Emerging adults – those aged 18 to 24 years –who experience pain are more likely to engage in high-risk patterns of alcohol use such as binge drinking. Anxiety caused by pain may be what motivates unhealthy coping strategies such as excessive drinking as a form of escape/avoidance. These results and others will be shared at the 46th annual scientific meeting of the Research Society on Alcohol (RSA) in Bellevue, Washington.