244597 Reducing high-risk drinking and alcohol-related harm among young adult males using evidence-based prevention strategies

Monday, October 31, 2011

Elizabeth Manafo, MHSc , School of Nutrition, Ryerson University, Toronto, ON, Canada
Ashley Wettlaufer, MA, BSc , Social and Epidemiological Research, Centre for Addiction and Mental Health, Toronto, ON, Canada
Norman Giesbrecht, PhD , Public Health and Regulatory Policy Section, Social, Prevention and Health Policy Research Department, Centre for Addiction and Mental Health, Toronto, ON, Canada
Tom Martin, BScHP , Chronic Disease and Injury Prevention - Substance Misuse Prevention Team, Peel Region Public Health, Brampton, ON, Canada
Allethia Francis-Liburd, RN, BScN, BAS , Region of Peel, Brampton, ON, Canada
Purpose: To identify effective evidence-based prevention strategies aimed at reducing the rates of high-risk drinking behavior and alcohol-related injury in young adult males aged 15-24, excluding drinking and driving. Method: This systematic review searched for articles from relevant online indexes. Articles were selected based on a priori grading criteria established by the research team with a focus on the target age and gender group and from comparable jurisdictions both internationally and nationally. Within this focus area, original studies or high-quality review with a strong research design and methodologic rigor were considered to be of highest quality. Almost 500 research articles were reviewed of which 71 with superior design and scope were selected for inclusion and detailed analysis. Results: In order to reduce sales to minors and prevention intoxication, several high impact interventions/policies were noted at the population level: pricing and taxation on alcohol, reduced density of outlets, enforcement of responsible service practices. Education and awareness strategies were effective in impacting knowledge and building capacity through skill development to reduce high-risk use but impact on behavior change was minimal. The effectiveness of product modification is not yet determined. Implications: It is recommended that prevention/policy response be organized into two tiers: 1) population level responses (i.e., pricing and taxation, physical availability, marketing and advertising) and 2) focused individual response (i.e., minimum legal age, altering drinking context, education and persuasion and screening and brief intervention).

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
1)Identify evidence-based prevention strategies aimed at reducing the rates of high-risk drinking behavior and alcohol-related harm in young adult males (aged 15-24) excluding drinking and driving 2)Compare the effectiveness of different prevention strategies (i.e., education and awareness of the consequences of high-risk drinking behaviors; environment for alcohol control activities; and modification of alcohol products) 3)Discuss future research, practice and policy opportunities focused at reducing rates of high-risk drinking behavior and alcohol related harm

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present as co-author of this abstract and my work focuses on alcohol policy at the Centre for Addiction and Mental Health
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.