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Updated: Jul 28, 2026
08:05
A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
Managing alcohol problems and risky drinking
T F Babor1, M Aguirre-Molina, G A Marlatt
1Department of Community Medicine and Health Care, School of Medicine of the University of Connecticut Health Center, Farmington 06030-6325, USA.
American Journal of Health Promotion : AJHP
|March 21, 2000
Summary
Despite declining alcohol consumption, alcohol dependence and binge drinking remain significant public health issues. Upstream policies limiting alcohol availability offer the most cost-effective prevention strategy.
Area of Science:
- Public Health
- Addiction Medicine
- Health Policy
Background:
- Alcohol consumption and related harms persist despite overall declines.
- High rates of alcohol dependence, liver cirrhosis, and binge drinking pose risks to adults and students.
- Existing interventions show varied effectiveness.
Purpose of the Study:
- To evaluate the effectiveness of different alcohol control strategies.
- To identify cost-effective public health interventions for alcohol-related problems.
- To inform policy decisions regarding alcohol availability and treatment.
Main Methods:
- Review of individual-level downstream interventions.
- Analysis of midstream population-based programs (e.g., screening, brief interventions).
- Evaluation of upstream policies limiting alcohol availability.
Main Results:
- Individual interventions show promise for dissemination.
- Midstream programs offer significant public health impact through early identification.
- Upstream policies, such as age restrictions, demonstrate the greatest potential for reducing harm cost-effectively.
Conclusions:
- A multi-level approach is necessary to address alcohol-related harms.
- Upstream policies limiting alcohol availability are the most impactful and cost-effective strategy.
- Further research and implementation of evidence-based interventions are recommended.
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