Alcohol Abuse – Special Issues for Adolescent Girls


While it’s true that men are more likely to drink alcohol and more likely to drink greater amounts, women have a higher risk of developing problems from alcohol consumption. When a woman drinks, the alcohol in her bloodstream typically reaches a higher level than a man’s even if both are drinking the same amount. This is because women’s bodies generally have less water than men’s bodies. Because alcohol mixes with body water, a given amount of alcohol is less diluted in a woman’s body than in a man’s. Women become more impaired by alcohol’s effects and are more susceptible to alcohol–related organ damage. That is, women develop damage at lower levels of consumption over a shorter period of time.

Considering that about one–third of American women report regular alcohol consumption and 2.3 percent, or 2.5 million women, meet the criteria for alcohol dependence, it is clear that research to better understand the effects of alcohol in women is critical. This issue of Alcohol Alert summarizes some of the most practical implications for women across the lifespan to come from that research.


Results from national surveys show that alcohol use is prevalent among both adolescents and young adults. And while heavy drinking remains more common among young men, the rate of alcohol abuse in adolescent girls is alarmingly high.

Adolescence is a critical stage of development. Rapidly changing body systems may be especially vulnerable to alcohol’s effects. Drinking during this time of accelerated brain and hormonal maturation may have long–term consequences.

During adolescence, striking physical changes occur in the brain. The prefrontal cortex, the brain region thought to be involved in various goal–directed behaviors, undergoes substantial changes. The amygdala, the brain structure believed to be involved in a person’s emotional reactions and coordinating the body’s response to stress, also undergoes developmental changes. Changes in these systems have a powerful effect on adolescent psychological functioning and behavior. As a result, some adolescents may be more likely to engage in risk–taking behaviors, such as experimenting with alcohol and other drugs.

In adolescents with significant alcohol use problems, the volume of the hippocampus, a brain region important for learning and memory, has been found to be significantly smaller than in control subjects. Limited research suggests that women may be more susceptible than men to shrinkage of brain regions. Whether this is true in adolescent girls is not yet known.

Adolescence is a time of dramatic changes in hormone levels and patterns. Gender differences in the body’s hormonal response to stress also begin to emerge. Some girls may be at particular risk for emotional difficulties, depression, and problems with self–image as well as an increase in risk–taking behaviors. In addition, during early adolescence, girls may be especially vulnerable to stress. Levels of perceived stress have been found to be the most powerful predictor of alcohol and other drug use, after peer substance use.

Finally, evidence from animal studies suggests that alcohol may affect adolescents differently than adults. Adolescents do not become as uncoordinated or sleepy when drinking alcohol as adults do. Adolescents do, however, appear to be more sensitive to alcohol–induced disruptions in certain types of memory. Clearly, more research is needed to explain how gender differences may influence the way alcohol affects the developing adolescent brain and other body systems. What is known, however, is that the younger a person begins drinking, the more likely he or she is to develop a problem with alcohol later in life.

If you or a loved one needs help, contact Jeff at (941) 586-0929

This information is from the National Institute on Alcohol Abuse and Alcoholism website.