Reducing Youth Access to Alcohol: A Randomized Trial

减少青少年接触酒精的机会：随机试验

• 批准号: 7434506
• 负责人: Joel William Grube
• 金额: $ 66.15万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-01 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7434506
• 关键词: 21 year old; Address; Adolescent; Adoption; Adult; Advisory Committees; Advocacy; Affect; Alcohol consumption; Alcohols; Appendix; Awareness; Behavioral; Belief; Collaborations; Commercial Sources; Communities; Community Trial; Condition; Consumption; Data; Effectiveness; Ensure; Evaluation Research; Expectancy; Focus Groups; Friends; Future; Geographic Locations; Human; Institutes; Intervention; Justice; Law Enforcement; Laws; Letters; Mediating; Minor; Monitor; Numbers; Oregon; Outcome; Outcome Measure; Parents; Perception; Policy Analysis; Prevention; Prevention Research; Prevention strategy; Process; Randomized; Randomized Controlled Clinical Trials; Reporting; Research; Research Institute; Rewards; Sales; Schools; Secure; Services; Shoulder; Source; Students; Surveys; Teenagers; Testing; Tobacco; Training; Trauma; United States National Academy of Sciences; Variant; Work; Youth; alcohol availability; alcohol related problem; base; community intervention; cost; distilled alcoholic beverage; drinking; effectiveness trial; environmental intervention; experience; farmer; high school; legal drinking age; member; peer; prevent; programs; prospective; social; tobacco prevention; underage drinking; young adult

DESCRIPTION (provided by applicant): Despite nationwide adoption of a 21-year-old minimum legal drinking age, alcohol remains readily available to youth, who procure it from a variety of retail and social sources. Although community-level restrictions on alcohol availability to youth are increasingly important as local intervention strategies, few studies have investigated the effects of changes in alcohol availability at the local level on consumption by young people. Moreover, the processes through which changes in alcohol availability affect drinking by young people lack empirical assessment. To address these issues we propose to undertake a randomized community trial to investigate the combined effectiveness of five interventions recommended as best practices to reduce commercial and social access to alcohol among youth: (a) a reward and reminder program for retail clerks and merchants, (b) increased enforcement of sales laws through compliance checks, (c) increased enforcement of laws against adults providing alcohol to minors through a stranger purchase (shoulder tap) intervention, (d) increased enforcement of laws against underage drinking and providing alcohol to minors through a party dispersal (party patrol) program, and (e) strategic media advocacy to increase public awareness of the problems associated with underage drinking and to increase public support for the interventions. In this proposed effectiveness trial, we will randomly assign 34 Oregon communities to intervention and control conditions (17 per condition). The environmental prevention strategies will be implemented in a staggered fashion over the five-year study period. Outcome measures will be based on annual student surveys of 8th and 11th graders and biannual alcohol purchase surveys conducted in all 34 communities. Three years of baseline student survey data have already been collected. The state of Oregon will pay for Community Coordinators and related intervention costs and will work in close collaboration with the Pacific Institute for Research and Evaluation, and the Oregon Research Institute, to ensure implementation. The proposed study will test the combined effectiveness of the five interventions, will identify intervening mechanisms through which environmental interventions affect underage drinking, and will have important implications for the effective prevention of underage drinking.

描述（由申请人提供）：尽管在全国范围内采用了21岁的最低法律饮酒年龄，但酒精仍然容易为青年人提供，他们从各种零售和社会来源中采购。尽管随着当地干预策略的限制，社区层面对青年的酒精供应量越来越重要，但很少有研究研究当地一级的酒精供应变化对年轻人消费的影响。此外，酒精可用性的变化影响年轻人饮酒的过程缺乏经验评估。 To address these issues we propose to undertake a randomized community trial to investigate the combined effectiveness of five interventions recommended as best practices to reduce commercial and social access to alcohol among youth: (a) a reward and reminder program for retail clerks and merchants, (b) increased enforcement of sales laws through compliance checks, (c) increased enforcement of laws against adults providing alcohol to minors through a stranger purchase (shoulder tap) intervention, (d) increased enforcement of反对未成年人饮酒的法律并通过党派分散（党巡逻）计划向未成年人提供酒精，以及（e）战略媒体倡导，以提高公众对与未成年人饮酒有关的问题的认识，并增加公众对干预措施的支持。在这项拟议的有效性试验中，我们将随机分配34个俄勒冈社区以干预和控制条件（每条条件17）。在五年的研究期间，将以交错的方式实施环境预防策略。结果措施将基于对84个社区的8年级和一年一度酒精购买调查的年度学生调查。已经收集了三年的基线学生调查数据。俄勒冈州将支付社区协调员和相关干预费用，并将与太平洋研究与评估研究所和俄勒冈研究所密切合作，以确保实施。拟议的研究将测试五种干预措施的综合有效性，将确定环境干预措施影响未成年人饮酒的干预机制，并将对有效预防未成年人饮酒产生重要意义。