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1 A Public Health Perspective on the Prevention of Alcohol Problems
Pages 23-30

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From page 23...
... The purpose of this chapter is to describe a public health model of prevention, which the committee has used as a framework to organize its discussion of promising avenues of prevention research. The model's emphasis on the interaction of factors related to problems with alcohol, as well as its ability to encompass a wide variety of intervention approaches, seems particularly useful.
From page 24...
... It is no longer suggested that these problems stem from a single determining mechanism such as inherited susceptibility to alcohol dependence or the availability of alcoholic beverages. To gain a perspective on the interaction of multiple factors, prevention specialists have adopted an epidemiological or public health model of alcohol-related problems (Figure 11~.
From page 25...
... The etiology of the specific problem -- whether it be intoxication, dependence, or driving after drinking -- can often be understood best from a public health perspective by isolating the relevant individual, agent, and environmental variables that are contributing influences. The preventive trial offers one method for determining the influence of a particular variable and its implications for subsequent interventions to prevent problem outcomes.
From page 26...
... may provide a high degree of protection to individuals who might otherwise be at risk. The strength of the public health perspective is that it broadens our awareness and understanding of alcohol-related problems.
From page 27...
... The public health model also indicates the role played by the agent, alcoholic beverages. A lengthy discussion of the production, marketing, and wholesale or retail distribution of alcohol is beyond the scope of this report; however, it conveys a sense of the importance and complexity of the role of alcohol to say that, in the United States, a billion dollars a year is spent on advertising and marketing beer, wine, and spirits.
From page 28...
... ~. The chapters that follow review current research in the alcohol field and relevant lessons from other public health fields.
From page 29...
... The Link Between Alcohol and Child Abuse: A Review of the Literature. Social and Behavioral Sciences Section, School of Public Health, Boston University School of Medicine, 1988.


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