Alcohol Use in North Carolina: Current Research

Published Spring 2019, Version 1.0

(Download a .pdf of this article at the bottom of the webpage)

Overview

Alcohol is a sedative and the most widely used substance. At low doses, it acts a stimulant while at high doses it is a potent depressant. Alcohol causes many side effects including slurred speech, drowsiness, impaired judgment and in higher doses it can cause vomiting, breathing difficulties and unconsciousness. Binge drinking is far more dangerous than casual consumption of alcohol. At high doses alcohol can lead to coma, breathing difficulties and death. The long-term effects of alcohol are extremely adverse, including liver disease, heart disease, ulcers, and cancers.

Teen Use Rates in North Carolina

The 2017 NC Youth Risk Behavior Survey provides prior 30-day use rates (current use) for North Carolina students from 2011 – 2017. Rates are down, but teen alcohol use remains high.

North Carolina youth in the 12th grade had the highest percentage of alcohol use, with nearly 36% reporting current use. Use rates are declining for grades 9th – 12th between 2011 - 2017.

 

North Carolina youth had a 12.9% increase in binge drinking between 11^th and 12^th grade. This almost doubles the amount of current binge drinking between 11^th and 12^th grade.

How North Carolina Compares Nationally

Effective SUD prevention initiatives have contributed to the decline of underage alcohol use rates in North Carolina, however, teens in NC are continuing to use alcohol at higher rates that their peers across the country. In 2017, North Carolina 23.9% of 10^th graders reported current alcohol use- while 19.7% of teens of the same age across the county report current use. Similarly, 35.7% of NC 12^th grade students report regular use, compared to the national average of 33.2%. Underage drinking rates are on the decline, but it is important to note that teens in North Carolina are using alcohol at high rates. 

Tips for Parents and Prevention Professionals

• The most important thing about preventing underage alcohol use is remaining a positive role model for your children.
• Keep alcohol secured, in a locked cabinet, beginning in middle school, if not sooner.
• Be open to communication about alcohol use and discuss regularly your expectations for your children to not experiment and to make safe choices.
• Making sure that you have a plan for when your child asks your questions about alcohol.
• Get and provide proper education about responsible use and the dangers of abusing alcohol.
• Create a healthy environment for children to ask questions and provide them with good, factual information on alcohol.
• Making sure to monitor youth activities throughout adolescence.
• Use interactive techniques when teaching alcohol education to keep students engaged and involved.
• Active family involvement in prevention is essential to the success of any program.

Parents and not just prevention professionals should monitor the attitudes about alcohol with young people closely. If your child begins making light jokes about alcohol use, even if they are jokes on social media, this shift in attitude marks a change in the perception of harm. This is a time to pay close attention, have ongoing conversations, and ensure proper monitoring and alcohol storage in the home. Alcohol is one of the first substances that young people use, and the earlier the use begins, the more likely the harms.

As a statewide agency, The North Carolina Training and Technical Assistance (NCTTA) Center provides workforce development, training, and technical assistance opportunities to substance abuse prevention stakeholders.   Funding for the NCTTA is provided by the N.C. Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from Substance Abuse and Mental Health Services Administration.  To learn more visit ncpreventiontta.org.

References

Centers for Disease Control (2017). North Carolina Youth Risk Behavior Survey. Retrieved from: https://nccd.cdc.gov/YouthOnline/App/Default.aspx

Komro, K, and Toomey, T. (2002). Strategies to Prevent Underage Drinking. Alcohol Research & Health. 26(1): 5-14. Retrieved from: https://pubs.niaaa.nih.gov/publications/arh26-1/5-14.htm

Foundation for a Drug-Free World. The Truth About Alcohol. (2018). Retrieved from: https://www.drugfreeworld.org/drugfacts/alcohol/short-term-long-term-effects.html.