This fact sheet provides data about trending alcohol use among girls and young women. Evidence suggests that problems with anxiety and depression are increasing among adolescents, particularly young women. Girls and young women can be more susceptible to internalizing stress, anxiety, depression, and other mental health issues. This, in turn, may make them more likely to drink as a way to cope. In fact, when girls have high levels of anxiety, they are more likely than boys to use alcohol, and to do so at earlier ages. Helping girls and young women handle difficult emotions in healthy ways may help them reduce their consumption of alcohol or avoid it altogether. Because of the association between underage drinking and mental health conditions such as depression and anxiety, girls and young women who have these challenges need strong underage drinking prevention support coupled with general mental health support.