It is important to review trends in youth alcohol use over time in order to effectively tailor prevention programs to address those trends. This article reviews data on alcohol use behaviors from the Centers for Disease Control and Prevention's Youth Risk Behavior Survey in Hawai‘i from 1993 to 2007. Five alcohol use indicators were examined and stratified by grade level, from 9th grade through 12th grade. Significant drops in nearly all indicators are seen among 9th through 11th graders, but not among 12th graders. This suggests that Hawai‘i youth are responding well to anti-alcohol messaging as young teens, but a different approach may be needed to target older teens.
Van M. Ta Park, D. S. Kittinger, L. A. Pham, R. J. Williams, L. N. Eller, and C. R. Nigg. "Trends in alcohol use among Hawai‘i adolescents" Hawai‘i Medical Journal (2010): 167-171.