[Approaches for the prevention of alcohol abuse].

Epidemiological studies of alcohol problems have demonstrated a considerable variation between countries and epoches. Two types of primary prevention strategies of alcohol problems are examined. Firstly, efforts to control and reduce the availability of alcohol including increase of price, restriction of alcohol retail outlets or hours during which alcohol can be sold, minimum legal age for purchase or consumption, drinking-driving laws and enforcement programmes, restriction of alcohol advertising. The second type consists of educational prevention programmes aiming at the reduction of risk factors or the increase of protective factors within the general population. This type includes information to change knowledge and attitudes, education of affects and values, life skill training, resistance training, and mass media campaigns. Programmes aiming at high risk groups and the development of standardised secondary prevention programmes might be more effective and cost-efficient.