Alcohol, children & young people

As outlined in our strategic plan, Alcohol Action Ireland believes that all young people are entitled to a childhood free from alcohol harm, and that protecting children from harm is not just a public health issue but a human rights one.
To protect children and young people from direct and indirect alcohol harm government policy must be multifaceted, agile, and evidence based. Naturally this means having bespoke and population-based alcohol policy to protect them the direct harm associated with drinking, but policy must also protect children and young people from the indirect harms caused by other people’s drinking.
Firstly, children and young people, as well as the unborn, must be protected from the impact of alcohol-related harms that include issues such as:
- Drinking during pregnancy can harm the unborn and cause Foetal Alcohol Spectrum Disorders (FASD). These are a group of disorders caused by prenatal alcohol exposure and are associated with a range of lifelong physical, mental, learning/educational, social, and behavioural difficulties.[i] Ireland is estimated to have the third highest prevalence of Foetal Alcohol Spectrum Disorder (FASD) in the world.
- In Ireland, an estimated 1 in 6 young people are impacted by parental problem alcohol use, an adverse childhood experience that can have lasting impacts into adulthood.
- Every year in Ireland, 50,000 children in Ireland start drinking. Starting to drink alcohol as a child, which is the norm rather than the exception in Ireland, is more likely to lead to heavy episodic drinking and is a known risk factor for later dependency.
- Adolescents and young people have the highest levels of binge drinking of any age cohort in Ireland,[ii] and have the fifth highest weekly alcohol consumption rates in the EU.[iii]
Foetal Alcohol Spectrum Disorders (FASD)
Foetal Alcohol Spectrum Disorders (FASD) are a group of disorders caused by prenatal alcohol exposure and are associated with a range of lifelong physical, mental, learning/educational, social, and behavioural difficulties.[iv] FASD comprise Foetal Alcohol Syndrome (FAS), partial Foetal Alcohol Syndrome, Alcohol Related Birth Defects, and DSM-5 Neurodevelopmental Disorder – Prenatal alcohol exposure.[v] The symptoms of FASD may vary from child to child but are lifelong.[vi]
FASD is caused by the consumption of any amount of alcohol at any time from 6 weeks before conception (either parent) and for the duration of the pregnancy. Alcohol is a teratogen, a substance that negatively affects the embryo and foetus during pregnancy.[vii] Alcohol has an adverse effect on the developing brain, and on body organs, and the greater the amount of alcohol that has been consumed during pregnancy, the greater the risk to the development of the embryo and foetus.
Tragically, Ireland has the third highest level of FASD in the world, possibly affecting up to 7.4% of the population as highlighted by the HSE.[viii] The best available evidence estimates that about 600 Irish babies are born each year with Foetal Alcohol Syndrome (FAS), with a further 9-10 times this number of babies born annually who have other Foetal Alcohol Spectrum Disorders.[ix] This means that up to 15 babies a day are being born with FASD.
Alcohol use in the home
Growing up in a home with parental problem alcohol use has been recognised internationally as an adverse childhood experience for over 20 years, and the physical and mental consequences of this issue have also been studied.
In Ireland, at least 1 in 6 young people suffer the unnecessary impact of alcohol-related harms at home. Therefore it is likely that today more than 200,000 children in Ireland are living with the traumatic circumstances of a childhood where parental problem alcohol use (PPAU) is a frequent event. It is further estimated that there are around 400,000 people in Ireland today who are adult children from alcohol-impacted families. This means that approximately 600,000 people across all age ranges in Ireland may be suffering because of the impact of alcohol harm in their family.
Silent Voices, an initiative of Alcohol Action Ireland, seeks to highlight the harm caused by PPAU and its impact across the lifespan.
Read more about the Silent Voices campaign here
Marketing to young people
Alcohol is one of the most heavily marketed products with the annual spend on alcohol marketing conservatively estimated at €115m in Ireland alone. That’s why the role of alcohol marketing in encouraging, normalising and glamourising alcohol consumption among young people cannot be underestimated. The international literature is clear – the greater the level of exposure to, or engagement with, alcohol marketing, the more likely young people are to drink alcohol.
Research commissioned by Alcohol Action Ireland and carried out by the Health Promotion Research Centre in NUI Galway found that Irish children are exposed to large volumes of alcohol marketing, which increases their likelihood of drinking alcohol and engaging in risky drinking behaviour.
Ireland’s Public Health Alcohol Act (PHAA) contains provisions to restrict alcohol advertising to young people. While these recently enacted measures are helpful, they also fail to protect children in the main space inhabit – online. Therefore, it is little wonder that research revealed Diageo, the multinational alcoholic beverage company, to be the number four advertiser to children in Ireland.[x]
Furthermore, a lacuna in the law has allowed alcohol companies to use zero-alcohol products, with identical branding to the master brand, to circumvent the PHAA. This is exactly what the PHAA was supposed to protect against, especially in terms of alcohol advertising being seen by children, because evidence shows that exposure to alcohol marketing encourages children to drink at an earlier age and in greater quantities than they otherwise would.[xi]
Youth drinking
There is some cause for celebration in the fight against alcohol harm as research over the past two decades indicates a decrease in the number of young people aged 15–24 years who had used alcohol in their lifetime from 89% in 2002 to 75%[xii] in 2024.[xiii] While the age of first alcohol use increased from 15.6 years to 16.6 years over a similar period, and between 2002 and 2019, monthly heavy episodic drinking decreased from 74% to 56% among those aged 15–24 years. [xiv]
However, such improvements are no reason for complacency. In-depth research by the HRB concludes that the overall decline in consumption is being driven by younger adolescents, particularly those less than 17 years – who should not be drinking anyway.
Drinking remains the norm for young people in Ireland and amongst those who do drink, harmful alcohol consumption patterns are rife. Among this age cohort research indicates consistently high levels of binge drinking,[xv] with hazardous drinking a normal consumption pattern,[xvi] and one in three young drinkers having an Alcohol Use Disorder. [xvii] Furthermore, analysis of Eurostat data on alcohol consumption puts Ireland in fifth place for weekly consumption among 15-25-year-olds (29%),[xviii] while recent European School Survey Project on Alcohol and Other Drugs (ESPAD) data also shows that current alcohol use is still quiet high for adolescents, standing at 35%.[xix]
Therefore, stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial harms attributable to alcohol in Ireland.[xx]
[i] https://www.hse.ie/eng/about/who/healthwellbeing/our-priority-programmes/alcohol-programme/hse-position-on-prevention-of-fasd.pdf
[ii] https://assets.gov.ie/static/documents/healthy-ireland-survey-summary-report-2024.pdf
[iii] https://ec.europa.eu/eurostat/databrowser/view/hlth_ehis_al1e__custom_17464485/default/bar?lang=en
[iv] https://www.hse.ie/eng/about/who/healthwellbeing/our-priority-programmes/alcohol-programme/hse-position-on-prevention-of-fasd.pdf
[v] https://www.hse.ie/eng/about/who/healthwellbeing/our-priority-programmes/alcohol-programme/hse-position-on-prevention-of-fasd.pdf
[vi] https://www.mayoclinic.org/diseases-conditions/foetal-alcohol-syndrome/symptoms-causes/syc-20352901#:~:text=Issues%20with%20behavior%20and%20with,Quickly%20changing%20moods.
[vii] https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(17)30021-9/fulltext
[viii] https://www.hse.ie/eng/about/who/healthwellbeing/our-priority-programmes/alcohol-programme/hse-position-on-prevention-of-fasd.pdf
[ix] https://www.hse.ie/eng/about/who/healthwellbeing/our-priority-programmes/alcohol-programme/hse-position-on-prevention-of-fasd.pdf
[x] https://www.bai.ie/en/media/sites/2/2021/02/2020_StatutoryReport_CCCC_vFinal_JC.pdf
[xi] https://www.ias.org.uk/wp-content/uploads/2020/12/Alcohol-and-marketing.pdf
[xii] https://www.drugsandalcohol.ie/37095/1/Drugnet_Ireland_Issue_82.pdf
[xiii] https://assets.gov.ie/static/documents/healthy-ireland-survey-summary-report-2024.pdf
[xiv] https://www.drugsandalcohol.ie/37095/1/Drugnet_Ireland_Issue_82.pdf
[xv] https://www.drugsandalcohol.ie/37095/1/Drugnet_Ireland_Issue_82.pdf
[xvi] https://www.drugsandalcohol.ie/37095/1/Drugnet_Ireland_Issue_82.pdf
[xvii] https://www.drugsandalcohol.ie/37095/1/Drugnet_Ireland_Issue_82.pdf
[xviii] https://ec.europa.eu/eurostat/databrowser/view/hlth_ehis_al1e__custom_17464485/default/bar?lang=en
[xix] https://www.euda.europa.eu/publications/data-factsheets/espad-2024-key-findings_en#0-level-3
[xx] https://www.thelancet.com/article/S0140-6736(22)00847-9/full
