Whole-of-community and intersectoral interventions that address alcohol-related harms: A scoping review
Journal: Global Public Health
Authors: Ulla Walmisley, Michelle De Jong, Asha George, Ida Okeyo,
Carmen Späth, Nandi Siegfried, Nadine Harker, Mark Tomlinson
and Tanya Doherty
Abstract
Alcohol harms threaten global population health, with youth particularly
vulnerable. Low – and middle-income countries (LMIC) are increasingly
targeted by the alcohol industry. Intersectoral and whole-of-community
actions are recommended to combat alcohol harms, but there is insufficient
global evidence synthesis and research examining interventions in LMIC.
This paper maps existing literature on whole-of – community and
intersectoral alcohol harms reduction interventions in high-income
countries (HIC) and LMIC. Systematic searching and screening produced 61
articles from an initial set of 1325: HIC (n = 53), LMIC (n = 8). Data were
extracted on geographic location, intersectoral action, reported outcomes,
barriers, and enablers. HIC interventions most often targeted adolescents
and combined community action with other components. LMIC
interventions did not target adolescents or use policy, schools, alcohol
outlets, or enforcement components. Programme enablers were a clear
intervention focus with high political support and local level leadership,
locally appropriate plans, high community motivation, community action
and specific strategies for parents. Challenges were sustainability,
complexity of interventions, managing participant expectations and
difficulty engaging multiple sectors. A learning agenda to pilot, scale and
sustain whole-of-community approaches to address alcohol harms in
settings is crucial, with consideration of local contexts and capacities, more
standardised methods, and a focus on community-driven action.
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