Community-Based Interventions to Reduce Alcohol Consumption and Alcohol-Related Harm in Adults
Por:
Porthe, V, Garcia-Subirats, I, Ariza, C, Villalbi, JR, Bartroli, M, Juarez, O, Diez, E
Publicada:
1 jun 2021
Ahead of Print:
1 ago 2020
Resumen:
Alcohol consumption was associated with 3 million deaths worldwide in 2016. Although community action has proven to be effective and has become a priority area of the global strategy to reduce alcohol consumption, there is a gap in the knowledge of community interventions to reduce alcohol use among adults. This study aims to analyze the evidence on effective community-based interventions to reduce alcohol consumption and harm among adults and to identify their components and underlying theories. Search strategy involved five databases (January 2000-March 2020). We included multicomponent, evaluated, and community interventions addressing to adults in urban settings of high-income countries. Furthermore, two conceptual frameworks were adapted to identify the social determinants of alcohol related harms and modifiable factors through community interventions. The initial search yielded 164 articles. The final sample included eight primary studies. Six of them were effective and shared three components (community mobilization; law enforcement and media campaigns), they combined approaches at individual and environmental levels addressing structural determinants of health and some cultural aspects related to consumption. Health outcomes focused mainly on reducing consumption, modifying patterns and acute effects on health. Few studies addressed social problems arising from harmful consumption. This review has identified several effective community-based interventions to reduce harmful use of alcohol among adults as well as some mechanisms and theories supporting them. It also provides a framework to guide new designs, with potential evidence of factors, as well as possible combinations of methods to improve health at community level across different settings and contexts.
Filiaciones:
Porthe, V:
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Ave Monforte de Lemos 3-5,Pabellon 11 Planta 0, Madrid 28029, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Garcia-Subirats, I:
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Inst Invest Biomed St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Ariza, C:
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Ave Monforte de Lemos 3-5,Pabellon 11 Planta 0, Madrid 28029, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Inst Invest Biomed St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Villalbi, JR:
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Ave Monforte de Lemos 3-5,Pabellon 11 Planta 0, Madrid 28029, Spain
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Doctor Aiguader 88, Barcelona 08003, Spain
Inst Invest Biomed St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Bartroli, M:
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Doctor Aiguader 88, Barcelona 08003, Spain
Inst Invest Biomed St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Juarez, O:
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Doctor Aiguader 88, Barcelona 08003, Spain
Inst Invest Biomed St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
Diez, E:
Agencia Salut Publ Barcelona, Pl Lesseps 1, Barcelona 08023, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Doctor Aiguader 88, Barcelona 08003, Spain
Inst Invest Biomed St Pau, Carrer St Quinti 77, Barcelona 08041, Spain
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