Alcohol and the Community: A Systems Approach to Prevention

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Cambridge University Press, Dec 14, 2006 - Medical - 200 pages
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An individual's decision to use alcohol and the frequency, quantity, and situations of use are the result of a combination of biological and social factors. Drinking is not only a personal choice, but also a matter of custom and social behavior, and is influenced by access and economic factors including levels of disposable income and cost of alcoholic beverages. Until prevention efforts cease to focus narrowly on the individual and begin to adopt broader community perspectives on alcohol problems and strategies to reduce them, these efforts will fail. The author challenges the current implicit models used in alcohol problem prevention and demonstrates an ecological perspective of the community as a complex adaptive system composed of interacting subsystems. This important volume represents a new and sensible approach to the prevention of alcohol dependence and alcohol-related problems.
 

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Contents

1 The community system of alcohol use and alcohol problems
1
2 Consumption System
29
alcohol availability and promotion
54
rules administration and enforcement
64
community values and social influences that affect drinking
74
prohibited uses of alcohol
97
community identification of and responses to alcohol problems
113
8 Communitylevel alcohol problem prevention
134
References
158
Index
174
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