PREVENTION OF ALCOHOL-RELATED ACCIDENTS IN THE COMMUNITY

被引:22
作者
HOLDER, HD
机构
[1] Pacific Institute for Research and Evaluation, Prevention Research Center, Berkeley, California, 94704
关键词
D O I
10.1111/j.1360-0443.1993.tb02118.x
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This paper establishes a conceptual and operational basts for development of community prevention programs to reduce alcohol-related accidents. A public health perspective of accidents is proposed as the philosophical basis for local prevention interventions in which accidents are viewed as system problems (system outputs, if you will) not simply problems caused by a few alcohol-dependent individuals. Since there are no examples of controlled community prevention research projects (trials) which have demonstrated a reduction in community-level alcohol-related accidents, such controlled trials are needed in the future. An example of one being developed by the Prevention Research Center, Berkeley, CA is provided. Without such controlled trials, prevention research will be unable to demonstrate that such accidents can actually be reduced. This paper explores the applications of a public health perspective to the prevention of alcohol-involved accidents at the community level including a conceptual model of alcohol-involved trauma and suggested design, alternative local interventions, possible outcome measures, and phases for community prevention of alcohol-related accidents.
引用
收藏
页码:1003 / 1012
页数:10
相关论文
共 25 条
[1]  
AITKEN SS, 1985, ALCOHOL HLTH RES WOR, V9, P60
[2]   THE MULTIPLE RISK FACTOR INTERVENTION TRIAL (MRFIT) .3. THE MODEL FOR INTERVENTION [J].
BENFARI, RC .
PREVENTIVE MEDICINE, 1981, 10 (04) :426-442
[3]   PUBLIC AVAILABILITY OF DISTILLED SPIRITS - STRUCTURAL AND REPORTED CONSUMPTION CHANGES ASSOCIATED WITH LIQUOR-BY-THE-DRINK [J].
BLOSE, JO ;
HOLDER, HD .
JOURNAL OF STUDIES ON ALCOHOL, 1987, 48 (04) :371-379
[4]  
CAMPBELL DT, 1966, EXPT QUASI-EXPT DESI
[5]   ORGANIZATION FOR A COMMUNITY CARDIOVASCULAR HEALTH-PROGRAM - EXPERIENCES FROM THE MINNESOTA-HEART-HEALTH-PROGRAM [J].
CARLAW, RW ;
MITTLEMARK, MB ;
BRACHT, N ;
LUEPKER, R .
HEALTH EDUCATION QUARTERLY, 1984, 11 (03) :243-252
[6]  
CHERPITEL CJ, 1989, DRINKING CASUALTIES, P288
[7]  
Cook T., 1979, QUASI EXPT DESIGN AN
[8]   EFFECTS OF COMMUNITY-WIDE EDUCATION ON CARDIOVASCULAR-DISEASE RISK-FACTORS - THE STANFORD 5-CITY PROJECT [J].
FARQUHAR, JW ;
FORTMANN, SP ;
FLORA, JA ;
TAYLOR, CB ;
HASKELL, WL ;
WILLIAMS, PT ;
MACCOBY, N ;
WOOD, PD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (03) :359-365
[9]  
GIESBRECHT N, 1991, 36TH INT I PREV TREA
[10]   SURROGATE MEASURES OF ALCOHOL INVOLVEMENT IN FATAL CRASHES - ARE CONVENTIONAL INDICATORS ADEQUATE [J].
HEEREN, T ;
SMITH, RA ;
MORELOCK, S ;
HINGSON, RW .
JOURNAL OF SAFETY RESEARCH, 1985, 16 (03) :127-134