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Teenage Drinking: The Effectiveness of Intervention Programs

Posted on June 2, 2012June 6, 2012 by JL Admin

The following table, taken from the March 2002 issue of Pediatrics gives us some interesting insights:

 TABLE 1. Estimates of the Effects of Intervention Based on a
Logistic Regression Analysis with Adjustment for Child and
Family Baseline Characteristics and Clinic Pair
      Alcohol/Tobacco Outcomes          Adjusted * OR for Alcohol
                                          and Tobacco Arm to
                                              Safety Arm
               Outcome                   12 Months OR      P Value
                                          (95% CI)
 Alcohol
  Child ever drinker
    Among all subjects                1.17 (0.92, 1.48)     .20
Tobacco
  Child ever smoked
    Among all subjects                1.05 (0.80, 1.39)     .71
  Child ever used smokeless tobacco
    Among all subjects                1.00 (0.39, 2.54)     .99

Child and Parent Telephone Interviews

          Intervention Arm              Alcohol and        Safety
         Telephone Topics               Tobacco
                                     Parent   Child   Parent   Child
 Continued prevention communication
  within family                       97%      75%     77%      67%
Family policy with consequences in
  place                               50%      32%     46%      46%
Recent visit to pediatric practice    85%      83%     83%      85%
The project helps our family talk
  about risks                         89%      80%     85%      90%
The project has impact on me          66%      82%     76%      82%
TABLE 3. Baseline Demographic Characteristics
of Participating Children and Parents

Recommendations:

In light of the gravity of the prevailing situation, effective intervention strategies need to be implemented.  Some of them include – “a legal imposition of minimum drinking age, screening and brief intervention, and increasing alcohol taxes” in order to discourage underage alcohol consumption and adverse health and social outcomes resulting from this it (Miller, et. al., .2007).

In addition to the above discussed school programs, the National Minimum Legal Drinking Age Act alongside the zero-tolerance laws have gone a long way in bringing down automobile accidents caused by teenagers.  However, only a few more such intervention efforts have been implemented.  Given that the few existing programs lack proper financial backing and wholehearted community involvement, a comprehensive plan of remedy is called for (Miller, et. al., .2007).

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