Alcohol and the Community: A Systems Approach to Prevention
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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1 The community system of alcohol use and alcohol problems
2 Consumption System
alcohol availability and promotion
rules administration and enforcement
community values and social influences that affect drinking
prohibited uses of alcohol
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actual risk age and gender alco alcohol advertising alcohol availability alcohol consumption alcohol outlets alcohol problem prevention alcohol sales alcohol-involved problems alcohol-related alcoholic beverages availability of alcohol BAC limit behavior blood alcohol concentration changes cirrhosis community system community’s complex adaptive system consumer consumption class consumption level Consumption Subsystem Control Subsystem curve deﬁned differential association theory distribution of driving drinking and driving drinking norms drinking patterns driving events DUI arrest DUI enforcement dynamic economic effects example Formal Regulation frequency gender group Health Consequences Subsystem heavy drinkers Holder identiﬁed illustrates impairment increase individual inﬂuence injuries interaction intermediate variables Legal Sanctions Subsystem licenses number of driving outcome perceived risk perspective population prevention interventions prevention strategies public intoxication reﬂects Regulation and Control relationship result Retail Sales Subsystem risk of arrest sale of alcohol salience scientiﬁc signiﬁcant SimCom Skog Social Norms Subsystem socially acceptable speciﬁc subgroups sumption tion traffic crashes