Holder H D
Prevention Research Center, Berkeley, CA 94704, USA.
Am J Health Behav. 2001 May-Jun;25(3):234-44. doi: 10.5993/ajhb.25.3.10.
To review the theoretical basis for a systems approach to community prevention of alcohol problems and the policy options that this approach suggests.
A community systems prevention project used 4 environmental strategies to reduce heavy drinking.
The Community Trial, using an environmental approach to prevention, achieved a statistically significant reduction in alcohol-involved traffic crashes in addition to lower sales of alcohol to young people and greater number of policies against serving alcohol to intoxicated persons.
This trial demonstrated that a respectful partnership between researchers and community members is essential. Prevention planners and policy makers must understand how various aspects of the community influence alcohol and other drug use, thereby contributing to alcohol and other drug problems.
回顾采用系统方法进行社区酒精问题预防的理论基础以及该方法所建议的政策选择。
一个社区系统预防项目采用4种环境策略来减少酗酒。
社区试验采用环境预防方法,除了减少向年轻人售酒以及出台更多针对向醉酒者提供酒精饮料的政策外,还在涉及酒精的交通事故方面实现了具有统计学意义的减少。
该试验表明研究人员与社区成员之间建立相互尊重的伙伴关系至关重要。预防规划者和政策制定者必须了解社区的各个方面如何影响酒精及其他药物的使用,从而导致酒精及其他药物问题。