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Binge Drinking among Residential Program Youth in Israel: Toward an Understanding of Predictors for Policy and Prevention

Alcohol use is attributed to about 25% of the total deaths among youth and young adults. Harmful alcohol use among youth has been overshadowed by the preoccupation with widespread use of other substances including cannabis and prescription drugs. A crosssectional cohort of 1,327 residential program and high school youth were compared regarding binge drinking habits and risk factors. Data was collected from 2004 to 2016. Residential program youth binge drinking predictors were substance abuse within the last month, alcohol availability, causing harm to others (e.g., fighting, stealing and possessing a weapon), unstructured day activity, and being a passenger in a car where the driver had been drinking. Binge drinking predictors among high school were smoking within the last month and alcohol availability. Effective risk behavior prevention involves a wide range of factors including the need to control alcohol access among those under the legal drinking age. An eco-systems approach involving youth and people they are in contact with is a viable prevention approach. However, conflicting personal and economic factors regarding alcohol use, among others, are a daunting barrier to overcome.