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Newspapers and magazines in the United States have just been crowded
with another gloomy piece of news about alcohol. The press-release
that triggered this most recent wave of ominous predictions grew
out of a research project (sponsored by National Institute on
Alcohol Abuse and Alcoholism) concerning the correlation between
"age-of-onset" and alcoholism. In simplest terms, investigators
discovered that those individuals who started drinking at an early
age were more likely to become alcoholics later in life to a statistically
significant degree.
One need not be a scientist to realize that correlation often
has little to do with causation, but most journalists wrote as
if this were dramatic proof of the highly addictive quality of
alcohol, and of the dangers of drinking on the part of anyone
under 21 years of age. However, to anyone who has paid attention
to life in contemporary Europe where children are frequently introduced
to drinking at an early age and where rates of dependency tend
to be quite low the finding seems counter-intuitive. Similarly,
when one thinks of Orthodox Jews anywhere in the world it is difficult
to reconcile their famously low rates of drinking problems with
the fact that male infants are given wine on the occasion of their
circumcision (on the 8th day of life), and men, women, and children
all drink at least twice a week to celebrate the beginning and
end of the Sabbath.
In view of the vast panorama of human experience, the fateful
findings about early drinking are in fact not only counter-intuitive
but would be factually wrong in most of the world. However, in
the contemporary US, there is little question that the findings
are correct, and, when one thinks about it for a while, quite
logical.
The difference is that part of the way in which members of the
new temperance movement have tried to "protect American children
from alcohol" has obviously been counter-productive. Given a setting
where it is deviant (or even illegal) to drink at an early age,
it is no surprise that those who do so are precisely those who
choose to act in deviant, illegal, or other risky ways. By the
same token, moderate individuals who are willing to conform to
norms, obey the laws, and minimize risks are those most likely
to defer drinking until later. The anti-drink constituency have
succeeded in structuring the situation in such a way that the
fateful outcome ("early drinking results in drinking problems")
is all but inevitable!
By contrast, in most parts of the world, beverage alcohol has
not been endowed with a mystical aura of "forbidden fruit" in
such a way that drinking it is expected by young people to demonstrate
their maturity, to make them more powerful or sexy or dynamic
or sociable. Where children are not "protected from alcohol,"
they show no need of such protection. They learn to drink, usually
at home and among their families. Drinking is a wholesome and
enjoyable part of everyday life, rather than a risky act which
they should hide from their elders, and learn from their ill-informed
and inexperienced peers.
As an anthropologist, I often deal with patterns of small, isolated,
or even tribal populations whose exotic patterns of belief and
behaviour would be impractical in a modern urban setting in the
industrial or post-industrial world. But this is not such a case.
Some of the best illustrations of my point are the middle-class
cultures of contemporary France, Italy, and Spain (among many
others). It is in those well-studied and heavily documented contexts
that I have repeatedly demonstrated, using their own official
statistics, that the occurrence of so-called "alcohol-related
problems" (whether physiological, psychological, social relational,
economic, or other) is inversely related to both "age-of-onset"
and to average per-capita consumption.
As you know, this is just the opposite of what is claimed by World
Health Organization, US National Institute on Alcohol Abuse and
Alcoholism, and other organizations and individuals that are primarily
concerned with restricting or curtailing availability as a public
health policy.
Incidentally, the same context that guarantees that early-onset
drinkers be deviant and willing to flout the law, also guarantees
that they will often do so surreptitiously, drinking too much
and/or too fast, among peers who lack knowledge about the specific
risks of drunkenness or chemical harm, and who may be reluctant
to summon adults in the event that an acute problem should occur.
Here again, it is the "just-say-no" approach that makes for problems
rather than reducing the potential for harm.
In a "wet culture" where young people are early socialized to
drinking, they simultaneously learn how to drink moderately, how
and why to avoid drunkenness, not to expect magical transformations
from drink, and to view excesses as inappropriate and illustrative
of weakness (generally the opposite of what supposedly "protected"
youths in the US learn).
In short, the "early onset" theory is accurate but only in those
few parts of the world in which the legal and normative system
makes it so. In the rest of the world, the opposite is the case!
For anyone who may not find such cross-cultural evidence compelling,
I recommend a recent paper that referred to "age at first drink
and risk for alcoholism" as "a non-causal association". It appeared
in one of the most prestigious ("hard-core science") journals,
and it has the advantage of using a statistical methodology similar
to that used by most who write in support of the opposite view.
How ironic it is that an illogical scientific finding should hold,
if only because an illogical legal context structures the situation
in a way that assures that perverse outcome.
Dwight Heath is Professor of Anthropology at Brown University,
Providence, Rhode Island and a member of the AIM Editorial Board. |