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The United States doctors who released it advocate strategies such as banning alcohol advertisements, except in retail outlets, and raising the minimum age for drinking to 21.
Professor Ian Webster, chairman of the Alcohol Education and Rehabilitation Foundation, said yesterday that the acute impact of alcohol on young people was becoming more widely recognised.
Alcohol was a significant factors in road accidents, suicide and depression, which were the main causes of death and illness in people aged 18-24, he said.
"In fact, the peak time of life for alcohol use disorders is that period of 18-24 years."
About 40 per cent of Australian teenagers drink alcohol occasionally; 30 per cent drink once a week or more, and 5-6 per cent drink amounts that could harm them, the Australian Institute of Health and Welfare says.
This compares to about 30 per cent of adults drinking occasionally, 50 per cent drinking regularly and 5-10 per cent drinking amounts that could harm them.
Drinking among teenagers has been fairly consistent over the past 20 years of national surveys. The one significant change is that if teenagers drink, they are more likely to binge than previous generations did.
The vice-president of the Australian Medical Association, Trevor Mudge, said yesterday that his members were concerned about the aggressive marketing of alcohol to young people.
"We're concerned about mixer drugs, happy hours, things like that. You get the industry dressing up alcohol as wine coolers and smothering the flavour with fruit drinks," he said.
"And I'm sure we reflect a community concern there."
Alcohol advertising is limited by the industry's self-regulatory Alcohol Beverages Advertising Code. It stipulates that
advertisers "must not depict the consumption or presence of alcohol beverages as a cause of or contributing to the achievement of personal business, social, sporting, sexual or other success".
Complaints about breaches of the code are made to the industry's Advertising Standards Bureau. Of 1705 complaints last year, the bureau upheld 47. Only 2 per cent of the complaints were about alcohol.
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