According to the World Health Organization (WHO), “the global burden related to alcohol consumption, in terms of both morbidity and mortality, is considerable in most parts of the world.”1 Globally, alcohol consumption causes 1.8 million deaths (3.2%), results in 58.3 million disability-adjusted life-years (4.0%) lost, is the leading risk factor for disease burden in low-mortality developing countries, and is the third largest risk factor in developed countries.1 Alcohol-related problems are most apparent among young persons, with Jernigan and Mosher2 arguing that such problems have “reached crisis proportions around the globe.” In the United States, a recent article3 concluded that “the prevalence and toll of underage drinking in the United States remain high,” and the US Federal Trade Commission4 acknowledged that “underage drinking is a leading public health and social problem in the United States, associated with the three leading causes of death among youth—unintentional injury, homicide, and suicide.”
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