Alcohol use was studied in 158 adolescents with visual impairments and 537 sighted adolescents in Germany. The students with visual impairments reported lower levels of alcohol use and drunkenness, and between-group differences increased across adolescence. The lower alcohol use by students with visual impairments was explained, in part, by the lower peer group integration of these adolescents. (Contains 1 table and 3 figures.)