Risk and protective factors, prosocial peer affiliations, and synergistic relationships between social contexts are worth further research. Among immigrants, retaining the cultural values of the country of origin has shown to have protective influences on alcohol use, and this finding should be incorporated into future interventions for immigrant populations. Focusing on risk and protective factors will help inform future programs addressing alcohol initiation, specifically helping parents and communities understand how they may influence alcohol use among adolescents and young adults.