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Situational Analysis and Planning of a Community-Based Multicomponent Intervention to Prevent Adolescent Alcohol Use: The Prev.Action Study

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Autor(es):
Soares-Santos, Luis Eduardo ; Oliveira, Matheus de Carlos Silva ; Mendes-Sousa, Marilia M. ; Caetano, Sheila C. ; Valente, Juliana Y. ; Sanchez, Zila M.
Número total de Autores: 6
Tipo de documento: Artigo Científico
Fonte: HEALTH PROMOTION PRACTICE; v. N/A, p. 14-pg., 2025-09-12.
Resumo

Alcohol consumption among adolescents is a critical public health concern, leading to numerous adverse health, social, and economic consequences, which underscores the need for effective prevention strategies. This study aimed to conduct a situational analysis and produce a knowledge synthesis in the initial phase of the Prev.Action study, a multicomponent co-produced community intervention aimed at reducing alcohol use among Brazilian adolescents. This mixed-methods study conducted a comprehensive situational analysis to assess adolescent alcohol use in a Brazilian municipality, corresponding to Phase 1 of the Implementation Research Cycle. We employed three types of triangulation: data source, methodological, and investigator. Data were collected from five sources: a school-based survey (1,210 adolescents), focus groups (144 adolescents), semi-structured interviews with stakeholders (26 participants), a community web-based survey (516 participants), and stakeholder workshops (20 participants). Quantitative data were analyzed using descriptive statistics, whereas qualitative data underwent thematic analysis, ensuring a thorough understanding of community needs and intervention barriers. Key findings revealed that 54% of middle school and 73% of high school students had experimented alcohol. In addition, 13% of students reported binge drinking in the last 30 days. The primary methods of alcohol acquisition were self-purchase (30%) or receipt from parents (40%). Priority issues identified by the community, such as easy access to alcohol, cultural acceptance, and inadequate law enforcement, were key in designing a three-arm multicomponent intervention: school-based programs, family programs, and environmental strategies. The Prev.Action study underscores the importance of community involvement and tailored strategies to reduce adolescent alcohol consumption effectively. (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