Evidence Map of Interventions to Reduce Alcohol Consumption/Mapa de evidencias sobre intervencoes para reducao do consumo de bebidas alcoolicas/Mapa de la evidencia sobre intervenciones para reducir el consumo de alcohol

• Published in: Revista panamericana de salud pública 2024-11, Vol.48
• Main Authors: Aballo Nunes Machado, Paula, Vasconcellos de Barros Vianna, Gabriela, Grucci Maya Moreira, Luciana, Leao Diogenes, Maria Eduarda, Brasil de Carvalho, Fabio Fortunato, Mendes Abdala, Carmen Veronica, Belo Tavares Ferreira, Camila, Rodrigues Batista, Mayara, Duarte Changa, Raphael, Alves Malhao, Thaina
• Format: Article
• Language: Spanish
• Subjects: Alcoholic beverages; Drinking of alcoholic beverages; Online databases
• ISSN: 1020-4989
• DOI: 10.26633/RPSP.2024.124

Objective. Systematize evidence on the effect of global interventions to reduce the consumption and/or sale of alcoholic beverages. Method. Evidence map based on searches in nine bibliographic databases, including 182 studies of systematic reviews with or without meta-analysis, reviews of interventions, and reviews of reviews. The studies evaluated the effect of interventions grouped into comprehensive sets of actions: communication for behavior change; health-promoting environments; and systemic changes. Two outcomes of interest were considered: reduction in alcohol consumption and reduction in its purchase/sale. Results. A total of 207 associations between different interventions and outcomes were recorded, with emphasis on communication for behavior change (81.64%) and reduction of consumption (98.55%). Most of the associations showed a positive (40.58%), inconclusive (28.99%), or potentially positive (26.57%) effect. The main interventions with positive or potentially positive results were: a government monopoly on the sale of alcoholic beverages, control of the density of points of sale, charging a minimum price per unit, health warnings on alcoholic beverage labels, and multiple integrated interventions. Conclusion. It is hoped that this map will help public policy makers and healthcare professionals adapt experiences to their own contexts, stimulating intersectoral actions to reduce alcohol consumption. Keywords alcohol; alcohol drinking, products commerce, evaluation of the efficacy-effectiveness of interventions, public policy, evidence-informed policy. Objetivo. Sistematizar evidencias sobre o efeito de intervencoes mundiais para a reducao do consumo e/ou venda de bebidas alcoolicas. Metodo. Mapa de evidencias que, a partir de buscas em nove bases bibliograficas, incluiu 182 estudos de revisoes sistematicas com ou sem metanalises, revisoes de intervencoes e revisoes de revisoes. Os estudos avaliaram o efeito de intervencoes--agrupadas em conjuntos abrangentes de acoes: comunicacao para mudanca de comportamento; ambientes promotores da saude e mudancas dos sistemas- -sobre dois desfechos de interesse: reducao de consumo e reducao da compra e/ou venda de alcool. Resultados. Foram registradas 207 associacoes entre diferentes intervencoes e desfechos, com destaque para intervencoes de comunicacao para mudanca de comportamento (81,64%) e para o desfecho de reducao de consumo (98,55%). A maioria das associacoes apresentou efeito positivo (40,58%), inco