• JULIE SOUTHERNWOOD Senior Lecturer, Faculty of Health and Wellbeing, Sheffield Hallam University, 36 Collegiate Crescent, Sheffield, S10 2BP, UK, +44114 225633


Underage drinking, health outcomes, drinking culture, and youth culture.


The author suggests the concept of ‘underage drinking’ is a social construct which at the discursive level pathologises young people as deviant even though the societal context in which it takes place established alcohol consumption as normative in Western, non- Muslim, cultures associated with alcohol use. The case is made for differentiating between levels of risk in order to more effectively target interventions to young people most likely to develop harmful drinking behaviours.Multiple electronic databases were searched to identify trajectory studies examining the risk for adverse health and social outcomes of underage consumption of alcohol published within the last 10 years. Trajectory studies report the majority of adolescents drink in moderation and develop into moderately drinking adults. However, the context of drinking is an influencing factor as to the outcomes of drinking behaviour with high levels of drunkenness more likely to lead to poor health and social outcomes.There is a role for health professionals to support the agency of young people and work together to provide support and education to reduce the risk of maladaptive drinking behaviours, whilst understanding the social consumption of alcohol in the transition to adulthood.


Alcohol Problems and Solutionsnd.Minimum Legal Drinking Ages around the World [Online] Available at: http://www2.potsdam.edu/hansondj/ LegalDrinkingAge.html Accessed 14th August, 2012.

Best, D., Manning, V., Gossop, M., Gross, S. and Strang, J. 2006.Excessive drinking and other problem behaviours among 14-16 year old schoolchildren.Addictive Behaviours,3, 1424-1435.

Bonomo, Y., Coffey, C., Wolfe, R., Lynskey, M., Bowes, G. and Patton, G. 2001.Adverse outcomes of alcohol use in adolescents.Addiction,96, 1485-1496.

Brown, S.A., McGue, M., Maggs, J., Schulenberg, J., Hingson, R., Swartzwelder, S., Martin, C., Chung, T., Tapert, S., Sher, K., Winters, K., Lowman, C. and Murphy,S. 2009.Underage alcohol use. Summary of developmental processes and mechanisms: Ages 16-20.Alcohol Research and Health, 32 (1), 41-52.

Brown, S.A.and Tapert, S.F. 2004.Adolescence and the trajectory of alcohol use: Basic to clinical studies Annals N.Y. Academy of Science,1021, 234-244.

Burney, E. 2005.Making People Behave: Anti-Social Behaviour, Politics and Policy.Willan Publishing, Portland.

Burr, T. (2008)Reducing Alcohol Harm: health services in England for alcohol misuse.Department of Health, London.

Carney, J. 2010.Police target underage drinkers.South China Post. 05/12/2010.

CASP Nd.Critical appraisal skills programme [Online] Available at: http://www.caspuk.net/wp-content/uploads/2011/11/CASP_Cohort_Appraisal_Checklist_14oct10.pdf Accessed 12th July, 2010.

Coleman, L. and Cater, S. 2005)Underage ‘risky’ drinking: Motivations and outcomes.Joseph Rowntree Foundation, York.

Danielsson, A., Wennberg, P., Tengstrom, A. and Romelsjo, A. 2010.Adolescent alcohol use trajectories: Predictors and subsequent problems.Addictive Behaviours,35,848-852.

Davis, R. 2010.Society: Someone to watch over you: Does the use of cameras help to tackle antisocial behaviour? The police and public in Cornwall think so, but there are concerns about civil liberties.The Guardian. 06/09/2010.

Department for Children, Schools and Families, The Home Office, Department of Health 2008.Youth Alcohol Action Plan. TSO, London.

Department of Health 2008.Statistics on Alcohol: England 2007. The NHS Information Centre,London.

Donovan, J. 2004.Adolescent alcohol initiation: A review of psychosocial risk factors.Journal of Adolescent Health,35 (6), 529-540.

Doran, N. 2008.Decoding ‘encoding’. Moral panics, media practices and Marxist presuppositions.Theoretical Criminology,12 (2), 191-221.

Duncan B.C., Thatcher, D.L.and Tapert, S.F. 2008.Alcohol, Psychological Dysregulation and Adolescent Brain Development.Alcoholism: Clinical and Experimental Research,32 (3), 375-385.

Elkin, F. and Handel, G. 1972.The child and society: The process of socialisation. 2nd Ed.Random House,New York.

Foley, K.L., Altman, D., Durant, R.H.and Wolfson, M. 2004.Adults’ approval and adolescents’ alcohol use.Journal of Adolescent Health,34 (5), 345-354.

Gil, A.I., and Molina, J.A. 2007.Human development and alcohol abuse in adolescence.Applied Economics,39, 1315-1323.

Gray, R. 2005.Goodies or Hoodies?Scotland on Sunday. 15/05/2005.Health and Social Care Information Centre, Lifestyles Statistics. 2012.Statistics on Alcohol.England 2012. ICNHS. [online] Available at: http://www.ic.nhs.uk/webfiles/publications/003_Health_Lifestyles/Alcohol_2012/Statistics_on_Alcohol_England_2012.pdf. Accessed 14th August, 2012.

Hibell,B.,Guttormsson, U., Ahlström, S., Balakireva, O.,Bjarnason, T., Kokkevi, A. and Kraus, L. 2009.The 2007 ESPAD Report. Substance Use Among Students in 35 European Countries.[Online] Available at: http://www.ias.org.uk/newsroom/uknews/2009/news300309/espadreport_mar09.pdf Accessed 14th August, 2012.

Hoel, S., Eriksen, B.M., Breidablik, H.J. and Meland, E. 2004.Adolescent alcohol use, psychological health, and social intergration.Scandanavian Journal of Public Health,32, 361-367.

HM Government 2012.The Government’s Alcohol Strategy.[Online] Available at:http://www.official-documents.gov.uk/document/cm83/8336/8336.pdf. Accessed 14th August, 2012.

HM Government 2010.Healthy Lives, Healthy People: Our strategy for public health in England.TSO, London.

Home Office 2010.Amended guidance issued under Section 182 of the Licensing Act 2003.[Online] Available at: http://www.officialdocuments.gov.uk/document/other/9781849873499/9781849873499.pdfAccessed 14th August, 2012.

Institute for Alcohol Studies 2007.Adolescents and Alcohol. IAS Factsheet.IAS,Cambridge.

Jiang, X., Li, D., Boyce, W.and Pickett, W. 2008.Alcohol Consumption and Injury Among Canadian Adolescents: Variations by Urban–Rural Geographic Status. Journal of Rural Health,24 (2), 143-148.

Kirkby, D. 2003.‘Beer, Glorious Beer’: Gender Politics and Australian Popular Culture.The Journal of Popular Culture,37 (2), 244-256.

Kloep, M., Hendry, L.B., Ingebrigtsen, J.E., Glendinning, A. and Espnes, G.A. 2001.Young people in ‘drinking’ societies? Norwegian, Scottish and Swedish adolescents’ perceptions of alcohol use.Health Education Research,16 (3), 279-291.

Lunnay, B., Ward, P. and Borlagdan, J. 2011.The practise and practice of Bourdieu: The application of social theory to youth alcohol research.International Journal of Drug Policy, 22, 428-436.

Lavikainen, H.M. and Lintonen, T.P. 2009.Alcohol use in adolescence. Identifying harms related to teenager’s alcohol drinking.Journal of Substance Misuse,14 (1), 39-48.

Maggs, J.L. and Schulenberg, J.E. 2004.Trajectories of alcohol use during the transition to adulthood.Alcohol, Research and Health,28 (4), 195-201.

Malone, K. 2002.Street life: youth, culture and competing uses of public space.Environment and Urbanisation, 14 (2), 157-168.

Marsden, J., Boys, A., Farrell, M., Stillwell, G., Hutchings, K., Hillebrand, J. and Griffiths,P. 2005.Personal and social correlates of alcohol consumption among midadolescents. British Journal of Developmental Psychology,23, 427-450.

Martino, S.C., Collins, R.L., Ellickson, P.L., Schell, T. and McCaffrey, D. 2006.Socioenvironmental influences on adolescents’ alcohol outcome expectancies: a prospective analysis. Addiction,101, 971-983.

Masten, A.S., Faden, V.B., Zucker, R.A. and Spear, L. 2008.Underage drinking: A developmental framework.Pediatrics,121, Supplement 4, S235-S251.

McQueeny, T., Schweinsburg, B.C., Schweinsburg, A.D., Jacobus, J., Bava, S., Frank., L.A and Tapert, S.F. 2009.Altered white matter integrity in adolescent binge drinkers. Alcoholism: Clinical and Experimental Research,33 (7), 1278-1285.

Nash, S.G., McQueen, A. and Bray, J.H. 2005.Pathways to adolescent alcohol use: family environment, peer influence and parental expectations.Journal of Adolescent Health,37, 19-28.

Nelson, T.F., Naimi, T.S., Brewer, R.D. and Wechsler, H. 2005.The state sets the rate: The relationship of college binge drinking and state binge drinking rates and selected state alcohol control policies.American Journal of Public Health,95 (3), 441-446.

Oesterle, S., Hill, K.G., Hawkins, J.D., Guo, J., Catalano, R.F. and Abbott, R.D. 2004.Adolescent heavy episodic drinking trajectories and health in young adulthood. Journal of theStudies of Alcohol, 64, 204-212.

Ogilvie, D., Gruer, L. and Haw, S. 2007.Young people’s access to tobacco, alcohol and other drugs.British Medical Journal,331, 393-396.

Page, D. 2000.Communities in the Balance.Joseph Rowntree Foundation, York.

Plant, M. 2001.Learning by experiment.In Houghton, E. And Roche, A.M. (eds) Learning about drinking. Brunner-Routledge, Sussex.

Prior, D. 2005.Civic renewal and community safety: Virtuous policy spiral or dynamic of exclusion.Social Policy and Society,4(4), 357-367.

Rolando, S., Beccaria, F., Tigerstedt, C. And Torronen, J. 2012.First drink: What does it mean? The alcohol socialization process in different drinking cultures.Drugs: education, prevention and policy,19 (3), 201-212.

Shepherd, J.P., Sutherland, I. and Newcombe, R.G. 2006.Relations between alcohol, violence and victimization in adolescence.Journal of Adolescence,29, 539-553.

Smith, L. and Foxcroft, D. 2009.Drinking in the UK. An exploration of trends.Joseph Rowntree Foundation, York.

Social Issues Research Centre1998.Social and cultural aspects of drinking. A report to the Amsterdam group. SIRC, Oxford.

Spear L.P. 2002.Alcohol’s effects on adolescents.Alcohol Research & Health,26 (4), 287-291.

Toumbourou, JW., Williams, IR., Snow, PC. and White, VM. 2003.Adolescent alcohol-use trajectories in the transition from high school.Drug and Alcohol Review,22, 111-116.

UK Government (nd) ‘Children and alcohol’ [Online] Available at: www.direct.gov.uk/en/Parents/Yourchildshealthandsafety/Youngpeopleandalcohol/DG_1002621 Accessed 14th August, 2012.

Van der Vorst, H., Vermulst, AA., Meeus, WH., Dekovic, M. and Engels, RCM. 2009.Identification and prediction of drinking trajectories in early and mid adolescence.Journal of Clinical Child and Adolescent Psychology,38 (3), 329-341.

Van der Vorst, H., Engels, R.C.M.E., Meeus, W., Dekovic, M. and Vermulst, A. 2006.Parental attachment, parental control, and early development of alcohol use: a longitudinal study. Psychology of Addictive Behaviors, 20 (2), 107-16.

Vygotsky, L. 1978.Mind in Society: The Development of Higher Psychological Processes.Harvard University Press,Harvard, 142.

Wechsler, H. and Nelson, TF. 2010.Will increasing alcohol availability by lowering the minimum legal drinking age decrease drinking and related consequences among youths. American Journal of Public Health,100 (6), 986-992.

Wilson, TM (Ed) 2005.Drinking Cultures. Berg, New York.

Wilke, HJ. 2003.The Generation Gap.Journal of Jungian Theory and Practice. 5 (2), 105-115.

Wintour, P. 2006.Society: No more misbehaving: Asbo champion Louise Casey kept a lowprofile after praising binge drinking. But now the head of the government's Respect drive is back to improve parenting.The Guardian 26/7/2006.

Wyness, M. 2006.Childhood and Society.Palgrave Macmillan, Hampshire.

Wyness, M., Harrison, l. and Buchanan, I. 2004.Childhood, politics and ambiguity: towards an agenda for children’s political inclusion.Sociology,38 (1), 81-99.

Young, R., Sweeting, H. and West, P. 2008.A longitudinal study of alcohol use and antisocial behaviour in young people.Alcohol and Alcoholism,43 (2), 204-214.