Community and Health Sciences, University of the Western Cape School of Public Health, Bellville, Western Cape, South Africa
Community and Health Sciences, University of the Western Cape School of Public Health, Bellville, Western Cape, South Africa.
BMJ Open. 2022 Jul 18;12(7):e059332. doi: 10.1136/bmjopen-2021-059332.
Alcohol-related harm is a rising global concern particularly in low-income and middle-income countries where alcohol use fuels the high rates of violence, road traffic accidents and is a risk factor for communicable diseases such as HIV/AIDS and tuberculosis. Existing evidence to address alcohol-related harm recommends the use of intersectoral approaches, however, previous efforts have largely focused on addressing individual behaviour with limited attention to whole-of-community approaches. Whole-of-community approaches are defined as intersectoral interventions that are systematically coordinated and implemented across the whole community. The objective of this scoping review is to synthesise the existing literature on multisectoral, whole-of-community interventions which have been used to modify or prevent alcohol-related harms.
This scoping review will follow the six-step approach that involves; (1) identifying the research question, (2) identifying relevant studies, (3) selecting studies, (4) charting the data, (5) collating, summarising and reporting the results and (6) expert consultation. Published literature from 2010 to 2021 will be accessed through PubMed, Web of Science, CINAHL Plus and Scopus databases. Search terms will focus on the concepts of 'interventions', 'community-based', 'harm reduction' and 'alcohol'. There will be no restrictions on the type of study methodology or country of origin. Title and abstract followed by full-text screening will be conducted by two reviewers to identify relevant articles based on the inclusion and exclusion criteria. Data from selected articles will be extracted and charted in Excel software. Findings will be analysed qualitatively and presented using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis: Extension for Scoping Review.
This review makes use of published and publicly available data and no ethics approval is required. The results from this study will be disseminated via publication in peer-reviewed journals and presentations at relevant academic research fora and conferences.
酒精相关危害是一个日益严重的全球问题，尤其是在低收入和中等收入国家，这些国家的酒精使用导致了高暴力率、道路交通事故，并成为艾滋病毒/艾滋病和结核病等传染病的风险因素。现有的解决酒精相关危害的证据建议采用跨部门方法，然而，以前的努力主要集中在解决个人行为上，对全社区方法的关注有限。全社区方法被定义为跨部门干预措施，在整个社区内系统地协调和实施。本范围综述的目的是综合现有的关于多部门、全社区干预措施的文献，这些干预措施已被用于改变或预防与酒精相关的危害。
本范围综述将遵循六步方法，包括：（1）确定研究问题，（2）确定相关研究，（3）选择研究，（4）绘制数据，（5）整理、总结和报告结果，（6）专家咨询。从 2010 年至 2021 年发表的文献将通过 PubMed、Web of Science、CINAHL Plus 和 Scopus 数据库获取。搜索词将集中在“干预措施”、“基于社区”、“减少伤害”和“酒精”等概念上。研究方法类型或来源国没有限制。将由两名审查员对标题和摘要进行筛选，然后对全文进行筛选，以根据纳入和排除标准确定相关文章。将从选定文章中提取数据并在 Excel 软件中绘制图表。发现将进行定性分析，并使用系统评价和荟萃分析的扩展：范围综述的首选报告项目呈现。
本综述利用已发表和公开可用的数据，不需要伦理批准。这项研究的结果将通过在同行评议期刊上发表和在相关学术研究论坛和会议上发表来传播。
