<p>Here's another document that summarizes the data and references the studies that Mini has often let us know about (such as that alcohol binging is a problem in Europe, too, what the racial differences in alcohol use are, etc) for which I am grateful. This one is from the acting surgeon general. </p>
<p>I would think that high achieving and striving students would be concerned about the growing evidence that alcohol affects brain development. Is it because they don't know?</p>
<p><a href="http://www.surgeongeneral.gov/topics/underagedrinking/%5B/url%5D">http://www.surgeongeneral.gov/topics/underagedrinking/</a></p>
<p>Full Call to Action <a href="http://www.surgeongeneral.gov/topics/underagedrinking/calltoaction.pdf%5B/url%5D">http://www.surgeongeneral.gov/topics/underagedrinking/calltoaction.pdf</a></p>
<p>"ADVERSE CONSEQUENCES OF UNDERAGE DRINKING
The short and longterm consequences that arise from underage alcohol consumption are astonishing in their range and magnitude, affecting adolescents, the people around them, and society as a whole. Adolescence is a time of life characterized by robust physical health and low incidence of disease, yet overall morbidity and mortality rates increase 200 percent between middle childhood and late adolescence/early adulthood. This dramatic rise is attributable in large part to the increase in risk taking, sensation seeking, and erratic behavior that follows the onset of puberty and which contributes to violence, unintentional injuries, risky sexual behavior, homicide, and suicide (Dahl 2004). Alcohol frequently plays a role in these adverse outcomes and the human tragedies they produce. Among the most prominent adverse consequences of underage alcohol use are those listed below. Underage drinking:</p>
<p>Is a leading contributor to death from injuries, which are the main cause of death for people under age 21. Annually, about 5,000 people under age 21 die from alcohol related injuries involving underage drinking. About 1,900 (38 percent) of the 5,000 deaths involve motor vehicle crashes, about 1,600 (32 percent) result from homicides, and about 300 (6 percent) result from suicides (Centers for Disease Control and Prevention [CDC] 2004; Hingson and Kenkel 2004; Levy et al. 1999; National Highway Traffic Safety Administration [NHTSA] 2003; Smith et al. 1999).</p>
<p>Plays a significant role in risky sexual behavior, including unwanted, unintended, and unprotected sexual activity, and sex with multiple partners. Such behavior increases the risk for unplanned pregnancy and for contracting sexually transmitted diseases (STDs), including infection with HIV, the virus that causes AIDS (Cooper and Orcutt 1997; Cooper et al. 1994).</p>
<p>Increases the risk of physical and sexual assault (Hingson et al. 2005). 10</p>
<p>Is associated with academic failure (Grunbaum et al. 2004).</p>
<p>Is associated with illicit drug use (Grunbaum et al. 2004).</p>
<p>Is associated with tobacco use (Shiffman and Balabanis 1995).</p>
<p>Can cause a range of physical consequences, from hangovers to death from alcohol poisoning.</p>
<p>Can cause alterations in the structure and function of the developing brain, which continues to mature into the mid to late twenties, and may have consequences reaching far beyond adolescence (Brown et al. 2000; Crews et al. 2000; De Bellis et al. 2000; Swartzwelder et al. 1995a, 1995b; Tapert and Brown 1999; White and Swartzwelder 2005).</p>
<p>Creates secondhand effects that can put others at risk. Loud and unruly behavior, property destruction, unintentional injuries, violence, and even death because of underage alcohol use afflict innocent parties. For example, about 45 percent of people who die in crashes involving a drinking driver under the age of 21 are people other than the driver (U.S. Department of Transportation Fatality Analysis Reporting System 2004). Such secondhand effects often strike at random, making underage alcohol use truly everybody's problem.</p>
<p>In conjunction with pregnancy, may result in fetal alcohol spectrum disorders, including fetal alcohol syndrome, which remains a leading cause of mental retardation (Jones and Smith 1973). Further, underage drinking is a risk factor for heavy drinking later in life (Hawkins et al. 1997; Schulenberg et al. 1996a), and continued heavy use of alcohol leads to increased risk across the lifespan for acute consequences and for medical problems such as cancers of the oral cavity, larynx, pharynx, and esophagus; liver cirrhosis; pancreatitis; and hemorrhagic stroke (reviewed in Alcohol Research & Health 2001). 11"</p>