for underage drinking. Remind them of other peers who have been in trouble with the law for drinking (Leadership, 2004).

Change the Norms and Behaviors!

Too many people in today’s world think that underage drinking is inevitable. If you or your friends think that drinking is the only thing to do for fun or that drinking at your age is normal or okay, think again. Plan ahead so you and your friends don’t get stuck in a situation where drinking is all you can do. Try coming up with different activities, like a trip to the movies, the mall, a concert, or a sports game. Join a youth center or club, especially one in which you can make a difference in the world. It will feel a whole lot better than a hangover or relationships that are all about peer pressure and fitting in. (Leadership, 2004)

Here are prevention programs that you can bring to your community to help prevent your friends and peers from using and abusing alcohol

“Across Ages” http://modelprograms.samhsa.gov/ is a school and community based prevention program for youth between the ages of 9 and 13 years. This program works to strengthen the relationships between you and the adults in your community. Through a comfortable trusting relationship with a positive role model, you can get the support you need in making positive decisions. Through this program you can learn about health and substance abuse while developing healthy attitudes, intentions, and behavior toward drug use. (Model Programs, 2005).

Information from http://www.alcoholfreechildren.org/

    “ProjectALERT” http://www.projectalert.com/ is a program currently being utilized by kids just like you all over the country! This project teaches students the actual skills for resisting substance use. Through this program, you and your classmates can work together towards making your school substance free. Wouldn’t it be cool to have the guts to say no to alcohol and drugs under pressure? That’s exactly what this program can help you to do (Project Alert, 2005).

Where Can I Get Help?

If you or a friend is struggling with alcohol abuse, there are many people and programs you can turn to for help. Just pick up the phone and call an anonymous hotline for advice (TheAlcohol and Drug Information hotline phone number is 1-800-729-6686). Or, go see your school guidance counselor. You can even go to your parents or your friend’s parents to ask for help. In case you are worried that if you go to your parents for help they will be too upset with you for using alcohol to help, put that worry to rest. Any parent would obviously rather their child come to them honestly and ask for help than get a phone call in the middle of the night saying that their son or daughter has been involved in an alcohol related accident. So, get help before it’s too late.

Once you reach out to somebody that you trust for help, there is a wide range of treatment services that you or your friend could become involved with to get free from alcohol abuse. These include self-help, psychotherapy, and community programs. Some examples are highlighted below:

  • “Project Options” http://modelprograms.samhsa.gov/ is a uniquely designed intervention program by members of the University of California at San Diego community. This program was created based on ideas of youth just like you. As an intervention program designed by kids your own age, the members of UCSD hope that you will feel more comfortable coming forward to engage in the program. The program holds group meetings in a classroom setting, individual meetings in an office setting, and an interactive online website that you can go to for help (Model Programs, 2005).
  • “BASICS” http://modelprograms.samhsa.gov/ Brief Alcohol Screening and Intervention is a program for older adolescents and young adults aged 18 to 24 years old. This program is for you if you or a friend thinks that heavy drinking has become a part of your lives. This program is intended to get you out of harms way; to avoid the risk of alcohol-related problems such as poor class attendance, missed assignments, accidents, sexual assault, and violence. This program is especially for you if you want to avoid confrontation and judgments. The people who are there to help you empathize with your substance abuse and just want you to recognize your destructive decisions (Model Programs, 2005).
  • “Self-Intervention”If you do not yet feel comfortable reaching out to somebody you trust to ask for help, there are self-intervention programs out there for you. A self-intervention program is set up so that a teenager or young adult can receive personalized assessments without anybody knowing. If you or a friend of yours is worried that they may have a drinking problem, websites such as Boston University’s alcoholscreening.org provides a brief questionnaire and generates personalized results based on your age, gender and drinking patterns. The site also includes really helpful information on alcohol use, health consequences of excess drinking, and helpful tips to getting yourself or another help.

  • “Outpatient and inpatient medical care and counseling”You can get medical help and counseling as from hospitals or medical clinics where doctors will help you manage with the physical symptoms of withdrawal, as well as the psychological struggles that come with alcohol abuse. (Alcohol Treatment, n.d.). Three types of counseling are:
  • “Client Centered or Person Centered Therapy” reminds you that you have power your own life! The counselor will work with you to sort through your thoughts, emotions, behaviors and choices without any judgment. You can talk with this expert in an environment where you are treated with positive regard and trust; the counselor helps you work towards self directed grown and change (Counseling, 2000).
  • “Cognitive Therapy” aims more at correcting any negative self images and thought patterns that you might have of yourself. It focuses on correcting these bad thoughts which may be leading you to troublesome and destructive behaviors. The goal of cognitive therapy is to replace negative thinking with a positive, balanced view of your self that will lead to productive behavior (Counseling, 2000).
  • “Family Therapy” Besides individual counseling, treatment that also is effective includes your whole family to initiate positive family dynamics in the face of dysfunction. By decreasing any conflict within your family regarding your use with alcohol, and increasing your communication amongst one another, all members of your family can learn to negotiate and compromise, which will ease the pains of dealing with alcohol abuse.
  • “Therapeutic communities” These are small communities where you can live for some period of time. Such communities have begun to be modified to fit the needs of kids your age with the most severe alcohol abuse and dependency. The community provides a safe environment where you can learn about and experience what it’s like to live a healthy lifestyle.

“Self-help and Group help.” Self-help has become a central part of treatment when used in addition to therapy, or outpatient and residential programs. Self-help programs will help you with emotional issues, behavior problems and mental health problems. They will help you learn how to enjoy life free from substance abuse. Many kids find that support and self help groups give them great emotional support, coping skills and strategies towards positive changes (Self Help, 2000). An example of a self-help or group help program is Al-Anon (http://www.al-anon.alateen.org/). Al-Anon family groups provide a place and time for family members and friends to share thoughts, experiences, hopes, stresses and whatever else may come to mind in order to solve a common problem. Alcoholism is a family illness and its dynamics effect the entire family. Al-Anon and Alateen members are people just like you and me who feel that somebody else’s drinking has affected their lives. Together, members will provide each other with understanding and encouragement. (Al-Anon, 2004).