Little is known about the patterns of alcohol use among adolescents and the transmission of alcohol use behaviors from parents to children, including the passage into responsible and problem drinking, in the developing world. In recent years, attention has focused on rapidly increasing rates of adult alcohol use and the global burden of disease associated with the use of alcohol and other substances, with alcohol as the first most important risk factor for ill-health and premature death in low mortality, lower income countries (Anderson, 2006).