A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age
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Late adolescence (ie, 16–20 years of age) is a period characterized by escalation of drinking and alcohol use problems for many and by the onset of an alcohol use disorder for some. This heightened period of vulnerability is a joint consequence of the continuity of risk from earlier developmental stages and the unique neurologic, cognitive, and social changes that occur in late adolescence. We review the normative neurologic, cognitive, and social changes that typically occur in late adolescence, and we discuss the evidence for the impact of these transitions on individual drinking trajectories. We also describe evidence linking alcohol abuse in late adolescence with neurologic damage and social impairments, and we discuss whether these are the bases for the association of adolescent drinking with increased risks of mental health, substance abuse, and social problems in adulthood. Finally, we discuss both the challenges and successes in the treatment and prevention of adolescent drinking problems.
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Late adolescence is characterized by the escalation of alcohol and drug use.
“Despite the diminished vulnerability to peer pressure and improvement of selfregulatory capabilities, late adolescence is characterized by the escalation of alcohol and drug use”
From School-based programmes to reduce and prevent substance use in different age groups: What works for whom? Systematic review and meta-regression analysis (2016) · cites this paper as Brown et al., 2008
Adolescent drinking is a major global health concern because of its negative impact on an adolescent's physical, academic, emotional and social development.
“Adolescent drinking in particular is a major global health concern [ 3 ] because of its negative impact on an adolescent's physical, academic, emotional and social development [ 4 , 5 ].”
From Measuring alcohol use among adolescents in Africa: A systematic scoping review of consumption, screening and assessment tools (2023) · cites this paper as [5]
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- Authors
- Brown, S. A., McGue, M., Maggs, J., Schulenberg, J., Hingson, R., Swartzwelder, S., Martin, C., Chung, T., Tapert, S. F., Sher, K., Winters, K. C., Lowman, C., & Murphy, S.
- Affiliations
- University of California San Diego (US)
- University of Minnesota (US)
- Pennsylvania State University (US)
- University of Michigan (US)
- Duke University (US)
- University of Pittsburgh Medical Center (US)
- University of Missouri (US)
- National Institute on Alcohol Abuse and Alcoholism (US)
- Council on Alcoholism and Drug Abuse (US)
- ORCID
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2008-04-01
- Volume
- 121
- Issue
- Supplement_4
- Pages
- S290-S310
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC2765460
- OpenAlex
- W2102643648
- Cited by
- 612
- References
- 189
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 19 · 2023: 27 · 2022: 24 · 2021: 37 · 2020: 31 · 2019: 49 · 2018: 32 · 2017: 37 · 2016: 53 · 2015: 51 · 2014: 44 · 2013: 50 · 2012: 40
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Funders
- National Institute on Drug Abuse (R01DA005104, R01DA012995, K02DA015347)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- adolescent alcohol use, late adolescence, alcoholism, cognitive development, social development (developmental psychology), alcohol use trajectories, neurologic damage, social dysfunction, mental health, substance abuse, alcoholism treatment, alcohol prevention
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Alcohol Drinking, Alcoholic Beverages, Humans, Social Environment, Adolescent Development
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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