Evaluating Community Driven Strategies to Prevent Underage Drinking Parties

项目摘要/摘要：尽管美国最低法定饮酒年龄21岁已经实施了近四分之一个世纪，但酒精仍然是美国青少年滥用最严重的物质。据估计，未成年人饮酒每年导致约5 000人死于机动车事故和其他原因，以及各种健康和心理社会问题。未成年人饮酒派对通常会导致大量饮酒和与酒精相关的后果。因此，许多当地社区正在采取战略，包括政党巡逻、房东租赁协议、公共宣传活动和社会东道主条例，以防止或减少未成年人饮酒派对的数量和规模。拟议的项目将使用以社区为基础的参与式方法来评估地方努力的影响，以实施一套全面的环境战略，以解决未成年人饮酒作为青少年饮酒的高风险环境问题。具体地说，我们将与12个干预社区和12个延迟干预社区的联盟合作，建设社区能力，并动员社区制定、实施和执行以证据为基础的有希望的战略，以防止未成年人饮酒。我们将评估战略的实施情况、对以未成年人饮酒聚会为重点的执法的影响、关于这些聚会的社区规范，以及对潜在执法和制裁东道主的认识。我们还将研究干预对寄宿行为、青少年行为以及更远端行为和社区结果的影响。维克森林医学院的研究小组将与美国社区禁毒联盟、联盟咨询委员会和24个当地社区的联盟合作开展这一项目。

Project Summary/Abstract: Despite the U.S. having a Minimum Legal Drinking Age of 21 in place for nearly a quarter of a century, alcohol remains the most heavily abused substance by adolescents in the United States. It is estimated that underage drinking results in approximately 5,000 deaths from motor vehicle accidents and other causes every year, as well as a variety of health and psycho-social problems. Underage drinking parties are events that often entail high levels of drinking and alcohol-related consequences. As a result, many local communities are pursuing strategies, including party patrols, landlord lease agreements, public information campaigns, and social host ordinances, to prevent or reduce the number and size of underage drinking parties. The proposed project will use a community-based participatory approach to assess the impact of local efforts to implement a comprehensive set of environmental strategies to address underage drinking parties as a high-risk setting for youth drinking Specifically, we will partner with coalitions in 12 Intervention communities and 12 Delayed Intervention communities to build community capacity and mobilize communities to develop, implement and enforce evidence-based and promising strategies to prevent underage drinking parties. We will assess the implementation of strategies, impact on law enforcement focus on underage drinking parties, community norms regarding these parties, and awareness of potential hosts of enforcement and sanctions. We will also examine the impact of the intervention on changes in hosting behavior, youth behavior, and more distal behavioral and community outcomes. The research team at Wake Forest School of Medicine will partner with Community Anti-Drug Coalitions of America, a Coalition Advisory Board, and coalitions in 24 local communities to carry out this project.