12: Just a Bottle in the Park: Alcohol Use in Vulnerable Children

Adolescent alcohol consumption has declined in most high-income countries over the last decade; however, the prevalence of drinking under the legal age of 18 years remains high. There are several confounding factors related to alcohol use inclusive of gender, poverty, parental education, parental alcohol use and parental mental health difficulties. In addition, young people placed under the care of the state are disproportionately affected by alcohol misuse.

Longitudinal research has shown a linear risk between alcohol consumption and educational performance. Adolescents that have heavy alcohol consumption are associated with lower enrolment in post-secondary education, potentially reduced earnings and heightened job instability.

Universal interventions are one potential way to provide education regarding problematic alcohol use and its consequences. A recent Cochrane review identified that school-based interventions have potential to provide adolescents with the necessary knowledge, skills and opportunities for young people to remain alcohol free and decrease the risk of multiple risk-taking behaviours.