Professional Documents
Culture Documents
Underage Drinking
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talks on alcohol
They feel awkward. Alcohol relaxes them and can make them feel more comfortable in their changing bodies and in
social situations.
Their friends are doing it. They want to go along with their peers. Its available. Its illegal for kids to consume alcohol, but its often offered to them, especially during celebrations.
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Some teenagers may open the door for discussion by asking a question. If yours doesnt, initiate the conversation yourselfand do it more than once.
The best evidence says that these conversations need to be repeated, as a teens psychological readiness to hear what adults have to say isnt always apparent. Its also important to have facts on hand, to make your points stick. So be patient, be ready to encounter some resistance and be willing to do it all over again later.
Alcohol slows all brain function. Since adolescent brains are still developing, this can lead to a decrease in thinking ability.
cidents involving alcohol are a leading cause of death among people aged 15 to 20.
School failure, truancy and theft Experimentation with drugs and cigarettes Fights Vandalism
Teens who drink but avoid these problems can still permanently hurt their brains. Data shows that drinking alcohol at a young age can lead to a propensity for dependence on it later in life.
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By the time they reach eighth grade, 29 percent of teens have had at
least one drink, and almost 13 percent report having been drunk.
41 percent of high school seniors say theyve had at least one drink
in the past month. And 24 percent say theyve bingedhad four or ve drinks at a timewithin in the previous two weeks.
But if their friends are drinking or engaging in other risky behavior, pressure to go along can lead to problems.
Peer pressure can be active or passive: Peers might ask a teen explicitly to do something wrong or dangerous, to have a friendly drink, or to drink to avoid being made fun of. Or teens might participate in things they know are wrong in hopes of tting injoining a drinking game at a party, for instance.
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Many adolescents who have been drinking may not have the obvious signs of being drunk but can still suffer physical and psychological effects.
Teens also often get intoxicated much more quickly than adults, because they have lower tolerance for alcohol, less body mass, drink on an empty stomach, drink too quickly or experiment with stronger alcohol mixes.
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references
Johnston, L. D., OMalley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national results on adolescent drug use: Overview of key ndings, 2012. Ann Arbor: Institute for Social Research, The University of Michigan, 83, 2013. National Institute on Alcohol Abuse and Alcoholism. Underage Drinking: A Major Public Health Challenge, Alcohol Alert No. 59, April 2003. National Institute on Alcohol Abuse and Alcoholism, Youth Drinking: Risk Factors and Consequences, Alcohol Alert No. 37, July 1997. Alcohol Use and Delinquent Behaviors Among Youth. The NSDUH (National Survey on Drug Use and Health) Report, SAMHSA, April 1, 2005. Fishman, M., Bruner, A., Adger, H. Substance abuse among children and adolescents. Pediatrics in Review, Vol. 18, No. 11, 1997. Wechsler, H., MD. Binge Drinking and the American College Student: Whats Five Drinks? Psychology Addictive Behaviors, 15:287-291, 2001. Vachon, C.M., Cerhan, J.R., Vierkant, R.A. and Sellers, T.A. Investigation of an interaction of alcohol intake and family history on breast cancer risk in the Minnesota Breast Cancer Family Study. Cancer 92(2):240248, 2001. Hayes, R.B., Brown, L.M., Schoenberg, J.B., et al. Alcohol use and prostate cancer risk in U.S. blacks and whites. American Journal of Epidemiology, 143 (7): 692-697, 1996.
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The Brain
Alcohol slows all brain function. Since adolescent brains are still developing, this can lead to a decrease in thinking ability. Learning disabilities can result from damage to the hippocampus the part of the brain responsible for learning and memory. Excessive alcohol use has also been linked to short and long term memory problems, loss of balance, peripheral neuropathy (nerve problems causing numbness and pain) and dementia.
The Blood
Chronic alcohol use may result in anemia, or low blood count, due to blood loss from bleeding and inammation of the stomach lining, as well as nutrient and vitamin deciency. Low platelets from alcohols toxic eect on the bone marrow can result in easy bruising and bleeding.
The Stomach
Overconsumption of alcohol is dangerous to the stomach lining, and may result in inammation or severe ulcers.
The Liver
Alcohol is broken down in the liver. Excessive alcohol abuse has been linked to alcoholic hepatitis, fatty liver and cirrhosis, or scarring of the liver. Symptoms include abdominal pain, jaundice (yellow skin and eyes), bloated stomach and vomiting of blood.
The Pancreas
Chronic alcohol use can result in pancreatitis, a toxic inammation of the pancreas, which can lead to weight loss and malnutrition. Symptoms of pancreatitis include nausea, vomiting and pain when eating.
Some studies suggest that breast and prostate cancer may be associated with chronic alcohol use. Women who drink excessively while pregnant have a risk of bearing a child with a congenital problem called fetal alcohol syndrome.
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LEVELS OF INTOXICATION
BAC 0.05 0.10
Alcohols primary eect is on the brain, leading to intoxication. Initial effects:
0.05
Lowered inhibitions Many adolescents report that alcohol relieves tension and makes them feel more socially at ease, however, judgment and physical reactions may already be impaired.
0.10
Common symptoms: Impaired coordination Irritability Slurred speech Poor balance Delayed reex time Nausea and vomiting Loud and aggressive behavior
0.20
Many adolescents who have been drinking may not have the obvious signs of being drunk, but can still suer physical and psychological eects.
0.25
0.30
Extreme sleepiness Slow, shallow breathing An inability to be awoken Immediate medical attention may be necessary at this stage.
0.35
Have pinpoint pupils and slow breathing Have low blood pressure and decreased heart rate Vomit and then choke on the vomit and suocate Enter coma state
0.45
BLOOD ALCOHOL LEVELS ABOVE 0.40 PERCENT CAN BE LETHAL. THIS IS CALLED ALCOHOL POISONING.
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author
Karen Soren, MD
Associate Professor of Pediatrics and Public Health Columbia University Medical Center Director of Adolescent Medicine NewYork-Presbyterian Morgan Stanley Childrens Hospital
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