Prevention strategies
Alcohol and other drug (AOD) prevention means helping people avoid, delay or reduce alcohol and other drug use, and the harms that can come with it. Prevention is one part of Australia’s harm minimisation approach, alongside reducing supply and reducing harm.
What is AOD prevention?
This is because young people are going through significant social, physiological and developmental changes. In this phase of their life, prevention strategies have the potential to positively influence behaviour that will last through their adult years.
Why focus on prevention for young people?
Many young people go through a developmental period where they experience an increase in freedom and a decrease in social monitoring.1 This is also a time where some young people begin experimenting with alcohol and other drugs.1 Prevention is a strategy that can address the risk factors associated with early age alcohol and other drug use, as well as enhance the protective factors.1, 2
Types of prevention strategies
Prevention can help people avoid the use of alcohol and other drugs, delay or reduce the use of alcohol and other drugs, or avoid the harms associated with alcohol and other drugs.1 This is done through either influencing individuals’ personal behaviours or changing environmental conditions to reduce the potential for certain behaviours to develop.1
Prevention strategies aim to support the safe and healthy development of young people.1, 14 There are several prevention strategies that can be used to reduce harm from alcohol and other drug use among young people, including:
- evidence-informed AOD education programs
- health promotion and community development initiatives, and
- reducing the supply of alcohol and other drugs through legislation, regulation and policy.1, 14
It is crucial that communities follow evidence-informed examples when implementing prevention strategies targeting young people.6 Research continues to identify the components that result in effective prevention strategies.1, 14 This highlights the need for comprehensive and robust evaluation of programs where possible. When information is shared on the key elements of successful prevention programs, there will be a better understanding of what works best.2
Risk and protective factors
Alcohol and other drug harms are influenced by a range of modifiable factors that are likely to predict or prevent alcohol and other drug use during adolescence.7
Risk factors
Risk factors can increase the likelihood of a young person using alcohol and other drugs or experiencing harm from alcohol and other drug use.7 Examples of risk factors are:
- living in a household or community where alcohol or other drugs are readily available 3, 4
- parental alcohol and other drug use5
- favourable parental attitudes toward toward alcohol and other drug use1, 10
- family dysfunction1, 7
- associating with peers who have favourable attitudes toward alcohol and other drugs8
- school failure. 7, 9
Protective factors
Protective factors interact with risk factors in complex ways. They may moderate the influence of risk factors to reduce the likelihood of AOD use in young people, delay the uptake of AOD use in young people, and reduce harm should young people engage in AOD use.7 Examples of protective factors are:
- parental supervision and communication10, 12
- participation in supervised leisure activities10, 11
- social and emotional competence7
- sense of belonging and connectedness to community, school and family13
- participation in positive activities with adult engagement13, 14
It should be noted that these risk and protective factors only indicate the likelihood of alcohol and other drug use and related harms occurring.7
What makes prevention work
Community involvement
The local community plays a significant role in facilitating or contributing to effective prevention strategies.
National and international evidence highlights the effectiveness and importance of community engagement in preventing harms from alcohol and other drugs. This is especially the case in high-risk populations such as young people, Aboriginal and Torres Strait Islander communities, migrant communities, and low socioeconomic communities.15-18
It is critical that community programs ensure the focus of the program is relevant to the needs of the community.6, 17 Community engagement in program planning, design and implementation helps to increase awareness of alcohol and other drug harms. This is an essential component for ensuring community support and participation.
Community ownership
Community-led programs strengthen the capacity of the community to identify, prevent, and respond to health issues in a population.16, 19 Fostering a sense of community ownership is key to engagement and participation in community-led programs. It acknowledges that gathering resources and knowledge, as well as coordinating with multiple agencies or sectors, are elements for success.
This collaborative approach is important for long term effectiveness in programs.18, 19
- Loxley W, Toumbourou J, Stockwell T, Haines B, Scott K, Godfrey C, Wate rs E, Patton G, Fordham R, Gray D, Marshall J. The prevention of substance use, risk and harm in Australia: a review of the evidence. Commonwealth of Australia; 2004.
- Spooner C, Hetherington K. Social determinants of drug use. Sydney, Australia: National Drug and Alcohol Research Centre, University of New South Wales; 2005. Available from: https://ndarc.med.unsw.edu.au/resource/social-determinants-drug-use
- Rowland B, Toumbourou JW, Satyen L, Tooley G, Hall J, Livingston MC, Williams J. Associations between alcohol outlet densities and adolescent alcohol consumption: A study in Australian students. Addictive behaviors. 2014 Jan 1;39(1):282-8. https://doi.org/10.1016/j.addbeh.2013.10.001
- Huckle T, Huakau J, Sweetsur P, Huisman O, Casswell S. Density of alcohol outlets and teenage drinking: living in an alcogenic environment is associated with higher consumption in a metropolitan setting. Addiction. 2008 Oct;103(10):1614-21. https://doi.org/10.1111/j.1360-0443.2008.02318.x
- Li C, Pentz MA, Chou CP. Parental substance use as a modifier of adolescent substance use risk. Addiction. 2002 Dec;97(12):1537-50. https://doi.org/10.1046/j.1360-0443.2002.00238.x
- Fergusson D, Boden J. Alcohol use in adolescence. In: Gluckman P, Hayne H, editors. Improving the transition: Reducing social and psychological morbidity during adolescence. Office of the Prime Minister’s Science Advisory Committee, Auckland. 2011 May.p.235-255.
- Stone AL, Becker LG, Huber AM, Catalano RF. Review of risk and protective factors of substance use and problem use in emerging adulthood. Addictive behaviors. 2012 Jul 1;37(7):747-75. https://doi.org/10.1016/j.addbeh.2012.02.014
- Kristjansson AL, Sigfusdottir ID, Allegrante JP. Adolescent substance use and peer use: a multilevel analysis of cross-sectional population data. Substance abuse treatment, prevention, and policy. 2013 Dec;8(1):27. https://doi.org/10.1186/1747-597X-8-27
- Prior M, Sanson A, Smart D, Oberklaid F. Pathways from infancy to adolescence: Australian Temperament Project 1983–2000 (Research Report No. 4). Melbourne: Australian Institute of Family Studies; 2000. Available from: https://aifs.gov.au/all-research/research-reports/pathways-infancy-adolescence
- Kristjansson AL, James JE, Allegrante JP, Sigfusdottir ID, Helgason AR. Adolescent substance use, parental monitoring, and leisure-time activities: 12-year outcomes of primary prevention in Iceland. Preventive medicine. 2010 Aug 1;51(2):168-71. https://doi.org/10.1016/j.ypmed.2010.05.001
- Kristjansson AL, Sigfusdottir ID, Thorlindsson T, Mann MJ, Sigfusson J, Allegrante JP. Population trends in smoking, alcohol use and primary prevention variables among adolescents in Iceland, 1997–2014. Addiction. 2016 Apr;111(4):645-52. https://doi.org/10.1111/add.13248
- Spirito A, Hernandez L, Cancilliere MK, Graves H, Barnett N. Improving parenting and parent-adolescent communication to delay or prevent the onset of alcohol and drug use in young adolescents with emotional/behavioral disorders: A pilot trial. Journal of child & adolescent substance abuse. 2015 Sep 3;24(5):308-22. https://doi.org/10.1080/1067828X.2013.829013
- Ritter A, King T, Hamilton M, editors. Drug use in Australian society. Oxford University Press; 2013.
- United Nations Office on Drugs and Crime, World Health Organization. International Standards on Drug Use Prevention: Second updated edition. Vienna: UNODC and WHO; 2018. Available from: https://www.unodc.org/unodc/en/prevention/prevention-guidelines.html
- Stockings E, Bartlem K, Hall A, Hodder R, Gilligan C, Wiggers J, Sherker S, Wolfenden L. Whole‐of‐community interventions to reduce population‐level harms arising from alcohol and other drug use: a systematic review and meta‐analysis. Addiction. 2018 Nov;113(11):1984-2018. https://doi.org/10.1111/add.14277
- Wise M, Angus S, Harris E, Parker S. Scoping Study of Health Promotion Tools for Aboriginal and Torres Strait Islander People. University of NSW & Lowitja Institute; 2012 October.
- National Institute for Health and Care Excellence. Community engagement: improving health and wellbeing and reducing health inequalities (NG44). London: NICE; 2016. Available from: https://www.nice.org.uk/guidance/ng44
- Anderson LM, Adeney KL, Shinn C, Safranek S, Buckner‐Brown J, Krause LK. Community coalition‐driven interventions to reduce health disparities among racial and ethnic minority populations. Cochrane Database of Systematic Reviews. 2015(6):CD009905. https://doi.org/10.1002/14651858.CD009905.pub2
- Fagan AA, Hawkins JD, Catalano RF. Engaging communities to prevent underage drinking. Alcohol Research & Health. 2011;34(2):167-74. https://pmc.ncbi.nlm.nih.gov/articles/PMC3860564/
Last reviewed: 16 October 2026