|Titre :||Communities mobilizing for change on alcohol: outcomes from a randomized community trial (2000)|
|Auteurs :||A. C. WAGENAAR ; D. M. MURRAY ; J. P. GEHAN ; M. WOLFSON ; J. L. FORSTER ; T. L. TOOMEY ; C. L. PERRY ; R. JONES-WEBB|
|Type de document :||Article : Périodique|
|Dans :||Journal of Studies on Alcohol (Vol.61, n°1, January 2000)|
|Article en page(s) :||85-94|
|Discipline :||PRE (Prévention - RdRD / Prevention - Harm reduction)|
Thésaurus TOXIBASEAGE MINIMUM LEGAL ; ALCOOL ; ETUDE RANDOMISEE ; ADOLESCENT ; AGE ; ACTION COMMUNAUTAIRE ; VENTE ; INTERVENTION
OBJECTIVE: Communities Mobilizing for Change on Alcohol (CMCA) was a randomized 15-community trial of a community organizing intervention designed to reduce the accessibility of alcoholic beverages to youths under the legal drinking age.
METHOD: Data were collected at baseline before random assignment of communities to intervention or control condition, and again at follow-up after a 2.5-year intervention. Data collection included in-school surveys of twelfth graders, telephone surveys of 18- to 20-year-olds and alcohol merchants, and direct testing of the propensity of alcohol outlets to sell to young buyers. Analyses were based on mixed-model regression, used the community as the unit of assignment, took into account the nesting of individual respondents or alcohol outlets within each community, and controlled for relevant covariates.
RESULTS: Results show that the CMCA intervention significantly and favorably affected both the behavior of 18- to 20-year-olds (effect size = 0.76, p<.01 and the practices of on-sale alcohol establishments size="1.18," p may have favorably affected off-sale but had little effect on younger adolescents. merchants appear to increased age-identification checking reduced propensity sell minors. eighteen- their provide other teens were less likely try buy drink in a bar or consume alcohol.> CONCLUSIONS: Community organizing is a useful intervention approach for mobilizing communities for institutional and policy change to improve the health of the population.
|Domaine :||Alcool / Alcohol|
|Affiliation :||Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, USA|