Minimum legal drinking age of 21 saves lives (2024)

A Minimum Legal Drinking Age (MLDA) of 21 saves lives and protects health

Minimum Legal Drinking Age (MLDA) laws specify the legal age when an individual can purchase alcoholic beverages. The MLDA in the United States is 21 years. However, prior to the enactment of the National Minimum Drinking Age Act of 1984, the legal age when alcohol could be purchased varied from state to state.1

Minimum legal drinking age of 21 saves lives (1)

An age 21 MLDA is recommended by the:

• American Academy of Pediatrics2
• Community Preventive Services Task Force4
• Mothers Against Drunk Driving5
• National Highway Traffic Safety Administration1
• National Prevention Council8
• National Academy of Sciences (National Research Council and Institute of Medicine)9

The age 21 MLDA saves lives and improves health.3

Fewer motor vehicle crashes

  • States that increased the legal drinking age to 21 saw a 16% median decline in motor vehicle crashes.6

Decreased drinking

  • After all states adopted an age 21 MLDA, drinking during the previous month among persons aged 18 to 20 years declined from 59% in 1985 to 40% in 1991.7
  • Drinking among people aged 21 to 25 also declined significantly when states adopted the age 21 MLDA, from 70% in 1985 to 56% in 1991.7

Other outcomes

  • There is also evidence that the age 21 MLDA protects drinkers from alcohol and other drug dependence, adverse birth outcomes, and suicide and homicide.4

Drinking by those under the age 21 is a public health problem.

  • Excessive drinking contributes to about 4,000 deaths among people below the age of 21 in the U.S. each year.10
  • Underage drinking cost the U.S. economy $24 billion in 2010.11

Drinking by those below the age of 21 is also strongly linked with9,12,13:

  • Death from alcohol poisoning.
  • Unintentional injuries, such as car crashes, falls, burns, and drowning.
  • Suicide and violence, such as fighting and sexual assault.
  • Changes in brain development.
  • School performance problems, such as higher absenteeism and poor or failing grades.
  • Alcohol dependence later in life.
  • Other risk behaviors such as smoking, drug misuse, and risky sexual behaviors.

Alcohol-impaired driving

Drinking by those below the age of 21 is strongly associated with alcohol-impaired driving.
The 2021 Youth Risk Behavior Survey14found that among high school students, during the past 30 days

  • 5% drove after drinking alcohol.
  • 14% rode with a driver who had been drinking alcohol.

Rates of drinking and binge drinking among those under 21

The 2021 Youth Risk Behavior Surveillance System found that among high school students, 23% drank alcohol and 11% binge drank during the past 30 days.14

In 2021, the Monitoring the Future Survey reported that 6% of 8th graders and 28% of 12th graders drank alcohol during the past 30 days, and 2% of 8th graders and 13% of 12th graders binge drank during the past 2 weeks.15

In 2014, the New York City Department of Health and Mental Hygiene and the New York State Liquor Authority found that more than half (58%) of the licensed alcohol retailers in the City sold alcohol to underage decoys.17

Enforcing the age 21 MLDA

Communities can enhance the effectiveness of age 21 MLDA laws by actively enforcing them.

  • A Community Guide review found that enhanced enforcement of laws prohibiting alcohol sales to minors reduced the ability of youthful-looking decoys to purchase alcoholic beverages by a median of 42%.16
  • Alcohol sales to minors are still a common problem in communities.

More information on underage drinking

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  1. National Highway Traffic Safety Administration.Determine Why There Are Fewer Young Alcohol Impaired DriversExternal. Washington, DC. 2001.
  2. Committee on Substance Abuse, Kokotailo PK.Alcohol use by youth and adolescents: a pediatric concernExternal.Pediatrics. 2010;125(5):1078-1087.
  3. DeJong W, Blanchette J.Case closed: research evidence on the positive public health impact of the age 21 minimum legal drinking age in the United StatesExternal.J Stud Alcohol Drugs. 2014;75 Suppl 17:108-115.
  4. Task Force on Community Preventive Services.Recommendations to reduce injuries to motor vehicle occupants: increasing child safety seat use, increasing safety belt use, and reducing alcohol-impaired drivingCdc-pdfExternal[PDF-78 KB].Am J Prev Med. 2001;21(4 Suppl):16-22.
  5. Mothers Against Drunk Driving (MADD). Why 21? 2018;https://www.madd.org/the-solution/teen-drinking-prevention/why-21/External. Accessed May 3, 2018.
  6. Shults RA, Elder RW, Sleet DA, et al.Reviews of evidence regarding interventions to reduce alcohol-impaired drivingCdc-pdfExternal[PDF-2 MB].Am J Prev Med. 2001;21(4 Suppl):66-88.
  7. Serdula MK, Brewer RD, Gillespie C, Denny CH, Mokdad A.Trends in alcohol use and binge drinking, 1985-1999: results of a multi-state surveyExternal.Am J Prev Med. 2004;26(4):294-298
  8. National Prevention Council. National Prevention Strategy: Preventing Drug Abuse and Excessive Alcohol Use[PDF-4.7MB].Washington, DC: US Department of Health and Human Services, Office of the Surgeon General; 2011.
  9. Bonnie RJ and O’Connell ME, editors. National Research Council and Institute of Medicine.Reducing Underage Drinking: A Collective ResponsibilityExternal. Committee on Developing a Strategy to Reduce and Prevent Underage Drinking. Division of Behavioral and Social Sciences and Education. Washington, DC: The National Academies Press; 2004.
  10. Centers for Disease Control and Prevention (CDC). Alcohol-Related Disease Impact (ARDI) Application website. Accessed February 29, 2024.
  11. Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD.2010 national and state costs of excessive alcohol consumptionExternal.Am J Prev Med. 2015;49(5):e73-79.
  12. Miller JW, Naimi TS, Brewer RD, Jones SE.Binge drinking and associated health risk behaviors among high school studentsExternal.Pediatrics. 2007;119(1):76-85.
  13. Department of Health and Human Services. The Surgeon General’s call to action to prevent and reduce underage drinkingExternal. Department of Health and Human Services, Office of the Surgeon General;2007.
  14. Centers for Disease Control and Prevention. 2021 Youth Risk Behavior Survey Data. Accessed on September 13, 2023.
  15. Johnston LD, Miech RA, O’Malley PM, Bachman JG, Schulenberg JE, Patrick ME. Monitoring the Future national survey results on drug use, 1975-2021: Overview, key findings on adolescent drug useexternal icon. Ann Arbor: Institute for Social Research, The University of Michigan; 2023.
  16. Elder R, Lawrence B, Janes G, et al.Enhanced enforcement of laws prohibiting sale of alcohol to minors: systematic review of effectiveness for reducing sales and underage drinkingExternal[PDF-4MB].Transportation Research E-Circular. 2007;E-C123:181-188.
  17. The New York City Department of Health and Mental Hygiene. Alcohol & Health website. Accessed October 18, 2016.
Minimum legal drinking age of 21 saves lives (2024)

FAQs

Does a minimum legal drinking age of 21 saves lives and protects health? ›

Drinking by those under the age 21 is a public health problem. Excessive drinking contributes to about 4,000 deaths among people below the age of 21 in the U.S. each year.

Did raising drinking age to 21 save lives? ›

History says no. When states had lower legal drinking ages in the U.S., the underage drinking problem was worse. For example, before the 21 minimum legal drinking age was implemented by all states, underage drunk drivers were involved in over twice as many fatal traffic crashes as today. 3.

How many lives has the 21 age limit for drinking saved? ›

Over 27,000 lives have been saved since the 21 and up limit implementation.

Why was the legal drinking age changed to 21? ›

1974). With evidence that lower legal drinking ages were associated with more traffic crashes among youth, citizen advocacy groups led a movement to restore the MLDA to 21 in all States (Wolfson 1995). In response, 16 States increased their MLDA's between September 1976 and January 1983 (Wagenaar 1983).

Why should the legal drinking age be lowered? ›

Proponents of lowering the minimum legal drinking age (MLDA) from 21 argue that it has not stopped teen drinking, and has instead pushed underage binge drinking into private and less controlled environments, leading to more health and life-endangering behavior by teens.

How would lowering the drinking age help the economy? ›

Moreover, given the budget crises that we have faced recently, enfranchising 18-20 year olds with the ability to drink legally may lead to an increase in alcohol consumption, which could boost government tax-revenue. Simultaneously, an age-18 MLDA would also reduce enforcement costs of the 21 year-old MLDA.

Who pushed for 21 drinking age? ›

By the 1980s, this unusual patchwork of drinking ages started to be seen as a problem, especially by activist organizations like MADD (Mothers Against Drunk Driving) and RID (Remove Intoxicated Drivers). They lobbied for a 21-year-old minimum legal drinking age, and President Ronald Reagan supported the cause.

What is the lowest drinking age in the world? ›

Burkina Faso is the country with the youngest drinking age at 13 years. Burkina Faso, a country in West Africa, a population 20.9 million (2020), has an area that expands to roughly 170,255 miles.

Why is lowering the drinking age to 18 safer? ›

Over 700,000 college students annually are assaulted by other students who have been drinking, and upwards of 1,500 college students die annually from alcohol-related accidents. Lowering the MLDA to 18 so young adults can drink moderately in controlled environments will promote safety and responsible habits.

Why is the drinking age 21 and not 20? ›

The drinking age was raised back to 21 over federal highway funding. In 1984, the National Minimum Drinking Age Act passed, which stated federal highway funds would be withheld from U.S. states that failed to set the minimum legal drinking age back at 21. By 1988, all the states had adopted the age minimum.

Is drinking age 21 federal? ›

The Federal Uniform Drinking Age Act of 1984 sets the minimum legal drinking age to 21 and every State abides by that standard.

Will the US ever lower the drinking age? ›

The federal government cannot constitutionally mandate a federal minimum drinking age, leaving the door open for states to pass laws to lower the drinking age. However, it can strongarm states to adopt a 21-drinking age by dangling federal funding.

Why is drinking age so high in the US? ›

The legal drinking age was set at 21 years of age because studies showed that the leading cause of death among people aged 1 to 34 accounted for one third of deaths due to unintentional injury from alcohol consumption.

What state can you drink at 18? ›

Maryland, North Carolina, South Carolina, Virginia, and Washington, D.C.: The legal drinking age is 18 for beer and wine, and 21 for liquor. Kansas, Ohio, Oklahoma, and South Dakota: The legal drinking age is 18 for 3.2% ABV beer, and 21 for beer stronger than 3.2% ABV, wine, and liquor.

What age to drink in Japan? ›

In Japan, the legal adult age is 20. Japanese law prohibits individuals under the age of 20 to drink alcohol or smoke. Regardless of age, you must not force anyone to drink or smoke as it may cause serious health and social consequences.

What does the National Minimum Drinking Age Act prevent? ›

§ 158], requires that States prohibit persons under 21 years of age from purchasing or publicly possessing alcoholic beverages as a condition of receiving State highway funds.

Why is the minimum drinking age 21 instead of 18 like it used to be in Texas? ›

The drinking age was raised back to 21 over federal highway funding. In 1984, the National Minimum Drinking Age Act passed, which stated federal highway funds would be withheld from U.S. states that failed to set the minimum legal drinking age back at 21.

Should the legal drinking age be raised from 21 to 25? ›

On the opposing side, some claim that young adults are less likely to consume alcohol responsibly and that alcohol can affect the human brain while it is still developing. For this reason, some advocates of the drinking age limit feel that the U.S. should raise the drinking age even higher — to 25.

Why is drinking especially damaging to an underage individual? ›

Drinking lowers inhibitions and increases the chances that children will engage in risky behavior or do something that they will regret when they are sober.

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