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Whariki |  |  | 
            
                | 
                    Sale of Liquor
                        Amendment BillDRINKING
                        AGE  | 
                    
                 |  What the Bill proposes 
            Drinking age is to be
                lowered from 20 to 18.Exemptions reduced
                and clarifiedUnder 18s cannot
                enter restricted premisesOn
                supervised premises under 18s with a
                parent or legal guardian can enter and buy
                alcoholOn undesignated
                premises any age may enter and under 18s with a
                parent or legal guardian can buy alcohol.  
            Lower drinking age
                opposed by public health organisationsLowering the drinking
                age from 20 to 18 is opposed, by this research
                unit and by other public health organisations,
                including the Ministry of Health.  Drinking by teenagers and
        alcohol related harm is already a problem in New Zealand,
        including trends towards binge drinking larger amounts.  Overseas experiences of
        lowering the drinking age have resulted in increases in
        alcohol related harm statistics. On the other hand, when
        the US raised its drinking age, alcohol related harm
        among young people was reduced. APHRU
        recommends
        enforcing the drinking age weve got. To make
        the current drinking age of 20 work better, the following
        changes are supported:  
            Clarification of the
                age provisions -
                Clauses 74-81.
                Definition of
                evidence of age - Clause 3.Infringement notices
                for minors -
                Clause 82.Power to seize
                evidence -
                Clause 177. 
            Also recommended are
                additional clauses to 
            Require licensees and
                their staff to demand ID from young looking
                peopleMake it an offence to
                present false or someone elses IDAllow IDs seized in
                evidence by licensees, their staff and police. Also supported are
        proposed changes to the Land Transport Act to make the
        drivers licence, and non-drivers ID card,
        suitable for age identification by those who wish to use
        it for that purpose. Clarification
        of the
        age provisions (Clauses 74-81)  
            Hard to policeAt present,
                exemptions allow 18-19 to purchase alcohol in
                premises with a supervised or
                undesignated licence either with a meal or if
                accompanied by a parent, guardian or adult
                spouse. Under 18s may buy alcohol with a meal on
                undesignated premises if accompanied by a
                responsible relative.  Frontline police find
        these exemptions confusing and hard to police, and report
        that some licensees think so too. In 1995 police and
        inspectors interviewed in 15 localities reported
        under-enforcement of underage drinking in on-licensed
        premises and of younger teenagers drinking takeaway
        alcohol in public places and unsupervised parties because
        of the complexity of provisions and exemptions in the
        Act. Although there is a legal minimum drinking age there
        is no actual legal requirement to show or to demand proof
        of age. 
            What the Bill
                proposesThe Bill proposes to
                changes to simplify the age provisions. The
                dining requirement is removed. Those under legal
                age will not be able to enter premises with age
                restricted licenses, ie premises
                whose principle purpose of business is the sale
                of alcohol, such as pubs and bars. They will not
                be able to enter premises or areas with a
                supervised licence designation - such
                as most nightclubs and, for example, licensed
                TABS - unless accompanied by a parent or legal
                guardian. If accompanied by their parent or
                guardian, they can enter and can buy alcohol. Any
                age person may enter undesignated licensed
                premises, such as cafes and restaurants, and may
                buy a drink if accompanied by a parent or
                guardian. The Alcohol & Public
        Health Research Unit supports these simplifications of
        the law.  However, a lower drinking
        age is not supported, because it is likely to increase
        current levels of alcohol related harm among under 20s.
         
            Binge drinking in
                nightclubs and 18 as a de facto
                drinking age Some argue that there
                is already a de facto drinking age of
                18. Currently many 18-19 year olds are drinking
                legally in cafes or restaurants with a meal and
                also in nightclubs. Many nightclubs have obtained
                supervised designation on the
                argument that their principle purpose of business
                is not the sale of alcohol but is
                entertainment.  But Auckland surveys over
        the 1990s show drinking in downtown nightclubs is
        associated with Auckland 18-19 year olds binge drinking
        increasingly large amounts (Casswell & Zhang 1998).  In the first years under
        the Act night clubs were given on-licences with no age
        restrictions at all, under on an apparent misapprehension
        that they were more like private clubs than late night
        bars. Most currently have supervised
        designations. Case law shows a series of nightclubs being
        brought before the Authority by local officers because of
        concerns about young peoples drinking and other
        problems. However, narrow interpretations of the Act by
        the court have blocked the Authority from resolving these
        difficulties by tightening licence terms of nightclubs
        (Hill & Stewart 1998).  Nightclubs are in fact
        late night bars, and as such should be age restricted to
        20 like other taverns.  
            RESEARCH
                ON
                DRINKING AND ALCOHOL RELATED HARM AMONG YOUNG
                PEOPLE Patterns of
                drinkingHigh risk behaviour
                and patterns of drinking to excess are more
                common among young people, particularly among
                young males, than among older groups (Wyllie,
                Millard & Zhang 1996). They are also more
                likely to experience alcohol related harm than an
                older person drinking the same amount (Casswell
                et al. 1993).  In the 1995 national
        drinking survey, the males aged 18-24, though less than
        7% of respondents, drank nearly a third of the beer. The
        18 and 19 year old males (who legally should not yet be
        drinking in pubs or buying their own takeaway alcohol,
        unless with parent, guardian or spouse) were already
        drinking 3.5 times their share of the total male beer
        intake, although not yet as high a proportion as those in
        their first few years of legal age drinking. The
        18-24 year olds were most likely to be heavy drinkers and
        to report alcohol related problems, such as getting into
        fight or drink-driving (Wyllie, Millard & Zhang 1996;
        Dacey 1997). This pattern is reflected in statistics on
        road crashes and breath alcohol (Land Transport Safety
        Authority 1995, 1996).  In the 1995 national
        survey almost a quarter of 16-17 year old males and one
        in ten 14-15 year old males were drinking 6 or more
        drinks on a single occasion at least weekly. A third of
        the 16-24 year old women were drinking enough to feel
        drunk at least once a month, and one in eight once a
        week. Nearly a third of the young people in their mid and
        late teens were drinking on on-licensed premises. 
            Binge drinking and
                harm associated with on-licences premises Evidence of young
                people getting drunk in late inner city venues
                does little to support the argument that it might
                be safer to have young drinkers under the eye of
                licensees.  For 18-24 year old
                males drinking large amounts in hotels, taverns
                and clubs is an important predictor of alcohol
                related harm, such as getting in to a fight or
                drink-driving (Casswell, Zhang, Wyllie 1993).
                Seventeen percent of assaults in hotels resulting
                in hospitalisation were found to involve people
                less than 20 years of age (Langley et al. 1996).
                This pattern is reflect in breathalyser and road
                fatality statistics (Land Transport Safety
                Authority 1996). Analysis of seven Auckland
        surveys shows that those teenagers who drink are
        binge-drinking increasingly large amounts (APHRU 1998;
        Casswell, Zhang & Wyllie 1998). Among the 18-19 year
        old drinkers, this trend was particularly associated with
        drinking in nightclubs.  
            Teenage binge
                drinking of take-away alcoholAmong the 14-17 year
                olds binge drinking increasing amounts was
                associated with drinking at other peoples
                homes - that is, drinking takeaway alcohol from
                off-licensed premises. In Auckland the number of
                off licences has doubled over the 1990s. In the
                national survey, around a quarter of 14-17 year
                old drinkers had bought alcohol themselves at
                supermarkets, wine shops or other off-licences,
                and had encountered few refusals. Off-licensed
                premises are seldom monitored unless they come to
                police attention (Hill & Stewart 1997). Also,
                since currently any aged person may enter
                off-licensed premises, which may sell other
                items, and a takeaway purchase takes only a
                minute, policing takes more surveillance time and
                manpower. In a 1997 national
                survey of 14-18 year olds (ALAC 1997), a
                friends home was the most likely location
                of drinking, particularly for heavier drinkers.
                One in five had last drunk at a party. One in
                five, and more than a third of those who drank
                most heavily on the last occasion, said they
                usually drank to get drunk. The last time they
                drank, four out of ten drank five or more
                glasses; one in seven drank more than ten. One in
                three reported suffering ill effects: one in
                eight had drunk enough to have gaps in memory;
                one in twelve threw up; one in eleven fell over
                or hurt themselves. 
 
            Alcohol and
                unwanted/unsafe sexThe 14 to 24 years
                are high risk for sons, but also for daughters.
                Of the young people involved in the Dunedin
                Multi-Disciplinary Study of Health and
                Development, 10% reported that alcohol was the
                main reason for first intercourse, and more said
                it was one factor; 29% of the women reported
                unwilling participation (Dickson,
                Paul, Herbison & Silva 1998). A third of the
                teenage girls seeking emergency contraception
                from NZ Family Planning report that they were
                drunk when they had had unsafe, and sometimes
                unwanted, sex (NZ Family Planning Assn 1994: 9).  The younger we
                start drinking
A longitudinal study
                of New Zealand adolescents has shown that access
                to alcohol at ages 15 and 18 was a significant
                predictor of amounts drunk and adverse
                consequences at later ages. Access to alcohol via
                licensed premises was more significant than peer
                or parental influences (Casswell & Zhang,
                1988, Casswell, S. (1996).  Research in the
                United states has also shown a significant
                relationship between the early drinking patterns
                of individuals and their age cohort and later
                heavy drinking and alcohol related problems
                (Fillmore et al. 1991; Chou & Pickering
                1992).  Experiences in comparable countries 
            Adverse
                experiences of lowering the drinking agePublic health
                policies are about predicting and reducing risk.
                In considering a lower drinking age, we have the
                opportunity to learn from well-researched
                natural experiments in other
                countries in the 1970s and 1980s.  In Australia a drinking
        age of 21 was lowered to 18. This had adverse effects on
        traffic safety, with increases in crashes persisting for
        the next six years. In Queensland there was a 92%
        increase in males aged 17-20 charged with drunk driving.
        Juvenile crime increased 20-30% in Queensland, South
        Australia, Tasmania and Western Australia. In Western
        Australia there were increases in non-traffic hospital
        admissions, and in Queensland non-traffic admissions of
        15-17 year olds increased, including young women
        deliberately injured by others or attempting suicide More
        recent research in New South Wales shows that over
        two-thirds of alcohol purchases by underage-looking
        people went unchallenged.  The Canadian provinces
        lowered their drinking ages from 21 to 18 or 19 with
        marked increases in automobile accidents among 18-20 year
        olds. Also noted was a trickle down effect, with 18 years
        olds buying alcohol for their 16-17 year old friends and
        taking them into bars. Surveys a decade later showed 12%
        of Canadian young people were drinking regularly by age
        15, and seriously harmful drinking among teenagers had
        become a concern for treatment agencies. In 1984 the US Federal
        Uniform Drinking Age Act pressured all states into
        raising the minimum legal drinking age to 21 by
        withholding highway funds for non-compliance. This
        federal policy was based on research evidence after 29
        states lowered their drinking age to 18 to match the
        right to vote. There were significant increases in
        alcohol related crashes among young drivers, with 10-30%
        increases among new drivers in some states. Later
        analysis of the effect of various policies to reduce road
        fatalities attributed a 5-6% reduction to the higher
        drinking age reintroduced in 1984. The higher drinking
        age was associated with lower alcohol use among US
        teenagers across all demographic variables, with this
        pattern persisting in their early twenties . 
            A considerable body
                of research on drinking age changes in Australia
                and the United States shows that lowering the
                drinking age to 18 was associated with increased
                drink drive fatalities and injuries. When the
                United States returned to a minimum age of 21,
                alcohol related fatalities and crashes were
                reduced, particularly among new drivers, and
                lower alcohol consumption levels by teenagers
                have persisted in their early 20s . Moderate in
                international comparisonA drinking age of 20
                and no parental exceptions would
                still be moderate regulation in comparison with
                countries with similar teenage drinking patterns.
                 Minimum drinking ages
                vary between 18 in Scandinavia, 19 in Canada and
                21 in the United States, but the age provisions
                are simpler to interpret and enforce than under
                New Zealands present legislation. In
                addition, policing of excessive teenager drinking
                is aided by the fact that age restrictions apply
                to possession or consumption of alcohol, as well
                as purchase. California provides police with
                specific powers to remove alcohol from underage
                drinking parties. Where police have the power to
                seize liquor on reasonable suspicion that it has
                been obtained illegally, they are able to
                separate the teenagers from the alcohol. In
                Manitoba, Canada, the liquor is required to be
                held for seven days before disposal, to allow any
                parent or guardian to claim ownership (Hill
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