The study, conducted by academics at Liverpool John Moores University, found that as many as 40% of teenagers living in poor areas binge drink by consuming more than 5 units of alcohol in one session.
Just under half of the 10,000 children questioned drank at least once a week, with 40% of girls and 42% of boys later involved in violence. The report also found that children from poor areas were almost one-and-a-half times more likely to become involved in drink-related violence than those from more affluent backgrounds.
Professor Mark Bellis, co-author of the report, said: "These figures highlight the sheer quantity of alcohol being consumed by under-age drinkers across the North West.
"Sadly, there is still practically no information publicly available on what is a safe amount of alcohol for children to consume or on how parents can best moderate their children's drinking.
"Without a clear message that under-age drunkenness will not be tolerated, we will continue to see the high levels of alcohol bingeing and related violence identified in this study."
A Department of Health spokesperson said: "Tackling the culture of harmful and binge drinking is a priority for Government and we are working with the alcohol industry and other stakeholders to implement a comprehensive strategy to tackle it.
"These include a new public information campaign, an independent review of alcohol pricing and promotion, toughened enforcement of underage sales and more help for people who want to drink less.
"Alcohol education continues to be a vital element of our approach.
"Our guidance to schools is clear that pupils' education about alcohol and its effects should start in primary school, before drinking patterns become established and should be revisited as pupils' understanding and experience increases."