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Alcohol & Pop Culture Ep 1 – The Dangers of Drinking

Table of Contents

Alcohol & Pop Culture Ep 1 – The Dangers of Drinking

By Lauren Brande, M.A.  |  Featuring Dr. Olivier George | Published 5/15/17

Listen On: SoundCloud | Youtube | iTunes | Google Play

Hello and welcome to Let’s Talk Drugs, a podcast discussing the ins and outs of substance abuse. Let’s Talk Drugs is presented by ProjectKnow.com (that’s project k-n-o-w dot com), a website dedicated to providing accurate, easy-to-understand information about drugs to adolescents and their families. If you or someone you love is struggling with substance abuse, call us at to speak with a recovery support specialist about getting the help you need.

We’re on part one of a four-part series on the interaction between alcohol and pop culture. This first episode will take an in-depth look at alcohol abuse and its effects on the body and mind. Throughout the episode we will feature interview clips with a drug researcher, Dr. Olivier George.

Introduction [1:13]

Having a couple drinks in one night has become commonplace among socialites and introverts alike. It’s your birthday? Shot. You got a job? Shot. Graduation? Shot. Pay day? Shot. Take a sip for every score your team makes. Take a sip for every score your team misses. Difficult day? Wine. Beach lounging? Beer. Weekend? Liquor, but don’t forget that beer before liquor makes you sicker.

“It has been claimed to be the deadliest substance out of all commonly used recreational drugs—even more deadly than heroin and cocaine, which have widely recognized risks.”

These days you can’t turn on an electronic device without being bombarded by alcohol’s messages. Movies and television shows rarely conclude without at least one character enjoying a beer. Many believe that alcohol boosts their confidence and makes it easier for them to connect with others. In business practices, taking a potential client out for drinks is commonplace. Even some religions have adopted this mind-altering substance as a focal component of ceremony and tradition – Communion wine, wine as a healing substance in Hinduism, sanctifying the Sabbath with wine in Judaism, and using alcohol as an offering to the Gods in Chinese, Shinto, and ancient Egyptian religious practices.

People can always find a reason to drink, and while this central substance has persisted across cultures and across generations, its consequences are often overlooked. Alcohol’s legal status is a mask, disguising risks and providing a façade of safety. The reality behind this mask is not as enticing:

  • The World Health Organization reports that nearly 6% of worldwide deaths in 2012 were related to alcohol consumption (1). It has been claimed to be the deadliest substance out of all commonly used recreational drugs- even more deadly than heroin and cocaine, which have widely-recognized risks (2).
  • As of 2015, 25 states have laws that allow insurance companies to deny coverage to patients that are intoxicated at the time of medical admission. (3).
  • Alcohol is estimated to be involved in nearly half of all sexual assaults (4, 5, 6) and is distinctly associated with domestic violence, particularly in exacerbating the severity (7, 8).

The statistics are overwhelming. So, why do we find ourselves so enamored? The answer is likely rooted in a variety of issues, including widespread heavy abuse, skewed perceptions of alcohol based on its legal status, pop culture glamorization of an alcoholic lifestyle, and the complicated past that led to our current drinking culture.

Are you concerned about the drinking habits of yourself or a loved one? We’re here to help. Give us a call at to speak with one of our treatment support advisors about how to get started in recovery.

What is Alcohol Abuse? [3:50]

There is a difference between using alcohol and abusing alcohol. Many people use alcohol in moderation: one or two drinks, for example, on the weekends or during social events. But far too many others abuse alcohol – binge drinking, consuming alcohol several days a week, or using alcohol to avoid or escape their problems.

While there is no hard and fast way of distinguishing use from abuse, one simple question can help clarify: “Is drinking leading to negative life consequences?” These consequences may present themselves in a person’s psychological, work, academic, relationship, or social functioning. They may even present as blatant medical problems. If the answer to this question is “yes”, then there’s a good chance alcohol abuse is to blame.

In 2014, 6.4% of all people aged 12 or older in the U.S. had a diagnosed alcohol use disorder (9). The college population is particularly at risk, with nearly 20% of college students meeting the criteria for an alcohol use disorder (10). Binge drinking is a very problematic alcohol habit, especially among college students.

Much to many people’s surprise, binge drinking is defined as having a blood alcohol content (BAC) of 0.08% or higher, often reached by having 4 or more standard drinks for women and 5 or more standard drinks for men within two hours, though this amount varies depending on a person’s metabolism (11).

What is a standard drink? [5:29]

A standard drink is very specifically defined. Often, people count one glass of an alcoholic beverage as one drink, but by definition that one glass likely contains multiple standard drinks, especially when someone makes the drink themselves. This makes monitoring alcohol intake a little tricky. These are the actual definitions of a standard drink (12):

  • 12 ounces of ~5% ABV beer
  • 5 ounces of ~12% ABV wine
  • 1.5 ounces of ~40% ABV hard liquor

The Effects of Alcohol on the Brain and Body [6:02]

Information surrounding the risks of excessive drinking is vast, yet many drinkers do not realize the extent of potential consequences nor how common they are. The distinct way that alcohol affects the brain not only makes it recreationally enthralling, but physically threatening. Alcohol is a unique substance because its effects change as you continue to drink.  At first, it can feel like a stimulant (13), which is why the first couple drinks will often leave you energetic and euphoric.

In larger amounts, alcohol acts as a depressant, which is why you may feel more disconnected from your body and out of control after drinking more. Continue drinking and you will eventually reach the stage where you pass out or fall asleep.

DR. OLIVIER GEORGE: Okay, what is the effect of alcohol in the brain? When you drink a glass of wine, after about 30 minutes it will inactivate most of the neurons in your brain. It will inactivate the neurons that give you anxiety, it will inactivate the neurons that produce stress, it will also inactivate neurons that will [help] you make a good decision. This is why alcohol is fun at first, this is why you have it for happy hour, and [why] it’s called a social lubricant. It will help people engage in conversation, relax, [and] de-stress.

If you keep drinking in the same session then you will have different effects: you will affect all the brain regions that are involved in your level of consciousness [and] in your capacity to move around. If you keep drinking and you reach the level of a DUI, you will have trouble walking around [and] making good decisions. If you keep pushing it and you get to the point where you have about twice the amount of a DUI then you will have a large depression of your body. So, your heart rate will slow down, you will have a lower breathing rate, and you might pass out. You will get to a stage where you have hypnosis- where you can have blackouts and it can lead to coma.

So the difference between having fun at a party and a coma is actually not that big. In terms of drinks, it might be just a six-pack if you drink really quickly. If you go into a binge drinking episode with a drinking game, you can easily drink a half bottle of whiskey and that will probably be very close to the lethal dose for half of the population.

Ultimately, alcohol reduces communication between brain cells, called neurons. The more you drink, the slower and more difficult neuronal communication becomes, which influences brain and nerve cell activity and interferes with the electrical signaling sent to our muscles (14). This results in very apparent behavioral effects including slurred speech, staggering, loss of emotional control, and in extreme cases the drinker may seem to be stuck in a sort of trance, have difficulty breathing, fall into a coma, or even die from alcohol poisoning.

Not to mention the pervasive physical damage that alcohol can cause: heart problems, high blood pressure, stroke, liver damage, pancreatitis (where the pancreas gets so painfully inflamed that it impedes digestion and releases toxic digestive fluids into the body), and immune suppression (making you more susceptible to diseases like pneumonia, tuberculosis, or simply catching the common cold) (15).

Alcohol has even been linked to various forms of cancer! Mouth, esophagus, throat, liver, and breast cancer all have associations with drinking too much alcohol (15).

DR. OLIVIER GEORGE: How does alcohol affect the body? Well, alcohol is very pervasive because it will go through your entire body- it’s hydrophilic so it loves water. You have water throughout your body, so alcohol will [also] be throughout your body and it will affect your gastrointestinal systems (your gut) which will make it very difficult for you to absorb nutrients and vitamins. [Alcohol’s effect on the gastrointestinal system] is also very important for specific disorders like Korsakoff’s disorder. It will affect your liver; it will affect your cardiac system– so it’s not only the brain [that gets affected], it’s the whole body.

The prolonged use of alcohol- drinking heavily for months and years- is associated with an increased risk of cancer, [which is] something that people don’t really think about when it comes to alcohol. So you have increased [risk of] cardiovascular disorder, you have an increased risk of dementia, an increased risk of cancer, increased risk of damage to the liver and the pancreas which are key organs. Cirrhosis of the liver is [also] a very important problem with alcoholics.

These primary effects are only part of the ethanol puzzle. Secondary, or indirect, effects can be just as dangerous and are sometimes the main cause behind common health problems found in long-term heavy drinkers. Secondary effects of alcohol include infections, irregular periods for women, and other seemingly benign sources of surprisingly devastating health consequences. Loss of appetite, for example, may not seem like a serious health concern, but it can lead to severe nutritional deficiencies that can cause permanent brain damage and dementia (16).

“Alcohol has even been linked to various forms of cancer! Mouth, esophagus, throat, liver, and breast cancer all have associations with drinking too much alcohol.”

The effects of alcohol can range from euphoric relaxation to aimless hostility. Mood reactions tend to be enhanced and inappropriate, senses distorted, judgment impaired… Not to mention the dreaded whiskey dick. There seem to be all of these reasons not to drink, and yet bars are packed every Saturday night with patrons looking for pleasure in a bottle.

Why?

At least part of the answer lies in alcohol’s complicated relationship with society throughout history. From its ceremonial roots, drinking has transformed across time and civilizations into a casual pastime, to both the fun and the detriment of culture and health. ?


Next Time on Let’s Talk Drugs…

Episode 2 Coming Monday, May 22nd

Podcast Home | Next Episode


If you or someone you love is struggling with substance abuse, call us today at to speak with a recovery support specialist about getting help.

Sources

  1. World Health Organization. (2014). Global status report on alcohol and health 2014.
  2. Lachenmeier, D. K. & Rehm, J. (2015). Comparative risk assessment of alcohol, tobacco, cannabis and other illicit drugs using the margin of exposure approach. Scientific Reports, 5. 1-7.
  3. Alcohol Policy Information System. Health care services and financing: Health insurance: Losses due to intoxication (“UPPL”). National Institute on Alcohol Abuse and Alcoholism.
  4. Abbey, A., Zawacki, T., Buck, P. O., Clinton, A. M., & McAuslan, P. (2004). Sexual assault and alcohol consumption: What do we know about their relationship and what types of research are still needed? Aggression and Violent Behavior, 9. 271–303.
  5. Seto, M. C. & Barbaree, H. E. (1995). The role of alcohol in sexual aggression. Clinical Psychology Review, 15. 545– 66.
  6. Testa M. The impact of men’s alcohol consumption on perpetration of sexual aggression. Clinical Psychology Review. 2002; 22:1239–1263.
  7. Foran, H. M. & O’Leary, K. D. (2008). Alcohol and intimate partner violence: A meta-analytic review. Clinical Psychology Review, 28. 1222-1234.
  8. Graham, K., Bernards, S., Wilsnack, S. C., & Gmel, G. (2011). Alcohol may not cause partner violence but it seems to make it worse: A cross national comparison of the relationship between alcohol and severity of partner violence. Journal of Interpersonal Violence, 26 (8). 1503-1523.
  9. Center for Behavioral Health Statistics and Quality. (2015). Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH Series H-50).
  10. Blanco, C.; Okuda, M.; Wright, C. et al. (2008). Mental health of college students and their non-college-attending peers: Results from the National Epidemiologic Study on Alcohol and Related Conditions. Archives of General Psychiatry, 65 (12). 1429 –1437.
  11. National Institute on Alcohol Abuse and Alcoholism. Drinking levels defined. National Institute of Health.
  12. National Institute on Alcohol Abuse and Alcoholism. What is a standard drink? National Institute of Health.
  13. Buckstein, O., Brent, D. A., & Kaminer, Y. (1989). Comorbidity of substance abuse and other psychiatric disorders in adolescents. American Journal of Psychiatry, 146. 1131-1141.
  14. Lovinger, D. M. Communication networks in the brain: Neurons, receptors, neurotransmitters, and alcohol. National Institute on Alcohol Abuse and Alcoholism.
  15. National Institute on Alcohol Abuse and Alcoholism. (2010). Beyond hangovers: Understanding alcohol’s impact on your health. 15-7604.
  16. University of Maryland Medical Center. (2013). Alcoholism.
  17. Lee, C. M., Geisner, I. M., Lewis, M. A., Neighbors, C., & Larimer, M. E. (2007). Social motives and the interaction between descriptive and injunctive norms in college student drinking. Journal of Studies on Alcohol and Drugs, 68(5). 714-721.
  18. Borsari, B. & Carey, K. B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 13(4). 391-424.
  19. Guo, G., Li, Y., Owen, C., Wang, H., & Duncan, G. J. (2015). A natural experiment of peer influences on youth alcohol use. Social Science Research, 52. 193-207.
  20. Crawford, L. A. & Novak, K.B. (2007). Resisting peer pressure: characteristics associated with other-self discrepancies in college students’ levels of alcohol consumption. Journal of Alcohol and Drug Education, 51(1). 35-62.
  21. Simons-Morton, B., Haynie, D. L., Crump, A. D., Eitel, P., & Saylor, K. E. (2001). Peer and parent influences on smoking and drinking among early adolescents. Health Education & Behavior, 28(1). 95-107.
  22. Prentice, D. A. & Miller, D. T. (1993). Pluralistic ignorance and alcohol use on campus: Some consequences of misperceiving the social norm. Journal of Personality and Social Psychology, 64. 243-256.
  23. Martin, K. A. & Leary, M. R. (2001). Self-presentational determinants of health risk behavior among college freshmen. Psychology and Health, 16. 17-27.
  24. Perkins, H. W., Haines, M. P., & Rice, R. (2005). Misperceiving the college drinking norm and related problems: A nationwide study of exposure to prevention information, perceived norms and student alcohol misuse. Journal of Studies on Alcohol, 66. 470-478.
  25. Baer, J. S., Stacy, A., & Larimer, M. (1991). Biases in the perception of drinking norms among college students. Journal of Studies on Alcohol, 52. 580-586.
  26. Perkins, H. W. & Wechsler, H. (1996). Variation in perceived college drinking norms and its impact on alcohol abuse: A nationwide study. Journal of Drug Issues, 26. 961-974.
  27. Borsari, B., & Carey, K. B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 73. 391-424.
  28. Blume, A. W., Lostutter, T. W., Schmaling, K. B., & Marlatt, G. A. (2003). Beliefs about drinking behavior predict drinking consequences. Journal of Psychoactive Drugs, 35(3). 395-399.
  29. Lewis, B. A. & O’Neill, H. K. (2000). Alcohol expectancies and social deficits relating to problem drinking among college students. Addictive Behaviors, 25(2). 295-299.
  30. Cavariani, M. B., Oliveira, J. B., Kerr-Correa, F., & Lima, M. C. (2012). Positive expectations towards alcohol use and binge drinking: gender differences in a study from the GENACIS project, Sao Paulo, Brazil. Cadernos de Saude Publica, 28(7). 1394-1404.
  31. George, W. & Norris, J. (1991). Alcohol, disinhibition, sexual arousal, and deviant sexual behavior. Alcohol Health and Research World, 15(2). 133.
  32. George, W. & Stoner, S A. (2000). Understanding acute alcohol effects on sexual behavior. Annual Review of Sex Research, 11. 92-122.
  33. Grant, B. F. & Harford, T. C. (1995). Comorbidity between DSM-IV alcohol use disorders and major depression: results of a national study. Drug and Alcohol Dependence, 39(3). 197-206.
  34. Caldwell, T. M., Rodgers, B., Jorm, A. F., Christensen, H., Jacomb, P. A., Korten, A. E., & Lynskey, M. T. (2002). Patterns of association between alcohol consumption and symptoms of depression and anxiety in young adults. Addiction, 97(5). 583-594.
  35. Graham, K., Massak, A., Demers, A., & Rehm, J. (2007). Does the association between alcohol consumption and depression depend on how they are measured? Alcoholism: Clinical and Experimental Research, 31(1). 78-88.
  36. Kessler, R., McGonagle, K., Zhao, S., Nelson, C., Hughes, M., Eshleman, S., Wittchen, H., & Kendler, K. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51. 8–19.
  37. Kessler, R., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52. 1048–1060.
  38. Gater, R., Tansella, M., Korten, A., Tiemans, B., Mavreas, V., & Olatawura, M. (1998). Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings: report from the World Health Organization Collaborative Study on Psychological Problems in General Health Care. Archives of General Psychiatry, 55. 405–413.
  39. Brower, K. J., Aldrich, M. S., Robinson, E. A. R., Zucker, R. A., & Greden, J. F. (2001). Insomnia, self-medication, and relapse to alcoholism. American Journal of Psychiatry, 158(3). 399-404.
  40. Leeies, M., Pagura, J., Sareen, J. & Bolton, J. M. (2010). The use of alcohol and drugs to self-medicate symptoms of posttraumatic stress disorder. Depression and Anxiety, 27(8). 731-736.
  41. Bolton, J. M., Robinson, J., & Sareen, J. (2009). Self-medication of mood disorders with alcohol and drugs in the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Affective Disorders, 115. 367-375.
  42. Crum, R. M., Mojtabai, R., Lazareck, S., Bolton, J. M., Robinson, J., Sareen, J., Green, K. M., … Storr, C. L. (2013). A prospective assessment of reports of drinking to self-medicate mood symptoms with the incidence and persistence of alcohol dependence. JAMA Psychiatry, 70(7). 718-726.
  43. Crum, R. M., Flair, L. L., Storr, C. L., Green, K. M., Stuart, E. A., Alvanzo, A. A. H., Lazareck, S., … Mojtabai, R. (2012). Reports of drinking to self-medicate anxiety symptoms: longitudinal assessment for subgroups of individuals with alcohol dependence. Depression and Anxiety, 30(2). 174-183.
  44. Bolton, J., Cox, B, Clara, I., & Sareen, J. (2006). Use of alcohol and drugs to self-medicate anxiety disorders in a nationally representative sample. The Journal of Nervous and Mental Disease, 194(11). 818-825.
  45. Dawson, D. A., Grant, B. F., & Ruan, W. J. (2005). The association between stress and drinking: modifying effects of gender and vulnerability. Alcohol and Alcoholism, 40(5). 453-460.
  46. Uhart, M. & Wand, G. S. (2008). Stress, alcohol and drug interaction: an update of human research. Addiction Biology, 14(1). 43-64.
  47. Wechsler, H., Davenport, A., Dowdall, G., Moeykens, B., & Castillo, S., (1994). Health and behavioral consequences of binge drinking in college: A national survey of students at 140 campuses. Journal of the American Medical Association, 272. 1672-1677.
  48. Wechsler, H., Dowdall, G. W., Maenner, G., Gledhill-Hoyt, J., & Lee, H. (1998). Changes in binge drinking and related problems among American college students between 1993 and 1997. Journal of American College Health, 47. 57-68.
  49. Wechsler, H., Lee, J., Kuo, M., & Lee, H. (2000). College binge drinking in the 1990s: A continuing problem – Results of the Harvard School of Public Health 1999 College Alcohol Study. Journal of American College Health, 48. 199-210.
  50. Centers for Disease Control and Prevention. (2014). Excessive drinking costs U.S. $223.5 billion. National Center for Chronic Disease Prevention and Health Promotion.
  51. National Institute on Alcohol Abuse and Alcoholism. College Drinking. National Institute of Health.
  52. Robin, R. W., Long, J. C., Rasmussen, J. K., Albaugh, B., & Goldman, D. (1998). Relationship of binge drinking to alcohol dependence, other psychiatric disorders, and behavioral problems in and American Indian tribe. Alcoholism: Clinical and Experimental Research, 22(2). 518-523.
  53. Hatton, J., Burton, A., Nash, H., Munn, E., Burgoyne, L., & Sheron, N. (2009). Drinking patterns, dependency and life-time drinking history in alcohol-related liver disease. Addiction, 104(4). 587-592.
  54. Llerena, S., Arias-Loste, M. T., Puente, A., Cabezas, J., Crespo, J., & Fabrega, E. (2015). Binge drinking: burden of liver disease and beyond. World Journal of Hepatology, 7(27). 2703-2715.
  55. Townshend, J. M. & Duka, T. (2005). Binge drinking, cognitive performance and mood in a population of young social drinkers. Alcoholism: Clinical and Experimental Research, 29(3). 317-325.
  56. Poulton, A., Mackenzie, C., Harrington, K., Borg, S., & Hester, R. (2016). Cognitive control over immediate reward in binge alcohol drinkers. Alcoholism: Clinical and Experimental Research, 40(2). 429-437.
  57. Okoro, C. A., Brewer, R. D., Naimi, T. S., Moriarty, D. G., Giles, W. H., & Mokdad, A. H. (2004). Binge drinking and health-related quality of life: do popular perceptions match reality? American Journal of Preventative Medicine, 26(3). 230-233.
  58. Parada, M., Corral, M., Caamano-Isorna, F., Mota, N., Crego, A., Holguin, S. R., & Cadaveira, F. (2011). Binge drinking and declarative memory in university students. Alcoholism: Clinical and Experimental Research, 35(8). 1475-1484.
  59. Department of Transportation (US), National Highway Traffic Safety Administration (NHTSA). Traffic Safety Facts 2013 Data: Alcohol-Impaired Driving. Washington (DC): NHTSA; 2014.
  60. Wilcox, G. B., Kang, E. Y., & Chilek, L. A. (2015). Beer, wine, or spirits? Advertising’s impact on four decades of category sales. International Journal of Advertising: The Review of Marketing Communications, 34(4). 641-657.
  61. Ross, C. S., Maple, E., Siegel, M., DeJong, W., Naimi, T. S., Padon, A. A., Borzekowski, D. L. G., & Jernigan, D. H. (2015). The relationship between population-level exposure to alcohol advertising on television and brand-specific consumption among underage youth in the US. Alcohol and Alcoholism, 50(3). 358-364.
  62. Siegel, M., DeJong, W., Naimi, T. S., Fortunato, E. K., Albers, A. B., Heeren, T., Rosenbloom, D. L., … Jernigan, D. H. (2013). Brand-specific consumption of alcohol among underage youth in the United States. Alcoholism: Clinical and Experimental Research, 37(7). 1195-1203.
  63. Roberts, S. P., Siegel, M. B., DeJong, W., Ross, C. S., Naimi, T., Albers, A., Skeer, M., Rosenbloom, D. L., & Jernigan, D. H. (2016). Brands matter: major findings from the Alcohol Brand Research Among Underage Drinkers (ABRAND) project. Addiction Research & Theory, 24(1). 32-39.
  64. Anderson, P., du Bruijn, A., Angus, K., Gordon, R., & Hastings, G. (2009). Impact of alcohol advertising and media exposure on adolescent alcohol use: A systematic review of longitudinal studies. Alcohol and Alcoholism, 44(3). 229-243.
  65. Smith, L. A. & Foxcroft, D. R. (2009). The effect of alcohol advertising, marketing and portrayal on drinking behavior in young people: systematic review of prospective cohort studies. BMC Public Health, 9(51).
  66. McClure, A. C., Stoolmiller, M., Tanski, S. E., Engels, R. C. M. E., & Sargent, J. D. (2013). Alcohol marketing receptivity, marketing-specific cognitions and underage binge drinking. Alcoholism: Clinical and Experimental Research, 37(1). E404-E413.
  67. Tanski, S. E., McClure, A. C., Li, Z., Jackson, K., Morgenstern, M., Li, Z., & Sargent, J. D. (2015). Cued recall of alcohol advertising on television and underage drinking behavior. JAMA Pediatrics, 169(3). 264-271.
  68. Morgenstern, M., Isensee, B., Sargent, J. D., & Hanewinkel, R. (2011). Attitudes as Mediators of the Longitudinal Association Between Alcohol Advertising and Youth Drinking. Archives of Pediatrics and Adolescent Medicine, 165(7). 610-616.
  69. Grenard, J. L., Dent, C. W., & Stacy, A. W. (2013). Exposure to alcohol advertisements and teenage alcohol-related problems. Pediatrics, 131(2). E369-E379.
  70. Engels, R. C. M. E., Hermans, R., van Baaren, R. B., Hollenstein, T. & Bot, S. M. (2009). Alcohol portrayal on television affects actual drinking behavior. Alcohol and Alcoholism, 44(3). 244-249.
  71. Koordeman, R., Kuntsche, E., Anschutz, D. J., van Baaren, R. B., Engels, R. C. M. E. (2011). Do we act upon what we see? Direct effects of alcohol cues in movies on young adults’ alcohol drinking. Alcohol and Alcoholism, 46(4). 393-398.
  72. Primack, B. A., McClure, A., Li, Z., Sargent, J. D. (2014). Receptivity to and recall of alcohol brand appearances in U.S. popular music and alcohol-related behaviors. Alcoholism: Clinical and Experimental Research, 38(6). 1737-1744.
  73. McClure, A. C., Tanski, S. E., Li, Z., Jackson, K., Morgenstern, M., Li, Z., & Sargent, J. D. (2016). Internet alcohol marketing and underage alcohol use. Pediatrics, 137(2). 1-8.
  74. Chung, P. J., Garfield, C. F., Elliott, M. N., Ostroff, J., Ross, C., Jernigan, D. H., Vestal, K. D., & Schuster, M. A. (2010). Association between adolescent viewership and alcohol advertising on cable television. American Journal of Public Health, 100(3). 555-562.
  75. Nash, A. S., Pine, K. J., & Messer, D. J. (2009). Television alcohol advertising: Do children really mean what they say? British Journal of Developmental Psychology, 27. 85-104.
  76. Thush, C. & Wiers, R. W. (2007). Explicit and implicit alcohol-related cognitions and the prediction of future drinking in adolescents. Addictive Behaviors, 32. 1367-1383.
  77. Madden, P. A., & Grube, J. W. (1994). The frequency and nature of alcohol and tobacco advertising in televised sports, 1990 through 1992. American Journal of Public Health, 84(2), 297–299.
  78. Sherriff, J., Griffiths, D., & Daube, M. (2010). Cricket: notching up runs for food and alcohol companies? Australian and New Zealand Journal of Public Health, 34(1). 19-23.
  79. Jones, S. C. (2010). When does alcohol sponsorship of sport become sports sponsorship of alcohol? A case study of developments in sport in Australia. International Journal of Sports Marketing and Sponsorship, 11(3). 250-261.
  80. Slater, M. D., Rouner, D., Murphy, K., Beauvais, F., Van Leuven, J., Rodriguez, M. D. (1996). Male adolescents’ reactions to TV beer advertisements: the effects of sports content and programming context. Journal of Studies on Alcohol and Drugs, 57(4). 425-433.
  81. Christenson, P. G., Henricksen, L., & Roberts, D. F. (2000). Substance use in popular prime-time television. Office of National Drug Control Policy, Mediascope.
  82. Russell, C. A. & Russell, D. W. (2009). Alcohol messages in prime-time television series. Journal of Consumer Affairs, 43(1). 108-128.
  83. Dal Cin, S., Worth, K. A., Dalton, M. A., Sargent, J. D. (2008). Youth exposure to alcohol use and brand appearances in popular contemporary movies. Addiction, 103(12). 1925-1932.
  84. Sezgin, P. (2010). Music. In Alcohol in Popular Culture: An Encyclopedia. (Vol. 1, pp. 136-138). Santa Barbara, CA: ABC-CLIO, LLC.
  85. Primack, B. A., Dalton, M. A., Carroll, M. V., Agarwal, A. A., & Fine, M. J. (2008). Content analysis of tobacco, alcohol, and other drugs in popular music. Archives of Pediatric and Adolescent Medicine, 162(2). 169-175.
  86. Herd, D. (2005). Changes in the prevalence of alcohol use in rap song lyrics, 1979-97. Addiction, 100(9). 1258-1269.
  87. Siegel, M., Johnsom, R. M., Tyagi, K., Power, K., Lohsen, M. C., Ayers, A. J., & Jernigan, D. H. (2013). Alcohol brand references in U.S. popular music, 2009-2011. Substance Use & Misuse, 48(14). 1475-1484.
  88. Primack, B. A., Nuzzo, E., Rice, K. R., & Sargent, J. D. (2012). Alcohol brand appearances in U.S. popular music. Addiction, 107(3). 557-566.
  89. Christenson, P., Roberts, D. F., & Bjork, N. (2012). Booze, drugs, and pop music: trends in substance portrayals in the Billboard Top 100 – 1968-2008. Substance Use & Misuse, 47(2). 121-129.
  90. Koordeman, R., Anschutz, D. J., van Baaren, R. B., & Engels, R. C. M. E. (2010). Effects of alcohol portrayals in movies on actual alcohol consumption: an observational experimental study. Addiction, 106(3). 547-554.
  91. Hanewinkel, R., Tanski, S. E., & Sargent, J. D. (2007). Exposure to alcohol use in motion pictures and teen drinking in Germany. International Journal of Epidemiological Studies, 36(5). 1068-1077.
  92. Cin, S. D., Worth, K. A., Gerrard, M., Gibbons, F. X., Stoolmiller, M., Wills, T. A., & Sargent, J. D. (2009). Watching and drinking: expectancies, prototypes, and peer affiliations mediate the effect of exposure to alcohol use in movies on adolescent drinking. Journal of Health Psychology, 28(4). 473-483.
  93. Gibbons, F. X., Pomery, E. A., Gerrard, M., Sargent, J. D., Weng, C., Wills, T. A., Kingsbury, J., … & Yeh, H. Media as social influence: racial differences in the effects of peers and media on adolescent alcohol cognitions and consumption. Psychology of Addictive Behaviors, 24(4). 649-659.
  94. Moreno, M. A., Briner, L. R., Williams, A., Brockman, L., Walker, L., & Christakis, D. A. (2010). A content analysis of displayed alcohol references on a social networking web site. Journal of Adolescent Health, 47(2). 168-175.
  95. Moreno, M. A., D’Angelo, J., Kacvinsky, L. E., Kerr, B., Zhang, C., & Eickhoff, J. (2014). Emergence and predictors of alcohol reference displays on Facebook during the first year of college. Computers in Human Behavior, 30. 87-94.
  96. Egan, K. G. & Moreno, M. A. (2011). Alcohol references on undergraduate males’ Facebook profiles. American Journal of Men’s Health, 5(5). 413-420.
  97. Moreno, M. A., Christakis, D. A., Egan, K. G., Brockman, L. N., & Becker, T. (2012). Associations between displayed alcohol references on Facebook and problem drinking among college students. Archives of Pediatric Adolescent Medicine, 166(2). 157-163.
  98. Winpenny, E. M., Marteau, T. M., & Nolte, E. (2014). Exposure of children and adolescents to alcohol marketing on social media websites. Alcohol and Alcoholism, 49(2). 154-159.
  99. Hoffman, E. W., Pinkleton, B. E., Austin, E. W., & Reyes-Velazquez, W. (2014). Exploring college students’ use of general and alcohol-related social media and their associations with alcohol-related behaviors. Journal of American College Health, 62(5). 328-335.
  100. Fournier, A. K., Hall, E., Ricke, P., & Storey, B. (2013). Alcohol and the social network: online social networking sites and college students’ perceived drinking norms. Psychology of Popular Media Culture, 2(2). 86-95.
  101. Nicholls, J. (2012). Everyday, everywhere: alcohol marketing and social media – current trends. Alcohol and Alcoholism, 47(4). 486-493.
  102. Johnston, L. D., O’Malley, P. M., Miech, R. A., Bachman, J. G., & Schulenberg, J. E. (2015). Monitoring the Future national survey results on drug use: 1975-2014: Overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, The University of Michigan.
  103. Peck, G. (2010). Prohibition. In Alcohol in Popular Culture: An Encyclopedia. (Vol. 1, pp. 149-155). Santa Barbara, CA: ABC-CLIO, LLC.
  104. Drug Abuse Resistance Training (D.A.R.E.). (2016).
  105. Pan, W. & Bai, H. (2009). A multivariate approach to a meta-analytic review of the effectiveness of the D.A.R.E. program. International Journal of Environmental Research and Public Health, 6(1). 267-277.
  106. Cuijpers, P. (2003). Three decades of drug prevention research. Drugs: Education, Prevention, and Policy, 10(1). 7-20.
  107. Elder, R. W., Shults, R. A., Sleet, D. A., Nichols, J. L., Thompson, R. S., & Rajab, W. (2004). Effectiveness of mass media campaigns for reducing drinking and driving and alcohol-involved crashes. American Journal of Preventative Medicine, 27(1). 57-65.
  108. National Research Council (US) and Institute of Medicine (US) Committee on Developing a Strategy to Reduce and Prevent Underage Drinking; Bonnie RJ, O’Connell ME, editors. Reducing Underage Drinking: A Collective Responsibility. Washington (DC): National Academies Press (US); 2004. 6, National Media Campaign.
  109. Yadav, R. & Kobayashi, M. (2015). A systematic review: effectiveness of mass media campaigns for reducing alcohol-impaired driving and alcohol-related crashes. BMC Public Health, 15. 857.
  110. Hill, L. (2004). Alcohol health promotion via mass media: the evidence on (in)effectiveness. Eurocare “Bridging the Gaps” Conference, Warsaw, June 16-19.
  111. Botvin, G. J. (2000). Preventing drug abuse in schools: social and competence enhancement approaches targeting individual-level etiologic factors. Addictive Behaviors, 25(6). 887-897.
  112. National Institute on Drug Abuse. (2012). Cognitive-behavioral therapy (alcohol, marijuana, cocaine, methamphetamine, nicotine).
  113. Cuijpers, P. (2002). Effective ingredients of school-based drug prevention programmes: a systematic review. Addictive Behaviors, 27. 1009–1023.
  114. National Highway Traffic Safety Administration (NHTSA). (2013) Traffic Safety Facts 2013: A Compilation of Motor Vehicle Crash Data from the Fatality Analysis Reporting System and the General Estimates System, for the National Highway Traffic Safety Administration, National Center for Statistics and Analysis, Washington, DC.
  115. El-Guebaly, N. (2005). Don’t drink and drive: the successful message of Mothers Against Drunk Driving (MADD). World Psychiatry, 4(1). 35-36.
  116. Van Hoof, J. J., de Jong, M. D. T., Fennis, B. M., & Gosselt, J. F. (2009). There’s alcohol in my soap: portrayal and effects of alcohol use in a popular television series. Health Education Resources, 24(3). 421-429.
  117. National Research Council (US) and Institute of Medicine (US) Committee on Developing a Strategy to Reduce and Prevent Underage Drinking; Bonnie RJ, O’Connell ME, editors. Reducing Underage Drinking: A Collective Responsibility. Washington (DC): National Academies Press (US); 2004. 11, Alcohol in the Media: Drinking Portrayals, Alcohol Advertising, and Alcohol Consumption Among Youth.
  118. Parry, C., Burnhams, N. H., & London, L. (2012). A total ban on alcohol advertising: presenting the public health case. South African Medical Journal, 102(7).
  119. Eintraub, E. W., Kristine, A., & Johnson, K. (1997). Effects of general and alcohol-specific media literacy training on children’s decision making about alcohol. Journal of Health Communication: International Perspectives, 2(1).
  120. National Institute of Mental Health. (2011). The teen brain: still under construction. National Institute of Health.