10.22376/ijpbs.2019.10.1.p1-12 Volume 6 Issue 2 2015 (April - June) The purpose of the study was to investigate the health effects of children of alcoholics and the role of self-esteem. A sample of 400 COAs (Male = 201; Female = 199) was identified with the help of community workers using a snowball sampling technique by audit questionnaire. The result of the study showed that the health effects of COA had a significant negative correlation with the level of self-esteem. When the comparison was made on the basis of age, the age groups between 13-14 years were found to be significant with self-esteem. The major findings of the study reveals that emotional aspect is negatively associated with the financial support of COA and positively associated with effect/illness due to alcohol dependence and Child abuse.There was a negative correlation found between health effects and self-esteem. The study, therefore, concluded that the parental alcohol problem increases the health effects and decreases self-esteem of their children. It is recommended that effective guidance and counselling should be offered to assist the affected students in learning institutions. GENESTA MARY GYSEL, PARAMANANDAM AND ARUN TIPANDJAN Health effects, Children of Alcoholics, Self-esteem, Child abuse 1119-1125