| Texto completo | |
| Autor(es): |
Oliveira, Matheus De Carlos
;
Mendes-Sousa, Marilia
;
Soares-Santos, Luis Eduardo
;
Valente, Juliana Y.
;
Caetano, Sheila C.
;
Sanchez, Zila M.
Número total de Autores: 6
|
| Tipo de documento: | Artigo Científico |
| Fonte: | DRUG AND ALCOHOL REVIEW; v. N/A, p. 16-pg., 2025-09-18. |
| Resumo | |
Issues This systematic review of community-based environmental prevention strategies seeks to understand their characteristics, examine their effectiveness and identify challenges for preventing alcohol use among adolescents.Approach A comprehensive search was conducted in MEDLINE/PubMed, Scopus and PsycINFO through December 2024. Eligible studies were randomised or quasi-experimental designs targeting individuals under 21 years, evaluating environmental interventions (regulatory, physical or economic) with outcomes related to underage alcohol consumption and access. Two reviewers independently selected studies, extracted data and assessed risk of bias using the RoB 2 and ROBINS-I tools.Key Findings Regulatory strategies were the most frequent (94%; 15/16), followed by physical strategies (37%; 6/16). The most reported outcome was a reduction in alcohol availability (62%; 10/16), followed by a general reduction in consumption (37%; 6/16). Although 69% (11/16) of the studies reported positive effects, heterogeneity in study designs and terminology limited comparability. It is crucial to note that community mobilisation, although not an environmental strategy per se, was described in 81% (13/16) of the studies.Implications The analysis indicates that the effectiveness and sustainability of environmental interventions are strongly associated with their integration with community mobilisation. This synergy, however, introduces methodological complexity, making it difficult to analyse components in isolation and to standardise evaluation.Conclusions The findings reaffirm the value of environmental interventions, particularly regulatory ones, in preventing alcohol use among adolescents. The most promising model is multicomponent, combining actions that modify the environment with robust processes of community participation, forming an adaptable and holistic framework to promote sustainable outcomes. (AU) | |
| Processo FAPESP: | 22/03145-9 - Redução do consumo de álcool entre adolescentes através de uma intervenção multicomponente de base comunitária: uma abordagem de pesquisa de implementação |
| Beneficiário: | Zila van der Meer Sanchez Dutenhefner |
| Modalidade de apoio: | Auxílio à Pesquisa - Temático |
| Processo FAPESP: | 23/16702-6 - Avaliação de necessidades municipais e desenvolvimento de programa de base comunitária para prevenção do uso de álcool entre adolescentes |
| Beneficiário: | Luis Eduardo Soares dos Santos |
| Modalidade de apoio: | Bolsas no Brasil - Pós-Doutorado |
| Processo FAPESP: | 24/05810-5 - Iniciando a prevenção ao consumo de álcool na infância dentro de uma intervenção multicomponente de base comunitária: uma abordagem de pesquisa de implementação |
| Beneficiário: | Marília Mendes Moreira de Sousa |
| Modalidade de apoio: | Bolsas no Brasil - Pós-Doutorado |
| Processo FAPESP: | 23/14565-1 - Desenvolvimento e avaliação de intervenção ambiental de base comunitária para redução do consumo e acesso ao álcool entre adolescentes |
| Beneficiário: | Matheus de Carlos Silva Oliveira |
| Modalidade de apoio: | Bolsas no Brasil - Doutorado Direto |