PREVENTION OF ALCOHOL-USE AND ABUSE

The primary goal of educational alcohol prevention programs is to lower the overall prevalence of alcohol use and abuse among populations at risk for negative alcohol-related outcomes. Youth are primarily targeted for prevention since there is ample evidence that alcohol-related injuries constitute a major risk for this group in particular. Prevention includes a goal to delay the onset of regular consumption and decrease high-risk consumption among youth who do drink. No matter what definition of alcohol use or abuse is adopted, the goal of prevention is to lower the proportion of youth who engage in that type of use. Among those who already use or abuse alcohol by any definition, the goal of prevention is to reduce the average intensity of use and prevent the progression of consumption to more severe levels. Reducing high-risk consumption may include preventing drinking while driving as well as promoting ''responsible'' drinking. Prevention programs may include a focus on reducing or eliminating consumption among occasional users. Prevention is also targeted at adults, primarily focusing on reduction of alcohol-impaired driving, reduction of alcohol-related violence, and reduction of alcohol consumption during pregnancy. (C) 1994 Academic Press, Inc.